Job Number: MVA/SAG/0964
This position is located within the Louisiana Department of Health lMedical Vendor AdministrationlMedicaid PolicylEBRParish.
Cost Center: 0305-7111
This vacancyis being announced as a Classified position and may be filled either as a Probationary Appointment, Job Appointment or Promotional Appointment.
*Resumes will not be accepted in lieu of job experience on application.*
WORKING JOB DESCRIPTION
This position serves as the Section Chief and head supervisor of the Medicaid Policy and Compliance Section within the Louisiana Department of Health, Bureau of Health Services Financing, Medical Vendor Administration (otherwise known as Medicaid). The position is responsible for overseeing and directing the managing units/functions that are critical in the administration of the Medicaid Program through its program management authorities, including: 1) Medicaid administrative rulemaking activity; 2) Medicaid State Plan activity; 3) Medicaid Provider Manuals & Resources activities; 4) public and tribal notifications to allow for public comment on program changes; and 5) policy activities in conjunction with the Medicaid agency's federal partner, the Centers for Medicare & Medicaid Services (CMS).
The position is responsible for managing and directing the timely drafting of rules and Medicaid State Plan amendments and is responsible for ensuring the maintenance of the Medicaid State Plan, provider manuals, along with the tribal consultation process which is a federal technical requirement. The State Plan Unit activities are critical to securing approvals from CMS, which is the basis for the agreement between the department and the federal government to secure federal financial participation (FFP) for the administration of the Medicaid Program including eligibility and covered services. The position ensures compliance with Act 214 of the 2013 Regular Session of the LA Legislature, which mandates the publication of all State Plan Amendments and official CMS correspondence on the Department's website within 24 hours of CMS submission or agency receipt from CMS. The Rulemaking Unit ensures that monthly rulemaking publications meet the definition as set forth by the Louisiana Administrative Procedure Act for agency statements, guides, or requirements for conduct or action on the affairs, actions, or persons regulated by the agency, which implements or interprets substantive law or policy, or prescribes the procedure or practice requirements of the agency.
The Section Chief analyzes federal and state regulations, laws and legislation to ascertain its impact on the operations of the Medicaid Program. The position supervises and directs the work of high-level professional staff, including senior managers and clerical staff.
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 by selecting the 'Applications' link after logging into their account. Below are the most common status messages and their meanings.
Application received - Your application has been submitted successfully.
Evaluating experience - Your application is being reviewed to ensure you meet the minimum qualifications for the position.
Minimum Qualification Review ? See History ? Click the History link for the results of your application review. Passing candidates will designate as "Pass". Failing candidates will designate as "Fail".
Eligible for consideration - You are among a group of applicants who MAY be selected for the position.
Eligible Pending Supplemental Qualification Review - Only candidates meeting the supplemental qualification will be eligible for referral.
Referred to hiring manager for review - Your application has been delivered to the hiring manager. You may or may not be called for an interview.
Position filled - Someone has been selected for the position.
Position canceled - The agency has decided not to fill the position.
The State of Louisiana only accepts online applications. Paper applications will not be accepted. Computer access is available at your local library, at local Louisiana Workforce Commission Business Career Solutions Centers, and at the State Civil Service Testing and Recruiting Center at 5825 Florida Boulevard, Room 1070, Baton Rouge, LA 70806. If you require an ADA accommodation, please contact our office at (225) 925-1911 or Toll Free: (866) 783-5462 during business hours for additional assistance.
(Please note: Libraries and LWC centers cannot provide in-depth assistance to applicants with limited computer skills; therefore, we suggest that such applicants have someone with computer proficiency accompany them to these facilities to assist with the computer application process. Also, no State Civil Service employees are housed at the libraries or LWC centers to answer specific questions about the hiring process. Such questions should be directed to our Baton Rouge Information and Testing Office at the phone numbers above or by visiting the office on Florida Blvd. where assistance is available. Information is also provided on our job seeker website at www.jobs.la.gov).
For further information about this vacancy contact:
Sanaretha Gray @ [email protected]
P.O. BOX 4818 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
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.
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies:the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges. Job Concepts
Function of Work:
To serve as the Section Chief administering all functions of large and complex Medicaid program(s).
Level of Work:
Administrative direction from a higher-level administrator/executive.
Supervision over lower-level positions in accordance with the Civil Service Allocation Criteria Memo.
Location of Work:
Department of Health and Hospitals.
Differs from Medicaid Program Manager 3 by serving as the Section Chief administering all functions of large and complex Medicaid program(s) and supervision exercised.
Differs from Medicaid Deputy Director by the absence of responsibility for the day-to-day management of Medical Vendor Administration.Examples of Work
Serves as an assistant to the Medicaid Deputy Director and may direct agency in the absence of the Medicaid Deputy Director.
Administers comprehensive statewide Medicaid programs by formulating and implementing current and long-range plans, policies, procedures and regulations.
Participates in Medicaid budget planning, preparation, and grant administration.
Conducts investigations and makes recommendations for the Medicaid Director's response to grievances by Field Operations staff.
Monitors statewide field operations to determine the efficiency and effectiveness of the delivery of Medicaid Eligibility services.
Develops, monitors, and administers various methodology reimbursement policies.
Represents the Department in programmatic matters at various federal, state and local hearings, meetings, and conferences.
Monitors policies and procedures to ensure that policies and system requirements comply with the law and federal regulations.
Works closely with state, regional, and parish administrative staff in developing management procedures and operational plans to assure that all agency programs are implemented at the field operations level as intended by federal and state laws and regulations.
Coordinates with state level administrative and support staff to improve program development, identify staff training needs and provide management and support services required and needed by department staff.