Medicaid Program Supervisor

State of LouisianaBaton Rouge, LA
Onsite

About The Position

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana. As a leader of a team of 13 Medicaid Program Specialists, you’ll oversee daily operations, drive performance and quality, and ensure members and providers receive accurate, timely support. This dynamic role offers the opportunity to coach and develop staff, resolve complex cases, support continuous improvement, and help shape policies and systems that improve Medicaid operations.

Requirements

  • Six years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR Six years of full-time work experience in any field plus three years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR A bachelor’s degree plus three years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR An advanced degree or a Juris Doctorate plus two years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services.
  • Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

Nice To Haves

  • Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.
  • Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.
  • Leading Effective Teams: The ability to build, guide, and motivate teams to achieve goals through collaboration, accountability, and shared purpose.
  • Managing Performance: The ability to plan, monitor, and document employee performance throughout the year.

Responsibilities

  • Supervises a team of 13 Medicaid Program Specialists responsible for assisting members and providers and ensuring accurate eligibility determinations.
  • Manages daily team operations, including staff assignments, scheduling, system access, and workload to meet service and performance requirements.
  • Monitors staff quality and productivity through case reviews, call evaluations, and performance metrics to ensure compliance with federal and state Medicaid policies.
  • Provides coaching, training, and guidance to staff to improve performance, strengthen service delivery, and maintain regulatory compliance.
  • Handles escalated inquiries and complex cases by applying extensive knowledge of Medicaid policies and procedures to resolve issues.
  • Leads recruitment, performance management, and team development activities while fostering continuous improvement and operational effectiveness.
  • Prepares reports and analyzes performance data for leadership and contributes to policy, system, and operational enhancements.

Benefits

  • Premium Pay of up to $2.00/hr for hours worked based on longevity.
  • Premium pay rate of up to $2.50 hourly for hours worked only for bilingual applicants.
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