Medicaid Program Manager 1-B

State of Louisiana

$64K — $126K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Seven years in health or social service program management and evaluation, or equivalent experience/education.
  • Experience in public health, public relations, social services, health regulation, or administrative services.
  • A bachelor's degree plus four years of relevant experience, or an advanced degree/Juris Doctorate with three years of relevant experience.
  • Full-time work experience can be substituted for education on a 30 semester hours equals one year of experience basis, up to four years.
  • Expertise in developing and implementing quality improvement projects in healthcare.

Responsibilities

  • Manage statewide Clinical Quality Measure (CQM) projects, ensuring compliance with regulations and quality standards.
  • Plan and evaluate quality improvement processes to enhance healthcare services for Medicaid enrollees.
  • Collect, analyze, and report on quality-related data and performance measures across the Medicaid enterprise.
  • Provide technical assistance and consultation on CQM initiatives to stakeholders and Medicaid staff.
  • Coordinate projects including planning, monitoring, and documentation of quality improvement activities.
  • Evaluate contractor performance, recommend improvements, and ensure adherence to program objectives.
  • Develop partnerships to support Medicaid quality programs and health information technology initiatives.

Benefits

  • No Civil Service test score is required for application consideration.
  • Position may be filled through probationary or promotional appointments.
  • Potential for role growth through details to special duty opportunities.
Full Job Description
Salary : $5,375.00 - $10,546.00 Monthly
Location : Baton Rouge, LA
Job Type: Classified
Job Number: MVA/SP/225183
Department: LDH-Medical Vendor Administration
Opening Date: 08/24/2026
Closing Date: 8/31/2026 11:59 PM Central

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:
  • Manages and coordinates statewide Clinical Quality Measure (CQM) projects and initiatives, ensuring compliance with project deliverables, quality strategies, CMS requirements, contracts, accreditation standards, and regulatory requirements.
  • Plans, implements, monitors, and evaluates quality improvement projects and processes to improve the quality, access, and outcomes of healthcare services for Medicaid enrollees.
  • Oversees the collection, analysis, monitoring, and reporting of quality-related data and performance measures, ensuring accuracy, consistency, and efficiency across the Medicaid enterprise.
  • Provides technical assistance, consultation, and guidance to Medicaid staff, healthcare providers, contractors, and other stakeholders regarding CQM initiatives, quality improvement activities, and corrective action plans.
  • Coordinates project charters, work plans, meetings, reports, and supporting documentation; identifies and resolves project issues and develops strategies to monitor progress and achieve established goals.
  • Evaluates contractor deliverables and quality improvement initiatives, recommends corrective actions, and ensures ongoing compliance with program objectives, policies, and contract requirements.
  • Develops and maintains partnerships with internal and external stakeholders to support quality improvement initiatives, health information technology projects, and the sustainable implementation of Medicaid quality programs.

Position-Specific Details:
Location: Medical Vendor Administration/ Quality Improvement and Innovations/ East Baton Rouge Parish
Appointment Type: This position may be filled as aProbationary appointment, Promotional appointment, or Detail to Special Duty

Cost Center: 3052030601

Position Number(s): 50400605

How To Apply:

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. 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.

For information on how to check your application status and understand status updates, please click HERE

Contact Information:

Shambrielle Pooler
LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

01

To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type "N/A" if no immediate family members are employed by LDH.
Required Question

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