LA Medicaid COO

 

Chief Operating Officer – Medicaid Deputy Director

The mission of the Louisiana Department of Health (LDH) is to protect and promote health and to ensure access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana. LDH is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner.

This position is in the Bureau of Health Services Financing (BHSF), Louisianas single state Medicaid agency within the Louisiana Department of Health (LDH). The Louisiana Medicaid Program, which provides healthcare services to low income individuals, has an annual budget of approximately $12.5 billion dollars comprising almost 25% of the entire state’s operating budget, and provides services to approximately 1.6 million recipients annually. The program is a state and federal partnership financed with a combination of state and federal funds and governed by a complex body of state and federal laws, policies, regulations and guidelines.

The Medicaid Deputy Director for Finance is one of five assistants to the Medicaid Director, and a member of the Director’s Executive Team. This position directs the activities of four (4) Medicaid Program Manager 4s (Section Chiefs) involved in Medicaid Vendor Administration within LDH. These four sections are Financial Management and Operations, Managed Care Finance and Hospital program, Rate Setting and Audit and Program Integrity.

Duties and responsibilities for this position include but are not limited to:

25% Participates at the highest levels in the LDH Management in planning and developing agency initiatives and coordination of program development in the other Program offices, with Medicaid funding requirements, to assure the appropriate use of Medicaid funds. This requires regular (daily) communication with the Medicaid Director and weekly communication with the Secretary, Deputy Secretary and Assistant Secretaries of the Program Offices.

25% Independently evaluates program effectiveness and efficiency and makes needed changes or makes recommendations to the Medicaid Director for changes in staffing and human resource utilizations. Staffing changes within the purview of this position can be made independently with only the broadest direction from the Director.

20% Works closely with Section Chiefs (Medicaid Program Manager 4) and other Program Managers on a daily basis to define their work priorities, coordinate work activities and monitor progress of assignments.

Develops performance appraisal for directly supervised staff.

Interviews and makes recommendations for hiring staff; oversees training and development; monitors performance to ensure programmatic goals are achieved.

Undertakes numerous special studies and projects at direction of the Secretary, Undersecretary and Medicaid Director. Prepares a report of findings and makes recommendations as a result of findings. A number of these studies cross over into areas outside of Medicaid.

15% Participates in numerous task forces either as chairman or as member to develop Medicaid programs, policies and procedures.

10% Meets with government officials, Medical professionals and others to negotiate, explain, or present the agency position on issues relating to Medicaid program requirements, program abuse, provider fraud or new and changed programs which might impact some member of the groups, constituency or   organizations. These are often sensitive meetings requiring a high level of finesse and restraint in assuring that the Medicaid Program issues are well understood.

Testifies on an as needed basis at the Legislative Committee for Health and Welfare and Appropriations, which includes House and Senate Committees and Joint Committees.

5% Stays abreast with development of trends and practices in Health Care Financing on a national scale so that plans may be developed to improve the Medical Vendor Program. This includes actions being taken by U.S. Congress. This is done through reading of numerous periodicals and correspondence from the Centers for Medicare and Medicaid Services, and other nationally recognized or peer reviewed literature.

Performs other assignments as required by Executive Management of LDH.