Louisiana Department of State Civil Service MEDICAID PROGRAM MANAGER 1--B in Baton Rouge, Louisiana
MEDICAID PROGRAM MANAGER 1--B
$3,964.00 - $8,339.00 Monthly
$22.87 - $48.11 Hourly
$3,964.00 - $8,339.00 Monthly
Baton Rouge, LA
Baton Rouge, LA
LDH-Medical Vendor Administration
10/24/2016 11:59 PM Central
Job Number: MVA.SAG.6835
This position is located within the Louisiana Department of Health/Medical Vendor Administration/MMIS Section/E.B.R. Parish.
Cost Center: 305-7103
Position #: 50449252
This vacancy is being announced as a Classified position and may be filled either as a Probationary Appointment or Promotional Appointment.
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 can check the status of their application at any time by selecting the 'Application Status' link after logging into their account. Below are the most common status messages and their meanings.
Application received - Your application has been submitted successfully.
Checking for required test score - We are making sure you have an active, passing score for the required written test.
Evaluating experience - Your application is being reviewed by Human Resources to ensure you meet the minimum qualifications for the position.
Eligible for consideration - You are among a group of applicants who MAY be selected for the position.
Eligible Pending Supplemental Qualification Review - Only candidates meeting the supplemental qualification will be eligible for referral.
Referred to hiring manager for review - Your application has been delivered to the hiring manager. You may or may not be called for an interview.
Position filled - Someone has been selected for the position.
Position canceled - The agency has decided not to fill the position.
If you are unable to apply online, you may fax your Civil Service application to (225) 219-1041 or you may mail it to the Staffing Division, Department of State Civil Service, P.O. Box 94111, Capitol Station, Baton Rouge, LA 70804-9111. Please include the job title (MEDICAID PROGRAM MANAGER 1-B) and job number (MVA.SAG.6835) on your application. All applications must be faxed or postmarked by the closing date of this posting. Paper applications will be considered incomplete if the supplemental questions are not printed, answered, and submitted with the application.
Resumes will not be accepted in lieu of a completed application. You must include all relevant education and experience on your official State application.
Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your application. The transcripts can be added as an attachment to your online application or faxed to (225) 219-1041. The selected candidate will be required to submit original documentation upon hire.
There is no guarantee that everyone who applies to this posting will be interviewed. The hiring supervisor/manager has 90 days from the closing date of the announcement to make a hiring decision. Specific information about this job will be provided to you in the interview process, should you be selected.
For further information about this vacancy contact:
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
A baccalaureate degree plus four years of professional experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.
Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:
A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.
30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.
College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience tosubstitute for the baccalaureate degree.
Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for a maximum of one year of the required 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 master's degree in the above fields will substitute for one year of the required experience.
A Juris Doctorate will substitute for one year of the required experience.
Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.
A Ph.D. in the above fields will substitute for two years of the required experience.
Advanced degrees will substitute for a maximum of two years of the required experience.
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
Function of Work:
To administer small and less complex statewide Medicaid program(s).
Level of Work:
Broad from a higher-level manager/administrator.
Supervision over lower-level position(s) in accordance with the Civil Service Allocation Criteria Memo.
Location of Work:
Department of Health and Hospitals.
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.