Program Manager 1A-DHH

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Program Manager 1A-DHH

Salary

$4,784.00 - $9,381.00 Monthly

Location

Baton Rouge, LA

Job Type

Classified

Job Number

OPH/AS/203566

Department

LDH-Office of Public Health

Opening Date

12/09/2024

Closing Date

12/14/2024 11:59 PM Central

• Description

• Benefits

• Questions

Supplemental Information

The Louisiana Department of Health 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.

LDH serves as a model employer for individuals with disabilities.

About this position:

This position is located within the Louisiana Department of Health / Office of Public Health / Office of the Assistant Secretary - Center for Finance and Operations / East Baton Rouge Parish

Announcement Number: OPH/AS/203566

Cost Center: 3262100600

Position Number(s): 50510386, 50446467

This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.

No Civil Service test score is required in order to be considered for this vacancy.

This position is responsible for overseeing the processing of professional charges that are associated with the provision of clinical services within over 60 Parish Health Units (PHUs) in all nine regions of the State of Louisiana. The incumbent of this position must be knowledgeable of the evaluation and management of CPT, HCPCS, and diagnosis codes and work with the Statewide Claims Manager/Program Manager 1B, Program Directors, Regional Medical Directors and Administrators, and OPH clinical staff statewide to ensure precision and accuracy of billing and coding.

Duties and responsibilities include but are not limited to the following :

• Maintain expertise in the current procedure and diagnosis master file

• Routinely provide training to clinical staff in the PHUs and specialty clinics to ensure they are utilizing correct codes and are reducing denial rates

• Responsible for research and promulgation of patient copayment rules and regulations

• Maintain visibility on any Electronic Health Records (EHR) system updates and incorporate any revisions required of the Front Office Manual to reflect changes in the EHR

• Review reimbursements from third party payors to ensure payments are accurate and notify the Contracting Credentialing Manager of any discrepancies.

• Verify that daily close out procedures are followed correctly by OPH clinical staff and ensure that batches are posted timely and accurately

• Assist clinics with month end close of batches which includes deposit reconciliations.

• Perform daily review of the OPH Revenue email account to ensure that PHUs have submitted daily reports, which include reconciliation reports, deposits lists, and deposit slips

• Ensure that the Monthly Deposit Reconciliation report is submitted to the Fiscal Office for review.

• Work with Billing Contractor, PHU, and specialty clinic staff to resolve denials for the Regions they are assigned

• Assist Statewide Claims Manager and Billing Contractor as needed with collection reporting and maintaining a current collections accounts receivable

• Provide specialized, technical assistance and training to OPH clinical staff statewide regarding billing, monitoring of cash, check, and credit card collections; collecting payments; attaching insurance provider information to the encounters; verifying patient’s eligibility; submitting the super bills; reviewing the patient check-in and check-out processes; and properly operating the EHR

• Monitor Medicaid, Healthy Louisiana and private payor reimbursements and maintain related files

• Perform miscellaneous job duties as assigned. Work as needed during emergency operations as directed. Maintain current training required by LDH, FEMA, and any other entity.

AN IDEAL CANDIDATE SHOULD POSSESS THE FOLLLOWING COMPETENCIES:

Preferred Competencies:

Communicating Effectively : The ability to relay information correctly and appropriately to connect people and ideas.

Demonstrating Accountability: The ability to accept ownership for your actions, behaviors, performance, and decisions.

Displaying Professionalism : The ability to recognize how your actions impact the perceptions of both you and your organization.

Leading Change : The ability to initiate, manage, influence, and evaluate change.

Managing Projects: The ability to initiate, plan, execute, manage, and close-out all project goals within the established timeline.

Navigating Organizations : The ability to identify what an organization values and how decisions are made to accomplish strategic goals.

Solving Problems : The ability to discover solutions to problems.

Thinking Critically : The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion.

Thinking Strategically : The ability to generate insights and identify opportunities for future growth of the organization.

Training Others : The ability to facilitate the acquisition of work-related knowledge and skills in an effort to improve employee performance.

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.

Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.

A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit

For further information about this vacancy contact:

Angela Selders

angela.selders@la.gov

LDH/HUMAN RESOURCES

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.

