Medicaid Program Manager 1--A

Posting number: MVA/SP/225402

Department: LDH-Medical Vendor Administration

Job classification: MEDICAID PROGRAM MANAGER 1--A

Posting type: Open & Promotional

Categories: Administration, Health Services, Public Health, Public Relations, Social Services, Miscellaneous

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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.

• 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.

• Develops and maintains Medicaid managed care projection models, analyzing enrollment, capitation payments, expenditures, trends, and emerging fiscal impacts.
• Conducts projection-to-actual variance analyses to identify spending trends, investigate discrepancies, and assess potential budget implications.
• Analyzes managed care financing mechanisms, including directed payments, MCIP, premium taxes, and other funding structures, to support financial projections and recommendations.
• Reviews managed care plan financial reports for compliance with federal and state requirements, contracts, and applicable regulations.
• Monitors managed care plan financial performance, expenses, reserves, and cost trends to identify risks, anomalies, and opportunities for improved financial oversight.
• Develops and coordinates annual Medicaid budget requests, fiscal impact statements, legislative materials, budget adjustments, and supporting documentation.
• Prepares financial reports, dashboards, data visualizations, and analytical summaries to support leadership decision-making, budget development, reporting, and program oversight.

PREFERRED QUALIFICATIONS:

• Experience in accounting, budgeting, forecasting, fiscal analysis, or other quantitative data analysis.
• Advanced proficiency with Microsoft Excel, including experience developing, maintaining, or analyzing complex spreadsheets and financial models.
• Experience using LaGov and Business Objects for financial reporting, data analysis, or budget monitoring.

• Position-Specific Details: Location: Medical Vendor Administration / Financial Management and Operations / East Baton Rouge Parish
• Appointment Type:This position may be filled as aProbationary appointment, Promotional appointment, Job appointment or Detail to Special Duty
• Cost Center:3052070202
• Position Number(s):50694385, 50409119, 50694386, 50668607
• No Civil Service test score is required in order to be considered for this vacancy.
• 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:

• Shambrielle Pooler
• LA Department of Health (LDH)
• Division of Human Resources
• PO Box 4818
• Baton Rouge, LA 70821
• 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.

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

Make an impact on healthcare in Louisiana by joining the Medicaid Budget and Finance team! This position plays a key role in developing and managing the state’s Medicaid budget, coordinating state and federal budget requests, and supporting financial planning for a program serving approximately 1.5 million Louisianans. If you’re a detail-oriented professional who enjoys analyzing data, managing complex projects, and collaborating across teams, apply today and help shape the financial future of Louisiana Medicaid!