Medicaid Policy & Compliance - Coordinator

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Department Compliance Operations

Job Summary

Job Description Acts as subject matter expert relative to Louisiana administrative Rule making, State Plan, and Medicaid Administrative activity to ensure a clear understanding of the processes.

Coordinates the publication of Rule making and State Plan documents on the agency’s website and ensures the content is maintained in accordance with legislative requirements, as appropriate.

Consults with the Louisiana Department of Health (LDH) webmaster and other Policy and Compliance staff to ensure that all documents are published timely; ensures that every version of each document that is legislatively mandated is published, maintained and archived.

Expertly utilizes the Centers for Medicare and Medicaid Services (CMS)’ state-facing systems and ensures that State Plan documents are obsoleted as amendments are transitioned to the MACPro, OneMAC, MACFin and MMDL systems.

Identifies and resolves any duplication in the State Plan as new MACPro system modules are deployed.

Collaborates with and assists Rule making staff to adjudicate any issues identified by program staff, the Legislative Fiscal Office and/or the Office of State Register.

Collaborates with program staff to adjudicate any State Plan issues identified by CMS.Participates in and coordinates research requested from program staff, legal staff, executive management and external parties.

Assists in the review of all promulgated rules, notices of intent and fiscal documents to ensure compliance with all applicable federal and state laws, rules and regulations.

Assists in facilitating newspaper and website publication of required public notices.

Monitors federal and state websites and takes appropriate action on informational bulletins and CMS releases to ensure the Policy and Compliance section is aware of regulatory updates, and complies with required mandates.

Plans, coordinates, and executes communication related to compliance; includes written and verbal communication with both internal and external stakeholders.

Assists in the design and maintenance of internal reports to ensure all activities are on schedule and completed within the required timelines.

Conducts and participates in internal meetings, work groups, public meetings, and other activities as directed.

Records, prepares, and distributes meeting minutes and tracks action items.

Assists program managers with maintaining updates to policies, procedures, and training material.

Participates in the training of new LDH staff on the Rule making, State Plan, and Medicaid administrative processes.

Operates as backup to the Medicaid Rule making Liaison and Medicaid Administrative staff in their absence.

Assists with the Uncodified Rule making project by contacting program staff, following up on action items, and performing other duties as required.

Assists with other projects as needed and performs additional duties as assigned.

QUALIFICATIONS

REQUIRED:

Bachelor’s degree, or Associates degree with 3 years professional experience, or 6 years of professional experience in lieu of degree.

Minimum 2 years professional experience working with federal/state healthcare programs, Medicaid Support, or related field.

Proficient in the use of Adobe Acrobat Pro as well as Microsoft Office Suite (Word, Excel, PowerPoint, and Outlook).Excellent analytical abilities, effective organizational and…