- Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
-
program monitor supervisor
1 week ago
Southeastern Louisiana Area Health Education Center Baton Rouge, United StatesJob Description · Job DescriptionProgram Monitor Supervisor · The Office of Public Health – Bureau of Family Health (BFH), through the Southeast Louisiana Area Health Education Center (SELAHEC), is seeking a full time Program Monitor Supervisor. Duties require a thorough working ...
-
Medicaid Program Monitor
20 hours ago
Louisiana Department of State Civil Service Baton Rouge, United StatesMedicaid Program Monitor · Print ) · Apply · Medicaid Program Monitor · Salary · $4, $8,194.00 Monthly · Location · Baton Rouge, LA · Job Type · Classified · Job Number · MVA/SP/195445 · Department · LDH-Medical Vendor Administration · Opening Date · 05/30/2024 · Closing Date · 6 ...
-
Medicaid Program Monitor
20 hours ago
State of Louisiana Baton Rouge, United StatesThe 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 ...
-
Restaurant Manager
1 week ago
BJ's Restaurants Baton Rouge, United States Full timeOverview: Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ's Restaurants · We are committed to our CRAFT: · Connection, Respect, Advancement, Fun, and Trust · **NOW HIRING** · $60,000 - $70,000 / year plus · quarterly bonus poten ...
-
Provider Operations Programs Manager
6 days ago
Blue Cross and Blue Shield of Louisiana Baton Rouge, United States Full timeWe take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. · Residency in or relocation to Louisiana is pre ...
-
Senior Reimbursement Analyst
2 weeks ago
Blue Cross and Blue Shield of Louisiana Baton Rouge, United States Full timeWe take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. · Residency in or relocation to Louisiana is pre ...
-
Cage Assistant Shift Manager
2 weeks ago
PENN Entertainment Baton Rouge, United States Regular Full timeWE'RE CHANGING ENTERTAINMENT. COME JOIN US. · We're always looking for talent that believes in having fun. At PENN Entertainment, you'll get to be a part of an exciting industry, where the days and nights are fast paced. You'll work with an incredibly diverse set of co-workers ...
-
Director- Safety
2 weeks ago
The Southern University Baton Rouge, United StatesPlans, organizes, and coordinates the overall safety, emergency preparedness, and loss prevention program for the University.Responsible for the direction and leadership of operational, financial, programmatic and personnel activities for the Risk Management DepartmentDemonstrate ...
-
Restoration Project Manager
4 weeks ago
The Lemoine Company Baton Rouge, United States· Are you ready to embark on a dynamic journey and take your skills on the road? Join LEMOINE as a Restoration Project Manager and play a pivotal role in the Disaster division. Your expertise in demolition, restoration, and construction will be key to maintaining our commitment ...
-
Brand Activation Manager
1 week ago
Advantage Solutions Baton Rouge, United States Full timeNUTRL Brand Activation Manager (BAM) · Employment Type: Full Time · Duration: 10 weeks · Location: BATON ROUGE, LA · Summary: · Join the world-renowned Anheuser-Busch family, where passion meets innovation. We are seeking a dynamic and strategic Brand Activation Manager to drive ...
-
Monitor/Aide
1 week ago
First Student Canada-Transco Baton Rouge, United StatesRETURN TO JOB SEARCH RESULTS Monitor/Aide · Location 9432 Joor Rd Baton Rouge, Louisiana 70818 US · Phone Number · Categories Bus Aide/Monitor · Req ID JR2584 Monitor/Aide (Open) · First for a reason · First Student is the largest school transportation provider in North Ame ...
-
Logistics Manager
3 days ago
Honeywell Baton Rouge, United StatesJOB DESCRIPTION Innovate to solve the world's most important challenges · Logistics Manager · Energy and Sustainability Solutions (ESS) As a global technology leader, Honeywell Energy & Sustainability Solutions (ESS) enables the energy evolution, provides solutions that red ...
-
Brand Activation Manager
4 weeks ago
Advantage Solutions Baton Rouge, United StatesNUTRLBrand Activation Manager(BAM) · EmploymentType: FullTimeDuration: 10weeks · Location:BATON ROUGE, LA · Summary:Join the world-renownedAnheuser-Busch family, where passion meets innovation. We areseeking a dynamic and strategic Brand Activation Manager to drivebrand presence, ...
-
Restoration Senior Project Manager
6 days ago
The Lemoine Company Baton Rouge, United StatesJoin LEMOINE as a Restoration Senior Project Manager and play a pivotal role in the Disaster division. Your expertise in large loss, demolition, restoration, and construction will be key to maintaining our commitment to quality workmanship, meeting deadlines, and fostering a coll ...
