Program Manager 1B-LDH

State of Louisiana • Baton Rouge, LA

4d • Onsite

About The Position

The Louisiana Department of Health (LDH) is seeking a Program Manager for the Office of Public Health’s Revenue Cycle Management Program. This role will lead strategy and continuous improvement for approximately $10 million in annual collections. The position offers the opportunity to lead revenue cycle operations, optimize reimbursement, oversee vendors and contracts, support EHR integration, ensure regulatory compliance, and guide a team of professionals. 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.

Requirements

• Seven 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 four 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 four 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 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.
• 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.

Responsibilities

• Directs and administers the statewide Revenue Cycle Management Program, establishing strategic goals, operational objectives, policies, and performance measures to maximize reimbursement, reduce denials, improve cash flow, and strengthen financial stewardship.
• Provides executive oversight of statewide billing, coding, claims management, collections, revenue integrity, provider enrollment, credentialing support, and workflow improvement initiatives.
• Directs the administration and performance of statewide revenue cycle contracts and vendors, ensuring compliance with contract requirements, deliverables, service levels, budgets, timelines, and performance measures.
• Serves as the business owner for revenue cycle technologies and leads implementation, integration, testing, workflow redesign, training, and change management initiatives involving EHR, claims processing, and financial systems.
• Directs the development and analysis of statewide revenue cycle reports, dashboards, forecasts, and performance measures to evaluate reimbursement trends, payer performance, accounts receivable, denials, collections, and revenue enhancement opportunities.
• Ensures statewide revenue cycle operations comply with applicable federal and state laws, CMS, Medicare and Medicaid requirements, HIPAA, payer contracts, credentialing standards, and departmental policies; oversees audits, revenue integrity reviews, and corrective actions.
• Directs and supervises professional staff within the Revenue Cycle Management Program by establishing priorities, assigning projects, evaluating performance, developing staff competencies, and fostering collaboration with internal and external stakeholders.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed