Program Monitor – Covered Services


DEPARTMENT

Medicaid Services Contract – Compliance


POSITION SUMMARY

1 Position located in Baton Rouge


RESPONSIBILITIES

• Assist with Medicaid benefits management and program monitoring.
• Efficiently manage the Prior Authorization Liaison (PAL) referral process for the assigned Medicaid programs.
• Assist the program manager with resolving programmatic issues by researching and reviewing Medicaid benefits/policies.
• Assist the program manager with policy development by researching other state Medicaid program benefits/policies.
• Assist the program manager with special projects.
• Collaborates with LDH staff, other programs and State agencies, on program benefit policy development, planning and implementation.
• Participate in workgroups, public meetings, and other activities as directed.
• Participate in disaster relief activities at the request of the Medicaid Program, LDH or UNO.
• Perform other duties as assigned or needed.


REQUIRED QUALIFICATIONS

• Bachelor Degree
• Minimum 2 years of professional experience
• Strong desire to work toward improving the health of Louisiana's residents.
• Comfortable working in fast-paced environment.
• Highly self-motivated; working well both independently and as part of a team.
• Strong computer and research skills.
• Excellent interpersonal, written, verbal communication and presentation skills.
• Able to independently initiate communication with stakeholders; as well as effectively facilitate meetings, set agenda, and establish goals.


DESIRED QUALIFICATIONS

• Bachelor's Degree in public health, health policy, or other health related field.
• Advanced degree.
• Minimum 2 years of professional experience working in health-related field as a licensed clinical professional.
• Minimum 3 years of professional experience working with health insurance or medical office billing and coding.
• Professional experience in healthcare field, health insurance or Medicaid program support.
• Relevant industry certifications.


SALARY

Commensurate with qualifications and experience.


DATE POSTED


CLOSING DATE

Position will remain open until filled. To assure full consideration, applications should be received by March 3, 2017.


POSITION NUMBER

9656

APPLY NOW

In order to proceed, please provide the following information about yourself to help UNO comply with federal regulations about equal employment opportunity. This information will be used only for statistical purposes. All fields are required.




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Thank you.


APPLICATION PROCEDURE

Applicants should submit a cover letter and resume (including salary requirement) to Libby Gonzales at UNOMedicaidSupport@LA.gov with the job title in the email subject line.

Important Notice

The University of New Orleans is an Affirmative Action / Equal Employment Opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.