Supervisor Patient Access

Job summary
Supervisor Patient AccessLocation: Albuquerque, NM (University Hts area)This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / East Baton Rouge Parish
Job seniority: mid-to-senior level
Responsibilities
• Supervises the research and analysis activities of Medicaid programs statewide• Conducts audits of eligibility enrollment applications; prepares reports on results of each audit• Prepares, interprets and clarifies eligibility policies and procedures• Revises rules, regulations, and procedures to meet changes in law or policy• Compiles data and proposes budgets for subprogram studies and proposed legislation; determines programmatic impact and composes response for fiscal statements and fiscal notes• Reviews current and proposed state and federal regulations and/or revisions to those regulations for hospitals and home health providers• Evaluates new and/or revised regulations to determine the impact to the state Medicaid program• Reviews audits performed by the contracted auditor to determine compliance with federal and/or state policies and regulations, which affect allowable costs• Coordinates compliance monitoring of Medicaid Application Centers statewide• Receives, approves and schedules all requests for Application Center Representative training
Requirements
• A baccalaureate degree plus three years of professional level experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services• Six years of full-time work experience in any field may be substituted for the required baccalaureate degree• College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree• Graduate training with eighteen semester hours in one or any combination of specified fields will substitute for a maximum of one year of the required experience• A master's degree in the specified field will substitute for one year of the required experience• A Ph.D. in the specified field will substitute for two years of the required experience
Key Skills Needed
• Supervision• Research and analysis• Auditing• Policy development• Budgeting• Regulatory compliance