Program Monitor – Covered Services

(1 Position located in Baton Rouge)

POSITION #: 9656

DEPARTMENT: Medicaid Services Contract – Compliance

CORE 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.

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.

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