Location
Baton Rouge, LA | United States
Job description
Full job description
Supplemental Information
The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner.
LDH serves as a model employer for individuals with disabilities.
This position is located within the Louisiana Department of Health /Medical Vendor Administration / Financial Management and Operations / East Baton Rouge Parish Announcement Number: MVA/SP/191562 Cost Center: 3052070200 Position Number: 50668606 This vacancy is being announced as a Classified position and may be filled as a Probationary appointment, Promotional appointment or Detail to Special Duty.
No Civil Service test score is required in order to be considered for this vacancy.
Occupational Summary This position is in the Financial Management and Operations (FMO) Section of the BHSF. FMO works closely with the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS), the Division of Administration Office of Planning and Budget, the Legislative Fiscal Office, the Office of the Legislative Auditor and other state agencies to ensure that Louisiana's Medicaid program is operated within the framework of an extensive body of federal and state laws, policies, rules, regulations and guidelines. FMO is responsible for ensuring agency wide transparency, executive oversight, and holistic management of the state's $18.2 billion Medicaid budget; Audits and Audit Responses; Contracts; Procurement; Grants Management; and Leases/ Space Management. FMO is also responsible for developing and maintaining a system of checks and balances to ensure compliance with Federal regulations regarding match rates, which are specific to each state and vary between identified programs and/or services and to avoid the detrimental effects of non-compliance and audit findings on providing healthcare services to approximately 1.6 million state Medicaid recipients annually.
This a highly complex, responsible , confidential and experienced professional level position that reports directly to a Medicaid Program Manager 2 over the BHSF administrative budget. The incumbent performs professional-level administrative program duties to facilitate BHSF meeting its agency-wide mission and therefore must have detailed knowledge of all functions within the BHSF.
Duties performed with comprehensive knowledge of program/section guidelines, Department and BHSF policy include:
50% Supervises the Business Operations and Administration unit under FMO. This involves supervising the day to-day functions of subordinates by assigning, reviewing, evaluating and approving the work product of subordinates in their area of responsibility including Inventory Control, BHSF agency-wide mail, Loss Prevention/Safety & Risk Management, Building/Cubicle Issues, Badge Access for employees, Cubicle/ Office Space, and Training. Provides technical and programmatic guidance as needed. Conducts staff meetings with subordinates to ensure section communication, address problems and conflicts. Completes Performance Planning and Evaluation Reviews on each employees under the incumbent's supervision. Approves and disapproves leave; makes decisions related to hiring, disciplinary action and firing. Develops or directs the training resources required for staff enrichment, education as well as ensure the subordinates complete the required Civil Service training . Serves as the Emergency Employee Directory Manager for BHSF agency wide working with OMF Emergency Preparedness Manager to ensure that all employees have disaster assignments or are placed on sustainment appropriately. Reviews reports regularly and works with Executive Management Team to ensure accuracy. Communicates needs to OMF Emergency Preparedness Manager as the need arises. Ensures Administrative Assistants are entering the employee information correctly into the EEO database. Serves as authority for the BHSF Mail Room. Drafts procedures for Medicaid for Business Operations and Administration. Works to ensure procedures follow LOH policy and are approved prior to upload to the SharePoint site. Ensures the procedures are revised as changes occur. Works with sections to upload procedures written by the sections that do not fall under the privy of Business Operations and Administration.
20% Monitors the progress of multiple projects and processes for BHSF, as assigned by the Medicaid Director, Executive Management Team and Section Chief. Responsible for communicating with staff and project team members via various methods. Routinely consults with the necessary program staff and coordinate efforts across program offices. Coordinates with BHSF program staff to resolve issues related to successful implementation of projects. Responsible for providing feedback and guidance regarding ongoing projects to the Medicaid Director, Executive Management Team or Section Chief as needed. Responsible for ensuring their staffs project work remains on course and compliant with the approved Medicaid state plans governing Medicaid programs. Responsible for maintaining complete and accurate records. Responsible for monitoring their own documentation as well as the documentation of other employees as appropriate.
15% Serves as the Property Site Organization Manager for BHSF agency wide approving the assignment of all property liaisons and working with LDH Division of Safety/Security and Administrative Services to resolve all BHSF property related issues. Assists in resolving all issues as a liaison between LDH Division of Safety/ Security and Administrative Services and the BHSF Property Liaisons. Ensures all property liaisons timely complete assets certifications, assists with locating lost property, etc.
10% Conducts and participates in meetings and conference calls throughout BHSF to assist with management of projects and processes. Represents the Medicaid Director and/or Medicaid Deputy Directors at various meetings and discusses projects, programs, recipients and contractual matters. Serves as backup to the Section Chief and other members of the FMO team during their absences, when and if delegated to do so. Performs functions that are necessary for optimum service delivery and that support the program manager, promotes collaboration, assists with and attends meetings, seminars, workshops, in-service trainings and other capacity building initiatives as required.
05% Performs other duties not listed above, but which are necessary for optimum project monitoring to ensure smooth operation of the projects, and performs such duties in accordance with rules, regulations, policies and procedures of the agency.
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.
* Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
* A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit For further information about this vacancy contact:
Shambrielle Pooler
[email protected] LDH/Human Resources
Baton Rouge, LA 70821
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
Qualifications
MINIMUM QUALIFICATIONS:
A baccalaureate degree plus four years of professional experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.
SUBSTITUTIONS:
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.
NOTE:
Any college hours or degree must be from an accredited college or university.
Job Concepts
Function of Work:
To administer small and less complex statewide Medicaid program(s).
Level of Work:
Manager.
Supervision Received:
Broad from a higher-level manager/administrator.
Supervision Exercised:
Supervision over lower-level position(s) in accordance with the Civil Service Allocation Criteria Memo.
Location of Work:
Department of Health and Hospitals.
Job Distinctions:
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.
Job tags
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