Medicaid Analyst Supervisor

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 the Louisiana Department of Health

Lead with purpose and make a difference in Medicaid services Region 3! As a Medicaid Analyst Supervisor, you’ll lead a team dedicated to accurate, timely, and high-quality service while ensuring compliance with state and federal requirements. From coaching and developing staff to monitoring casework, resolving complex issues, and strengthening quality controls, you’ll play a key role in protecting program integrity and ensuring Louisiana residents receive the assistance they need.

• Building and Supporting Teams:
  The ability to combine one's actions and efforts with others to work toward achieving a common goal.
• Communicating Effectively:
  The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
• Demonstrating Accountability:
  The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.
• Driving Results:
  The ability to set and pursue goals, maintain focus amid competing demands, and deliver results.
• 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.
• Adapting to Change:
  The ability to demonstrate flexibility in thoughts, behaviors, and actions in response to evolving circumstances or unexpected change.
• Building Trust:
  The ability to create a safe and supportive environment where others feel comfortable speaking up, sharing ideas, and acknowledging mistakes.

• Six years of social services experience; OR
• Six years of full-time experience in any field plus three years of social services experience; OR
• A bachelor's degree plus three years of social services experience; OR
• An advanced degree plus two years of social services experience.

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.

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

• Supervises and provides guidance to Medicaid Analysts to ensure work is performed accurately and in accordance with applicable policies, procedures, and regulations.
• Monitors unit workflow, including case distribution, workloads, productivity, and quality to ensure state, regional, and national performance goals are met.
• Conducts mandatory case reviews and analyzes discrepancies to identify and correct errors before federal or state audits.
• Prepares and reviews weekly and monthly statistical reports and other operational data to monitor unit performance and identify areas requiring improvement.
• Interviews applicants, recipients, and complainants regarding fair hearing rights, service concerns, and potential adjustments, and conducts investigations as needed.
• Conducts special investigations and studies and develops and maintains corrective action documentation to address compliance and performance issues.
• Manages personnel activities within the unit, including staff evaluations, onboarding and offboarding, leave monitoring, and recommendations regarding retention, promotion, demotion, or separation.

Location: Medical Vendor…