Full Job Description
About this Job
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.
Learn more about Louisiana Department of Health
Step into a leadership role with the Louisiana Department of Health and help shape the integrity of one of the largest Medicaid programs in the country. In this position, you’ll lead post-eligibility reviews, guide staff, and collaborate with policy, legal, and regional teams to uphold compliance and strengthen program operations. Your expertise will directly influence audit outcomes, appeals, and the quality of services delivered statewide. If you’re passionate about Medicaid policy, leadership, and making a measurable impact on public health programs, this is a powerful opportunity to drive accountability and improve access to care.
Minimum Qualifications
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.
Job Specification
The official job specifications for this role, as defined by the State Civil Service, can be found here.
Job Duties and Other Information
Job Duties:
- Supervises a team of professional Medicaid monitors responsible for post-eligibility reviews, case analysis, audit responses, Federal Tax Information (FTI) reviews, and eligibility appeals.
- Ensures compliance with federal and state regulations, including IRS Publication 1075, related to the use and protection of tax data in Medicaid eligibility determinations.
- Develops, implements, and monitors operational plans, policies, and procedures to support program integrity and regulatory compliance.
- Directs unit operations by establishing work plans, setting priorities, and ensuring timely and efficient completion of assignments.
- Manages staff performance by setting goals, conducting evaluations, identifying training needs, and providing ongoing coaching and guidance.
- Interprets and applies complex federal, state, and agency policies, providing technical expertise across legal, medical, and business-related areas.
- Supports agency responses to audits and inquiries, including PERM and MEQC findings, corrective action plans, and requests or complaints from providers and members.
Position-Specific Details:
Location: Medical Vendor Administration / Eligibility Program Operations / East Baton Rouge Parish
Appointment Type: This position may be filled as a Probational or Promotional appointment
Cost Center: 305-2050400
Position Number(s): 50375565
How To Apply:
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:
Paula Jackson-paula.jackson@la.gov
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge, LA 70821
225-342-6477
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.
As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:
Parental Leave – Up to six weeks paid parental leave
More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx
Holidays and Leave – State employees receive the following paid holidays each year:
- New Year’s Day
- Martin Luther King, Jr. Day,
- Mardi Gras,
- Good Friday,
- Memorial Day,
- Independence Day,
- Labor Day,
- Veteran’s Day,
- Thanksgiving Day and Christmas Day.
***** Additional holidays may be proclaimed by the Governor
State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.
Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):
- Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
- Teacher’s Retirement System of Louisiana (www.trsl.org),
- Louisiana School Employees Retirement System (www.lsers.net), among others