Medicaid Program Manager 1-B
Louisiana Department of State Civil Service - Baton Rouge, LA

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MINIMUM QUALIFICATIONS: A baccalaureate degree plus five years of professional experience in business operations, economics, public health, public relations, research and evaluation, or in providing social services or health services. One year of this experience must have been at the advanced level or above. SUBSTITUTIONS: Eight years of full-time work experience in any field may be substituted for the required baccalaureate degree only.

Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree only, as follows:

A maximum of 90 semester hours may be combined with experience to substitute for the baccalaureate degree.

15 to 29 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
30 to 44 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
45 to 59 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
60 to 74 semester hours credit will substitute for four years of experience towards the baccalaureate degree.
75 to 89 semester hours credit will substitute for five years of experience towards the baccalaureate degree.
90 or more semester hours credit will substitute for six years of experience towards the baccalaureate degree.

College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of six years full-time work experience. Candidates with 90 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree only.

Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for one year of the general experience on the basis of thirty semester hours for one year of experience: public health; public relations; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.

A Juris Doctorate will substitute for two years of the general experience.

A master's degree in the above fields will substitute for two years of the general experience.

A Ph.D. in the above fields will substitute for three years of the general experience.
NOTE:
Graduate training will not substitute for more than three years of the general experience.

NOTES:
Health services are defined as nursing service, ancillary services (radiology, medical laboratory, pharmacy, etc.) and medical services.

Examples of public health jobs include sanitarian, public health engineer, and public health epidemiologist.

NOTE:
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Association of Colleges and Schools; the New England Association of Schools and Colleges; the North Central Association of Colleges and Schools; the Northwest Commission on Colleges and Universities; The Southern Association of Colleges and Schools; the Western Association of Schools and Colleges.

This position is located in the cost center of Baton Rouge/MVA/Medicaid Eligibility Supports, (305-7160), pos#: 131868.

This vacancy is announced as a Promotional Appointment and will be filled by the promotion of a permanent classified state employee within the Medical Vendor Administration. Only These Employees Are Eligible 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.

Ø You are strongly encouraged to apply for this posting using your online application. It is recommended that you apply for all of the job titles that you are interested in.

Ø Specific information about this job will be provided to you in the interview process, should you be selected. However, there is no guaranteed that everybody that applies to this posting will be interviewed.

Ø Your application status can be checked online. If your status reads that you have been place on the eligibles list, that means that your application has been forwarded to the hiring supervisor.

Ø Keep in mind that the hiring supervisor has 90 days from the closing date of the announcement to make a hire.

For further information, that has not been stated above, about this vacancy contact:

micah.thomas@LA.GOV or

write to the following address:


DHH/HRTSD

P. O. Box 4818 Bin 28

Baton Rouge, LA 70821

Job Concepts:

Function of Work:
To administer small and less complex statewide Medicaid program(s).

Level of Work:
Manager.

Supervision Received:
Broad from a higher-level manager/administrator.

Supervision Exercised:
Supervision over lower-level position(s) in accordance with the Civil Service Allocation Criteria Memo.

Location of Work:
Department of Health and Hospitals.

Job Distinctions:
Differs from Medicaid Program Monitor by responsibility for administering small and less complex statewide program(s) and supervision exercised.

Differs from Medicaid Program Manager 1-A by the presence of supervisory responsibility.

Differs from Medicaid Program Manager 2 by the absence of responsibility for administering medium size or moderately complex statewide program(s) and supervision exercised.

Examples of Work:

Supervises the auditing of eligibility enrollment of all Medicaid programs statewide.

Reviews work of eligibility review staff for quality assurance.

Plans, coordinates, and controls a small or less complex statewide program.

Plans, develops, implements and monitors comprehensive Medicaid program policies.

Conducts and directs studies/special projects pertaining to the programs assigned.

Analyzes the impact of federal, state, and local legislation; advises agency officials; prepares position statements; presents testimony at hearings; writes legislation.

Reviews and analyzes complex data and system reports to ensure compliance with program regulations.

Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and procedures are properly applies in accordance with federal and state laws and regulations.

Develops and writes agency rules and regulations governing the administration of all supervised Medicaid programs and submit them for publishing in the official state publication in accordance with the requirements of the Administrative Procedures Act.

Implements Medicaid regulations directing provider participation standards and recipient benefits. Analyzes multi-mullion dollar Medicaid claim data and project the fiscal impact for budget forecasting.

Identifies, verifies and analyzes the various revenue sources for the program(s). Determines and/or confirms match requirements. Monitors availability of revenue sources and promptly identifies existing or potential financing problems.

Louisiana Department of State Civil Service - 17 months ago - save job - block
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