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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

Join Louisiana Department of Health and make an impact at the heart of one of the nation’s largest Medicaid programs. This exciting role within the Bureau of Health Services Financing’s Medicaid Business Analytics team offers the opportunity to drive data quality, analytics, forecasting, and reporting for a $20+ billion healthcare program serving approximately 1.8 million Louisianans each year. Working alongside state and federal partners, you’ll lead initiatives that improve critical Medicaid eligibility data, develop innovative solutions to complex challenges, and help shape decisions that directly affect healthcare access across the state. If you thrive in a fast-paced, high-responsibility environment where critical thinking, collaboration, and problem-solving are valued, this is your chance to contribute to meaningful work with statewide impact.

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:
  • Leads and supervises a technical analytics team responsible for developing, reviewing, and optimizing complex SQL, SAS, and Python code supporting Medicaid eligibility, claims, provider, and encounter data reporting. 
  • Oversees the design and enforcement of coding standards, reusable query libraries, version control practices, and performance optimization strategies to ensure accurate, reproducible, and auditable data deliverables. 
  • Directs the development and maintenance of production-grade reporting and analytic scripts used for recurring Medicaid enrollment, utilization, financial, and operational reporting. 
  • Manages complex and ad hoc data request fulfillment for leadership, program areas, audits, and federal reporting by ensuring accurate business logic, data validation, and timely delivery of analytic products. 
  • Provides technical leadership and guidance on Medicaid-specific data challenges, including eligibility determination logic, managed care and fee-for-service filtering, continuous enrollment analysis, and claims adjustment processing. 
  • Monitors reporting operations and data quality within the LaMEDS environment, coordinates issue resolution with internal and external stakeholders, and ensures consistency and accuracy across reporting outputs. 
  • Establishes staff priorities, work plans, and performance expectations; conducts employee evaluations and coaching; identifies training needs; and supports staff development to maintain a high-performing analytics team.

Position-Specific Details:
Location: MedicalVendor Administration / Business Analytics / East Baton Rouge Parish

Appointment Type: This position may be filled as a Probationary appointment, Promotional appointment, or Detail to Special Duty 

Cost Center: 3052010301

Position Number(s): 50575276


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.

For information on how to check your application status and understand status updates, please click HERE.

Contact Information:

Shambrielle Pooler

Shambrielle.Pooler@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
05/15/2026
Job Reference
MVA/SP/221178
Organization
LDH-Medical Vendor Administration
Location
Baton Rouge, LA
Category
Health Policy Management
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