EPO Support Specialist


DEPARTMENT

Medicaid Services Contract – Eligibility Program Support Operations


POSITION SUMMARY


RESPONSIBILITIES

• Serve as liaison between LDH and facilities statewide that have elected to participate as outstation sites by negotiating Memorandums of Agreement (MOA) and ensuring that all required agreements and certificates are complete prior to implementation.
• Coordinate with UNO training unit to provide required training for outstation sites.
• Coordinate outstation site inspections by regional staff.
• Coordinate with DHH IT to ensure systems at outstation sites are properly configured.
• Serve as the intermediary between Medicaid and facility management staff to conduct periodic monitoring and evaluate performance of outstation sites.
• Review reports in order to identify deficiencies, suggest corrective action as appropriate, and implement policies and procedures as defined.
• Implement corrective action when necessary to address any deficiencies identified as the result of failure to meet performance benchmarks or failure to adhere to policies and procedures.
• Review communications received and respond as appropriate; independently respond to questions and concerns from outstation staff and facility managers.
• Remain current on policy, procedure, and programmatic changes to ensure that all applicable state and federal rules are appropriately applied.
• Communicate and coordinate with eligibility field staff regarding policies and procedures related to participation and enrollment in the outstation program.
• Make recommendations regarding system enhancements to improve the process for participating hospitals and providers.
• Lead process improvement initiatives improve procedures, increase efficiency, and meet changes in law and policy.
• Consult with programmers on maintenance of current systems and ensure the process produces accurate results.
• Consult with programmers during the development and maintenance of the Medicaid Modernization unit to ensure the process produces accurate results.
• Coordinate with the Secretary's office, regional Medicaid staff, UNO training staff, and EPO staff to ensure Outreach activities are beneficial to the agency and the public by increasing awareness and educating the public and LDH partners.
• Manage and coordinate with EPO program monitors to ensure a presence is available and accessibility to services is communicated to all resources across programs and that partners are knowledgeable of policies, programs, and how to access benefits.
• Other tasks as directed.


REQUIRED QUALIFICATIONS

• Bachelor's degree or 6 years of professional work experience in lieu of degree.
• Excellent analytical skills, effective organizational and time management skills.
• Great attention to detail and follow‐up and excellent verbal/written communications skills.
• Able to set, follow, and meet scheduled deadlines.
• Highly self-motivated.
• Works well both independently and as part of a team.


DESIRED QUALIFICATIONS

• Advanced degree.
• Minimum 1 year of professional experience in managing projects.
• Professional experience in dealing with federal/state health care programs.
• Professional experience in health care field or Medicaid program support.
• Experience with Microsoft Office applications, including Word, Excel, OneNote SharePoint, Visio, and/or PowerPoint.
• Knowledge of the Louisiana Medicaid Programs.
• Relevant industry related certifications.


SALARY

Commensurate with qualifications and experience.


DATE POSTED


CLOSING DATE

Position will remain open until filled. To assure full consideration, applications should be received by April 9, 2017.


POSITION NUMBER

8996

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Important Notice

The University of New Orleans is an Affirmative Action / Equal Employment Opportunity employer. We do not discriminate on the basis of race, gender, color, religion, national origin, disability, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.