Medicaid Program Manager 2 (Medicaid Provider Enrollment Manager)

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of HealthThe Provider Enrollment Manager is responsible for overseeing Louisiana Medicaid's provider enrollment program and ensuring compliance with federal and state provider enrollment requirements. This position provides operational oversight of the State's contracted enrollment vendor and Medicaid staff responsible for provider screening, enrollment, revalidation, disclosures, and provider maintenance activities. The position serves as a subject matter expert on Medicaid provider enrollment policy and works closely with CMS, providers, managed care organizations, licensing boards, and internal stakeholders to ensure efficient provider enrollment operations.

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties:

• Provide oversight of Louisiana Medicaid's provider enrollment program and contracted enrollment vendor.
• Monitor compliance with federal and state provider enrollment requirements, including provider screening, disclosures, revalidation, enrollment moratoria, and program integrity initiatives.
• Develop, interpret, and implement provider enrollment policies, procedures, and operational guidance.
• Oversee contractor performance, service level agreements, operational metrics, and corrective action activities.
• Coordinate implementation of provider enrollment initiatives, system enhancements, federal mandates, and policy changes.
• Collaborate with program integrity, legal, audit, compliance, managed care, and operational teams on provider enrollment issues and investigations.
• Serve as a liaison with CMS, providers, managed care organizations, licensing boards, and other stakeholders.
• Analyze operational data and performance trends to improve efficiency, compliance, and provider experience.
• Prepare reports, presentations, policy memoranda, and executive briefings for agency leadership.
• Supervise professional staff, establish performance expectations, conduct evaluations, and provide ongoing coaching and development.
• Manage special projects and perform other duties as assigned to support the goals and operations of the Section.

Applicants with the following experience and skills are encouraged to apply:

• Experience in Medicaid, healthcare administration, provider enrollment, program integrity, or related healthcare operations.
• Knowledge of Medicaid provider enrollment requirements and healthcare regulatory compliance.
• Experience managing contracts, vendor relationships, and complex operational programs.
• Strong analytical, organizational, and problem-solving skills.
• Ability to interpret regulations, develop policy, and implement operational improvements.
• Excellent written and verbal communication skills.
• Experience managing projects, stakeholders, and professional staff.
• Commitment to improving program performance and provider experience.

Position-Specific Details: Location: Medical Vendor Administration / Program Operations and Compliance/ East Baton Rouge ParishAppointment Type: This position may be filled as a Probationary appointment, Promotional appointment, Job appointment, or Detail to Special Duty

Cost Center: 3052020600

Position Number(s): 171563 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

Shambrielle.Pooler@la.gov

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.