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Medicaid Deputy Director (COO)

In Louisiana United States

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Medicaid Deputy Director (COO)   

JOB TITLE:

Medicaid Deputy Director (COO)

JOB TYPE:

Full-time

JOB LOCATION:

Baton Rouge Louisiana United States

JOB DESCRIPTION:

Supplemental Information



This position is located within the Louisiana Department of Health / Medical Vendor Administration / Director's Office/Executive Management Team / East Baton Rouge Parish

Announcement Number: MVA/SP/189822
Cost Center: 3052010100
Position Number: 50565875

This vacancy is being announced as a Classified position and may be filled as a Probationary, Promotional appointment or Detail to Special Duty.


No Civil Service test score is required in order to be considered for this vacancy.


Occupational Summary
  • Provide direct supervision to the Medicaid Eligibility Deputy Director; the Medicaid Policy, Waivers & Public Affairs Deputy Director; the Medicaid Program Operations & Compliance Deputy Director; and the Chief Medical Officer, including day-t ay management and oversight of these areas.
  • For areas supervised, overall responsibility for facilitating the coordination, integration and execution of Medicaid policies and activities across Medicaid components, including new program initiatives.
    Directs, aligns, and oversees Medicaids ongoing operational strategies, policies, objectives, and initiatives for responsible areas.
  • Tracks and monitors Medicaid performance and intervenes, as appropriate, to ensure quality assurance and that key milestones/deliverables are successfully achieved.
    Keeps the Executive Director advised of the status of significant federal and state initiatives and programs that affect beneficiaries and/or Medicaid and makes recommendations regarding necessary corrective actions.
  • Promotes accountability, communication, coordination, and facilitation of cooperative decision-making among Medicaid senior leadership on management, operational and programmatic cross-cutting issues.
  • Applies current knowledge and understanding of Medicaid regulations, industry trends, current best practices, new developments, and applicable laws regarding assigned departments for operational and financial effectiveness.
    Ensures regulatory compliance for all areas of responsibility.
  • Recognizes, adopts, and implements continuous quality improvement (CQI) best practices and metrics to obtain desired strategic and tactical results.
  • Builds and sustains relationships and collaborations with external entities as necessary to ensure successful delivery and operations.
Strategic Planning Responsibilities:
  • Participates in the strategic and long-range planning of the organization.
    Integrates the long-range plans with operational plans and priorities.
    Provides leadership in determining programmatic, technical, and operational goals and develops processes to achieve these goals.
  • In partnership with Medicaid Finance, Executive and Operational leadership, facilitates Medicaids portfolio management approach to decision making and resource allocation processes for all areas of responsibility.
Sister Agency Responsibility
  • Serves as Medicaids executive leadership point of contact to LDH sister agencies for operational areas of responsibility, including facilitating required interaction and coordination between parties to ensure operations.
  • For areas of responsibility, develop strategy and plans for implementing new objectives that partner Medicaid and sister agencies, including collaborating internally and externally to establish direction and enhance alliances to accomplish strategic results.
All other duties as assigned.


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
Shambrielle.
Pooler@la.
gov
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 six years of professional experience in public health, social services, health services administration, or administrative services.
Three years of experience must have been as a supervisor of two or more professionals.
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 will substitute for a maximum of one year of the required general work experience on the basis of thirty semester hours for one year of experience.
A master's degree will substitute for one year of the required general experience.
A Juris Doctorate will substitute for one year of the required general experience.
Graduate training with less than a Ph.
D.
will substitute for a maximum of one year of the required general experience.
A Ph.
D.
will substitute for two years of the required general experience.
Advanced degrees will substitute for a maximum of two years of the required general experience.


NOTE:

Any college hours or degree must be from an accredited college or university.

Job Concepts

Function of Work:
To serve as one of two assistant administrators of the Medical Vendor Administration which sets the policy for health care reimbursement for federally mandated and other services; to assist in the management of all related activities including needs review; inspection and licensure of facilities; certification of participants; quality control and policy enforcement rate setting.


Level of Work:
Administrator.


Supervision Received:
Broad direction from Medicaid Director.


Supervision Exercised:
Direct line over Section Chiefs within the Medical Vendor Administration.


Location of Work:
Department of Health and Hospitals, Medical Vendor Administration.


Job Distinctions:
Differs from other administrative positions in DHH by its unique responsibility for day to day management of several operating sections involved in Medical Vendor Administration and related programs.

Examples of Work

Directs the activities of several program managers involved in the Medical Vendor Administration in DHH.


Analyzes assigned program objectives and directs staff activities to accomplish desired results; meets with government officials, medical professionals and others to explain the agency's position; presents testimony at hearings and drafts needed legislation.


Coordinates program efforts with other agency sections/units to assure agency compliance with federal and state regulations.


Interviews and makes recommendations for hiring staff; oversees
their training and development; monitors their performance to ensure that programmatic goals are achieved.


Keeps in touch with development of trends and practices in Medical Vendor Administration on a national scale so that plans may be developed to improve the medical program and enable the Medical Vendor Administration to meet its goals.


Determines the need for new programs or changes in existing programs; presents recommendations, outlines methods of meeting these needs and directs subordinates in development of policies and procedures for the Medical Vendor Administration.


Undertakes numerous special studies and projects; prepares report(s) of findings; develops proposals for legislation; testifies before public bodies, including the legislature.

