Medicaid Program Manager 4

About the Department

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.

Learn more about Louisiana Department of Health

Join the leadership team behind one of Louisiana’s most impactful public programs! This role serves as a key strategic leader within the Bureau of Health Services Financing (BHSF), helping oversee and manage a Medicaid budget exceeding $16 billion and supporting healthcare services for 1.6 million residents. As Section Chief for Financial Management Administration, you will guide complex funding methodologies, maximize federal participation, shape statewide Medicaid policy, and drive major budgetary decisions that influence programs across Louisiana.

This is an exceptional opportunity for a forward-thinking financial professional who thrives in a dynamic, high-impact environment. You’ll collaborate with state and federal partners, supervise high-level staff, and play a pivotal role in advancing the mission of the Louisiana Department of Health. If you're ready to lead, innovate, and make a measurable difference in the lives of Louisianans, we encourage you to apply!

Position Duties

Two years of the required experience for the following minimum qualifications must have been at the supervisory level or above:

Eight 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 five 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 five 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 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.

EXPERIENCE SUBSTITUTION:
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.

Minimum Qualifications

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Other Qualifications

Job Duties:

• Directs and manages the development, maintenance, and monitoring of administrative budget policies, complex funding methodologies, and cost allocation models to ensure sufficient funding for the Medicaid Medical Vendor Administration program. 

• Provides oversight of programmatic expenditures to ensure proper allocation, availability of required match funding, and maximization of federal funds while maintaining compliance with legislative and regulatory requirements. 
• Serves as liaison between Medicaid leadership and federal, state, and legislative entities, preparing and directing responses related to complex Medicaid funding methodologies and ensuring compliance with CMS guidelines. 
• Directs contract preparation, amendments, procurement activities, and funding source verification to ensure accuracy, compliance, and efficient monitoring of Medicaid contracts. 
• Supervises day-to-day operations of the Financial Management Vendor Administration section, providing leadership, performance management, staffing decisions, and guidance on policy, budget, and technical issues. 
• Reviews and guides policy changes affecting Medicaid programs, assessing fiscal impacts, interpreting CMS regulations, and making recommendations to executive leadership; represents the agency in legislative committees and CMS financial reviews. 
• Oversees development of advanced analytical projects and expenditure forecasts, including monthly Medicaid forecasts and long-term budget outlooks, and directs preparation of the Medicaid administrative budget request.

Position-Specific Details:
Location: Medical Vendor Administration / Financial Management and Operations/ East Baton Rouge Parish

Appointment Type: This position may be filled as a Probationary appointment or Promotional appointment

Cost Center: 3052070200

Position Number(s): 60738

How To Apply:

No Civil Service test score is required in order to be considered for this vacancy.

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. 

* Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education).  Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

For information on how to check your application status and understand status updates, please click HERE.

Contact Information:

Shambrielle Pooler

[email protected]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. 

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities. 

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.

Benefits

Supplemental Questions

Required Question

Agency Information

EmployerState of LouisianaAddress 1201 N 3rd St

Baton Rouge, Louisiana, 70802 Phone(866) 783-5462
Website http://agency.governmentjobs.com/louisiana/default.cfm