Program Monitor – Clinical Policy


(1 positions located in Baton Rouge)


POSITION #: 9652, 9653

DEPARTMENT: Medicaid Support Contract – Compliance

CORE RESPONSIBILITIES:
• Develop policies through extensive review of research using evidence based practices for the Medicaid department.
• Communicate with statewide stakeholders to improve care delivered and to address Medicaid program benefit policy issues.
• Finalize work in a timely manner set by the department's supervisor.
• Providing medical information verbally or in writing to nonclinical audiences.
• Collaborates with LDH staff in other programs and other State agencies in program benefit policy development, planning and implementation.
• Serves as a clinical subject matter expert in the development and review of program benefit policy.
• Develops, reviews, and provides comments on Medicaid material intended for use by vendors, providers, managed care organizations and other partners.
• Leads or participates in assigned quality subcommittees and other workgroups engaged in research, analysis, and evaluation of policy issues or initiatives.
• Leads and participates special projects as requested by management.
• Responds to internal and external communication and requests for information in a timely manner.

REQUIRED QUALIFICATIONS:
• Bachelor Degree
• Minimum 2 years of professional experience
• Strong desire to work toward improved health of the residents of Louisiana
• Comfortable working in fast-paced environment
• Works well both independently and as part of a team
• Highly self-motivated
• Able to independently initiate communication with stakeholders

DESIRED QUALIFICATIONS:
• Advanced degree.
• Minimum 2 years of professional experience working in health-related field
• Minimum 3 years of professional experience working with insurance.
• Professional experience in health care field or Medicaid program support.
• Relevant industry certifications.

SALARY: Commensurate with qualifications and experience.

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

CLOSING DATE: Position will remain open until filled. To assure full consideration, applications should be received by February 7, 2017.

All applicants will be considered for employment without regard to retirement status and without regard to an applicant's having previously accused the UL System Board or any of its universities of unlawful discrimination. Retirement status shall not be considered in the hiring process by any University in the UL System.
The University of New Orleans is an Affirmative Action/Equal Employment Opportunity employer. Women, ethnic minorities, veterans and persons with disabilities are encouraged to apply.