Position Details

POSTED:

EMPLOYMENT:

Full-time

SALARY:

14078 per year

SNAPRECRUIT ID:

S-1707126548-023e0c238a6a37246ce173e0f2fb14d6

LOCATION:

Louisiana United States

CITY:

Baton Rouge

Job Origin:

jpick2

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Supplemental Information



This position is located within the Louisiana Department of Health / Medical Vendor Administration / Director's Office/Executive Management Team / East Baton Rouge Parish

Announcement Number: MVA/SP/189822
Cost Center: 3052010100
Position Number: 50565875

This vacancy is being announced as a Classified position and may be filled as a Probationary, Promotional appointment or Detail to Special Duty.

No Civil Service test score is required in order to be considered for this vacancy.

Occupational Summary
  • Provide direct supervision to the Medicaid Eligibility Deputy Director; the Medicaid Policy, Waivers & Public Affairs Deputy Director; the Medicaid Program Operations & Compliance Deputy Director; and the Chief Medical Officer, including day-t ay management and oversight of these areas.
  • For areas supervised, overall responsibility for facilitating the coordination, integration and execution of Medicaid policies and activities across Medicaid components, including new program initiatives. Directs, aligns, and oversees Medicaids ongoing operational strategies, policies, objectives, and initiatives for responsible areas.
  • Tracks and monitors Medicaid performance and intervenes, as appropriate, to ensure quality assurance and that key milestones/deliverables are successfully achieved. Keeps the Executive Director advised of the status of significant federal and state initiatives and programs that affect beneficiaries and/or Medicaid and makes recommendations regarding necessary corrective actions.
  • Promotes accountability, communication, coordination, and facilitation of cooperative decision-making among Medicaid senior leadership on management, operational and programmatic cross-cutting issues.
  • Applies current knowledge and understanding of Medicaid regulations, industry trends, current best practices, new developments, and applicable laws regarding assigned departments for operational and financial effectiveness. Ensures regulatory compliance for all areas of responsibility.
  • Recognizes, adopts, and implements continuous quality improvement (CQI) best practices and metrics to obtain desired strategic and tactical results.
  • Builds and sustains relationships and collaborations with external entities as necessary to ensure successful delivery and operations.
Strategic Planning Responsibilities:
  • Participates in the strategic and long-range planning of the organization. Integrates the long-range plans with operational plans and priorities. Provides leadership in determining programmatic, technical, and operational goals and develops processes to achieve these goals.
  • In partnership with Medicaid Finance, Executive and Operational leadership, facilitates Medicaids portfolio management approach to decision making and resource allocation processes for all areas of responsibility.
Sister Agency Responsibility
  • Serves as Medicaids executive leadership point of contact to LDH sister agencies for operational areas of responsibility, including facilitating required interaction and coordination between parties to ensure operations.
  • For areas of responsibility, develop strategy and plans for implementing new objectives that partner Medicaid and sister agencies, including collaborating internally and externally to establish direction and enhance alliances to accomplish strategic results.
All other duties as assigned.

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
Shambrielle.Pooler@la.gov
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 six years of professional experience in public health, social services, health services administration, or administrative services. Three years of experience must have been as a supervisor of two or more professionals.
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 will substitute for a maximum of one year of the required general work experience on the basis of thirty semester hours for one year of experience.
A master's degree will substitute for one year of the required general experience.
A Juris Doctorate will substitute for one year of the required general experience.
Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required general experience.
A Ph.D. will substitute for two years of the required general experience.
Advanced degrees will substitute for a maximum of two years of the required general experience.


NOTE:

Any college hours or degree must be from an accredited college or university.

Job Concepts

Function of Work:
To serve as one of two assistant administrators of the Medical Vendor Administration which sets the policy for health care reimbursement for federally mandated and other services; to assist in the management of all related activities including needs review; inspection and licensure of facilities; certification of participants; quality control and policy enforcement rate setting.

Level of Work:
Administrator.

Supervision Received:
Broad direction from Medicaid Director.

Supervision Exercised:
Direct line over Section Chiefs within the Medical Vendor Administration.

Location of Work:
Department of Health and Hospitals, Medical Vendor Administration.

Job Distinctions:
Differs from other administrative positions in DHH by its unique responsibility for day to day management of several operating sections involved in Medical Vendor Administration and related programs.

Examples of Work

Directs the activities of several program managers involved in the Medical Vendor Administration in DHH.

Analyzes assigned program objectives and directs staff activities to accomplish desired results; meets with government officials, medical professionals and others to explain the agency's position; presents testimony at hearings and drafts needed legislation.

Coordinates program efforts with other agency sections/units to assure agency compliance with federal and state regulations.

Interviews and makes recommendations for hiring staff; oversees
their training and development; monitors their performance to ensure that programmatic goals are achieved.

Keeps in touch with development of trends and practices in Medical Vendor Administration on a national scale so that plans may be developed to improve the medical program and enable the Medical Vendor Administration to meet its goals.

Determines the need for new programs or changes in existing programs; presents recommendations, outlines methods of meeting these needs and directs subordinates in development of policies and procedures for the Medical Vendor Administration.

Undertakes numerous special studies and projects; prepares report(s) of findings; develops proposals for legislation; testifies before public bodies, including the legislature.


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