-
Director of Asset Management
2 weeks ago
Apartment Association of Greater New Orleans Inc Baton Rouge, United StatesFor the past 20 years, Partners Southeast (Partners) has sought to use affordable housing as a vehicle to make a measurable impact in Education, Economic Opportunities, and Health & Wellness in communities throughout the Southeast. As the development arm of the East Baton Rouge P ...
-
RN - Adult ICU - Days - Part-time
2 weeks ago
Woman\'s Hospital Baton Rouge, United States Part timeOur -bed private room Adult Intensive Care Unit is specially designed and equipped to give patients the best possible care. The Adult ICU is staffed by trained critical care registered nurses and two hospital-based intensivists. A woman may be admitted to the unit because their d ...
-
Security Specialist
3 weeks ago
Federal Emergency Management Agency Baton Rouge, United StatesSummary · These positions are the Region Six Louisiana Recovery Office where you can support disaster recovery by utilizing exceptional customer service skills, and your HSPD12 knowledge. Using databases to generate cases for Personnel Security Division processing, Interpreting ...
-
Senior Kitchen Manager
5 days ago
BJ's Restaurants Baton Rouge, United States Full timeOverview · Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ's Restaurants · We are committed to our CRAFT: · C onnection, R espect, A dvancement, F un, and T rust · **NOW HIRING** · $60,000 - $75,000 / year plus · quarterly bo ...
-
Lead Security Officer
13 hours ago
PENN Entertainment Baton Rouge, United States Regular Full timeWE'RE CHANGING ENTERTAINMENT. COME JOIN US. · We're always looking for talent that believes in having fun. At PENN Entertainment, you'll get to be a part of an exciting industry, where the days and nights are fast paced. You'll work with an incredibly diverse set of co-workers ...
-
Public Relations Manager
4 weeks ago
Spears Group Baton Rouge, United StatesJob Description: · The Public Relations Manager (Manager) is a professional and compelling storyteller that is pivotal in promoting, enhancing, and protecting the brand story and reputations of our diverse clientele. Manager will be responsible for creating and executing comprehe ...
Medicaid Program Monitor - Baton Rouge, United States - State of Louisiana
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.
This position is located within the Louisiana Department of Health / Medical Vendor Administration / Medicaid Technology Services / East Baton Rouge Parish
Announcement Number:
MVA/SP/193772
Cost Center:
Position Number:
This vacancy is being announced as a Classified position and may be filled as a Probationary 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.
For further information about this vacancy contact:
Shambrielle Pooler
LDH/HUMAN RESOURCES
BATON ROUGE, LA 70821
This organization participates in E-verify, and for more information on E-verify, please contact DHS at
Qualifications
MINIMUM QUALIFICATIONS:
A baccalaureate degree plus three years of professional level 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; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.
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 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 perform advanced research, analyses, and/or policy management activities for Medicaid programs.
Level of Work:
Advanced.
Supervision Received:
Broad from a Medicaid Program Supervisor or above.
Supervision Exercised:
None.
Location of Work:
Department of Health and Hospitals, Medical Vendor Administration.
Job Distinctions:
Differs from Medicaid Program Specialist 2 by the presence of advanced research, analysis and policy management responsibility.
Differs from Medicaid Program Supervisor by the absence of supervisory responsibility.
Examples of Work
Conducts audits of eligibility enrollment applications; prepares reports on results of each audit.
Prepares, interprets and clarifies eligibility policies and procedures.
Revises rules, regulations, and procedures to meet changes in law or policy.
Compiles data and proposes budgets for subprogram studies and proposed legislation; determines programmatic impact and composes response for
fiscal statements and fiscal notes.
Reviews current and proposed state and federal regulations and/or revisions to those regulations for hospitals and home health providers.
Evaluates new and/or revised regulations to determine the impact to the state Medicaid program.
Reviews audits performed by the contracted auditor to determine compliance with federal and/or state policies and regulations, which affect allowable costs.
Receives, approves and schedules all requests for Application Center Representative training.
Advises and assists field staff in performing on-site monitoring reviews to ensure that the Application Centers adhere to federal, state and agency
rules and regulations.
Assist in negotiating contractual agreements between the Department of Health and Hospitals and the Application Centers.
Provides functional supervision over contract staff.
Monitors and evaluates training provided by contract staff.
Prepares the annual budget request utilizing the prescribed format and addendums issued by the Office of Planning and Budget. Prepares detailed analyses
and narratives supporting and/or justifying the request as submitted. Responds to requests for additional information and modifications to the budget during
the legislative approval process.
Trains staff of all Medical Vendor Administration sections in fiscal management, budget development and variance reporting.
Develops training module and provides essential guidance to managers regarding preparing accurate, pertinent and substantiated data.
