Program Manager 1B-LDH
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Program Manager for Louisiana Department of Health's statewide Revenue Cycle Management Program (~$10M annual collections). Leads billing, claims, collections, vendor contracts, EHR integration, HIPAA/Medicare/Medicaid compliance, reporting, and supervises professional staff, based in Baton Rouge, LA.
About this Job
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 Health
Lead a statewide program with a direct impact on public health operations! As the Program Manager for the Office of Public Health’s Revenue Cycle Management Program, you’ll drive strategy and continuous improvement for approximately $10 million in annual collections. This high-impact role provides the opportunity to lead revenue cycle operations, optimize reimbursement, oversee vendors and contracts, support EHR integration, ensure regulatory compliance, and guide a team of professionals. If you’re a strategic leader ready to make a measurable difference in public health, we encourage you to apply!
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:
- Directs and administers the statewide Revenue Cycle Management Program, establishing strategic goals, operational objectives, policies, and performance measures to maximize reimbursement, reduce denials, improve cash flow, and strengthen financial stewardship.
- Provides executive oversight of statewide billing, coding, claims management, collections, revenue integrity, provider enrollment, credentialing support, and workflow improvement initiatives.
- Directs the administration and performance of statewide revenue cycle contracts and vendors, ensuring compliance with contract requirements, deliverables, service levels, budgets, timelines, and performance measures.
- Serves as the business owner for revenue cycle technologies and leads implementation, integration, testing, workflow redesign, training, and change management initiatives involving EHR, claims processing, and financial systems.
- Directs the development and analysis of statewide revenue cycle reports, dashboards, forecasts, and performance measures to evaluate reimbursement trends, payer performance, accounts receivable, denials, collections, and revenue enhancement opportunities.
- Ensures statewide revenue cycle operations comply with applicable federal and state laws, CMS, Medicare and Medicaid requirements, HIPAA, payer contracts, credentialing standards, and departmental policies; oversees audits, revenue integrity reviews, and corrective actions.
- Directs and supervises professional staff within the Revenue Cycle Management Program by establishing priorities, assigning projects, evaluating performance, developing staff competencies, and fostering collaboration with internal and external stakeholders.
Position-Specific Details:Location: Office of Public Health / Center for Finance and Operations / East Baton Rouge Parish
Appointment Type: This position may be filled as a Probationary appointment, a Promotional appointment, or a Job appointment (temporary appointment that may last up to 48 months)
Cost Center: 3262100600
Position Number(s): 50510387
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:
Paul Tran
Paul.Tran3@la.gov
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge, LA 70821225-342-6477
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.