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MEDICAID PROGRAM MANAGER 1-B

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

Step into a leadership role with the Louisiana Department of Health and help shape the integrity of one of the largest Medicaid programs in the country. In this position, you’ll lead post-eligibility reviews, guide staff, and collaborate with policy, legal, and regional teams to uphold compliance and strengthen program operations. Your expertise will directly influence audit outcomes, appeals, and the quality of services delivered statewide. If you’re passionate about Medicaid policy, leadership, and making a measurable impact on public health programs, this is a powerful opportunity to drive accountability and improve access to care.

Requirements

Seven 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 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; OR

A bachelor’s degree 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; OR

An advanced degree or a Juris Doctorate plus three 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.

Qualifications

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

·   Supervises a team of professional Medicaid monitors responsible for post-eligibility reviews, case analysis, audit responses, Federal Tax Information (FTI) reviews, and eligibility appeals. 

·   Ensures compliance with federal and state regulations, including IRS Publication 1075, related to the use and protection of tax data in Medicaid eligibility determinations. 

·   Develops, implements, and monitors operational plans, policies, and procedures to support program integrity and regulatory compliance. 

·   Directs unit operations by establishing work plans, setting priorities, and ensuring timely and efficient completion of assignments. 

·   Manages staff performance by setting goals, conducting evaluations, identifying training needs, and providing ongoing coaching and guidance. 

·   Interprets and applies complex federal, state, and agency policies, providing technical expertise across legal, medical, and business-related areas. 

·  Supports agency responses to audits and inquiries, including PERM and MEQC findings, corrective action plans, and requests or complaints from providers and members.


Position-Specific Details:
Location: Medical Vendor Administration / Eligibility Program Operations / East Baton Rouge Parish

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

Cost Center: 305-2050400

Position Number(s): 50375565

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.


Contact Information:

Paula Jackson-paula.jackson@la.gov

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.


Date Posted
04/29/2026
Job Reference
MVA/PJ/220495
Organization
LDH-Medical Vendor Administration
Location
Baton Rouge, LA
Category
Health Policy Management
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