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Medicaid program monitor

Company Name:
Louisiana Department of State Civil Service
Job Title: MEDICAID PROGRAM MONITOR
Agency: DHH-Medical Vendor Admin
Opening Date: Mon. 11/24/14
Closing Date/Time: Sat. 11/29/14 11:59 PM Central Time
State Salary Range: $18.66 - $39.27 hourly
$3,234.00 - $6,807.00 monthly
Agency Hiring Range: Min: Max:
Job Type: Classified
Location: Hammond, Louisiana
Print Job Information-Apply
%2D100">Qualifications %2D100">Benefits %2D100">Supplemental Questions
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 master's degree in the above fields will substitute for one year of the required experience.
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 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 North Central Association of Colleges and Schools; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
Supplemental Information:
This position is located in the cost center of Baton Rouge/MVA/Eligibility Field Operations, (305-7108),pos#: 50488615.
"This vacancy is being announced as a Classified position and may be filled either as a Job Appointment, Probationary Appointment 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.
You are strongly encouraged to apply for this posting using your online application. It is recommended that you apply for all of the job titles that you are interested in.
Specific information about this job will be provided to you in the interview process, should you be selected. However, there is no guaranteed that everybody that applies to this posting will be interviewed.
Your application status can be checked online. If your status reads that you have been place on the eligibles list, that means that your application has been forwarded to the hiring supervisor.
Keep in mind that the hiring supervisor has 90 days from the closing date of the announcement to make a hire.
Applicants can check the status of their application at any time by selecting the 'Application Status' link after logging into their account. Below are the most common status messages and their meanings.
Application Status Message
What it Means
Application received
Your application has been submitted successfully.
Checking for required test score
We are making sure you have an active, passing score for the required written test.
Evaluating experience
Your application is being reviewed by Human Resources to ensure you meet the minimum qualifications for the position.
Eligible for consideration
You are among a group of applicants who MAY be selected for the position.
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 cancelled
The agency has decided not to fill the position.
Resumes will not be accepted in lieu of job experience on job application.
For further information, that has not been stated above, about this vacancy contact:
micah.
write to the following address:
DHH/HRTSD
P. O. Box 4818 Bin 28
Baton Rouge, LA 70821
This organization participates in E-Verify and for more information on E-Verify; please contact DHS @
.
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.
Coordinates compliance monitoring of Medicaid Application Centers statewide.
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.

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