Minimum Qualifications

MINIMUM QUALIFICATIONS:

A baccalaureate degree plus four years of professional level experience in administrative services, economics, public health, public relations, social services, health services, or surveying and/or assessing health or social service programs or facilities for compliance with state and federal regulations.

SUBSTITUTIONS:

Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.

Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:

A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.

30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.

60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.

90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.

120 or more semester hours credit will substitute for four years of experience towards the 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. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree.

Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for a maximum of one year of the required experience on the basis of thirty semester hours for one year of experience: public health; public relations; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.

A Juris Doctorate will substitute for one year of the required experience.

A master's degree in public health; counseling; social work; psychology; rehabilitation services; economics; business, public, or health administration will substitute for one year of the required experience.

Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.

A Ph.D. in public health; counseling; social work; psychology; rehabilitation services; economics; business, public, or health administration will substitute for two years of the required experience.

NOTE:

Graduate training will substitute for a maximum of two years of the required experience.

NOTES:

Health services include all services dealing with the diagnosis and treatment of disease, or the promotion, maintenance and restoration of health for sick or injured individuals.

Examples of public health jobs include sanitarian, public health engineer and public health epidemiologist.

NOTE:

Any college hours or degree must be from an accredited college or university.

Job Concepts

Function of Work:

To administer small and less complex statewide health or social service program(s).

Level of Work:

Program Manager.

Supervision Received:

Broad direction from a higher-level manager/administrator.

Supervision Exercised:

May provide functional supervision in accordance with the Civil Service Allocation Criteria Memo.

Location of Work:

Department of Health and Hospitals; Human Service Districts as established; and other social service entities as established by an approved DSCS Allocation Criteria Memorandum.

Job Distinctions:

Differs from Program Monitor--DHH and Program Monitor Supervisor--DHH by the presence of responsibility for administering small or less complex statewide program(s).

Differs from a Program Manager 1-B--DHH by the absence of supervisory responsibility.

Differs from a Program Manager 2--DHH by the absence of responsibility for administering medium or medium complex statewide program(s).

Examples of Work

Supervises the coordination of research, analysis and policy management activities related to

statewide health or social service program(s).

Develops current and long-range plans, policies and procedures for administering the statewide program(s).

Monitors revenues and expenditures of statewide program budget; formulates budgetary

projections.

Prepares and submits grant proposals.

Drafts and finalize contracts and Memorandums of Understanding; monitors/manages budgetary and programmatic aspects of those agreements assuring compliance with

requirements/deliverables. Approves contract invoices.

Responds proactively to audit findings, programmatic challenges and issues; coordinates

responses and reports to auditors and federal/state governmental entities.

Provides on-going consultation and technical assistance to professional and support staff on

programmatic issues.

Serves as liaison for agency on statewide task forces, work groups, councils, and coalitions.

Manages the legislative tracking process during legislative sessions assuring timely analysis of bills and resolutions passed which may impact services. Serves as legislative coordinator.

Revises rules, regulations and procedures to meet changes in law or policy.

Develops and implements training programs for electronic agency policy.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Parental Leave– Up to six weeks paid parental leave

More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave – State employees receive the following paid holidays each year:

• New Year's Day

• Martin Luther King, Jr. Day,

• Mardi Gras,

• Good Friday,

• Memorial Day,

• Independence Day,

• Labor Day,

• Veteran's Day,

• Thanksgiving Day and Christmas Day.

* Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):

• Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your_Retirement_System.mp4) to give you more detailed information about their system

• Teacher's Retirement System of Louisiana (www.trsl.org),

• Louisiana School Employees Retirement System (www.lsers.net), among others

  01

  1. Do you have 3 or more years of General Accounting experience?

• Yes

• No

  02

  2. Do you have 3 or more years of experience in completing Month End processes and reconciliations?

• Yes

• No

  03

  3. Do you have experience in Healthcare Revenue Cycle Management processes?

• Yes

• No

  Required Question

Agency

State of Louisiana

Address

For agency contact information, please refer to

the supplemental information above.

Louisiana State Civil Service, Louisiana, 70802

Phone

(866) 783-5462

Website

http://agency.governmentjobs.com/louisiana/default.cfm

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