Thank you for your interest in LSU New Orleans. Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting. You must complete all required portions of the application and attach the required documents in order to be considered for employment. Department Design and Covered Services Job Summary Job Description Monitors the activities of the Provider Enrollment (PE) Unit of the Fiscal Intermediary (FI) and responsible for the monitoring the enrollment and maintenance of over 100 provider types inclusive of over 65,000 providers. Monitors activities of the Medicaid Provider Subsystem to ensure continued compliance with federal and state regulations, legislative or independent audit findings. Recommends criteria for implementing activities for the closure and removal (nonparticipating or no activity in eighteen months) of inactive files on the MMIS provider subsystem. Interfaces with agency bureaus/offices, contractors (such as Office of Behavioral Health, Health Standards, and Managed Care Organizations) as well as state teaching facilities to implement eligibility of certain provider types whose enrollment requirements are more complex and require extended time. Monitors current and proposed state and federal regulations and clarifications for Impact on present program/system functions. Meets and/or communicates with federal regulatory agencies, fiscal intermediary staff, providers, and program staff on program/system changes, enhancements and integrity. Attends meetings to coordinate implementation of policy changes which affect providers. Participates in strategy development with the fiscal intermediary to formulate and implement such changes. Assist and participate with the development and implementation of the new Provider Management Project. Serve as the Provider Enrollment “Subject Matter Expert”. Monitor and assist the Fiscal Intermediary with the day-to-day operation of PE. Act as liaison between LDH staff and the Fl for design changes, ECHOS, issues with file and/or form discrepancies and special request as it arises. Consult with and keep LDH management abreast of new developments, major changes and or issues. Consult with internal staff and external agencies regarding Provider Enrollment issues. Assist with procedures to maintain PE compliance with the Affordable Care Act (ACA) mandates. Coordinate, participate, review and approve the revisions made to the enrollment applications, forms, and manual. Research, develop and/or direct small Medicaid projects as assigned. Assist the Program Integrity staff regarding the enrollment files, for compliance purposes. Assist Program staff with the creation of new provider types and packets. Participate in provider workshops, seminars and or training, as requested. Monitor the PE stats produced by the Fl. Monitor the Fl for compliance regarding their contractual obligations. Other duties as assigned. QUALIFICATIONS REQUIRED: Bachelor’s Degree, or Associates degree with 3 years professional experience, or 6 years professional experience in lieu of the degree. Excellent analytical skills, effective organizational and time management skills. Great attention to detail and follow up. Ability to manage projects, assignments, and competing priorities. Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel. DESIRED: Advanced Degree. Minimum 1 year professional experience in healthcare compliance auditing, provider enrollment, or credentialing. Minimum 1 year professional experience working with Medicaid program support. Minimum 1 year professional experience with claims processing and billing. CPT, ICD-9 or ICD10 coding and HCPCS knowledge. SALARY: 42-52k Required Attachments Please upload the following documents in the Resume/Cover Letter section. Detailed resume listing relevant qualifications and experience; Cover Letter indicating why you are a good fit for the position and LSU New Orleans; Names and contact information of three references; Applications that do not include the required uploaded documents may not be considered. Posting Close Date This position will remain open until filled. Note to Applicant: Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials. References will be contacted at the appropriate phase of the recruitment process. This position may require a criminal background check to be conducted on the candidate(s) selected for hire. As part of the hiring process, applicants for positions at LSU New Orleans may be required to demonstrate the ability to perform job-related tasks. LSU New Orleans seeks to recruit a highly productive 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. About LSU New Orleans LSU New Orleans is the only R2 public research university in New Orleans, Louisiana, and one of just four public colleges in Louisiana to hold that designation. R2 status opens the doors to competitive federal research grants that flow preferentially to classified research universities. It anchors the university’s power to recruit research-active faculty, to sustain doctor programs of national standing, and to signal to businesses and investors that New Orleans possesses the intellectual infrastructure a knowledge economy demands. Located along Lake Pontchartrain in New Orleans, LSU New Orleans’ research excellence and urban relevance provide an opportunity for the institution to become a leading public research partner in one of America’s most exciting and vibrant metropolitan areas. New Orleans has always faced challenges that call for research driven solutions including coastal land loss, educational achievement gaps, affordability, public safety, and workforce shortages. LSU New Orleans can strengthen its research activity as a tool for public problem solving as well as economic impact by leveraging the scale, reputation, infrastructure, and global reach of the LSU enterprise while remaining deeply connected to the city it serves. With more than 5,500 students and the support of approximately 248 faculty serving the College of Liberal Arts & Human Development, The college of Sciences, The Robert A. Savoie College of Engineering, the Henry Berstein College of Business Administration, and six distinct schools, the campus remains committed to honoring its founding vision and continuing to play a critical role in the region. Opened in 1958 on the site of a former U.S. Naval Air Station as the region’s first fully integrated public university, LSU New Orleans was created after years of coordinated efforts from civic leaders and residents who believed that an accessible public institution of higher education was vital to the city’s future. Located only 15 minutes away from downtown and the French Quarter, the university occupies a 195-acre campus in one of the nicest residential areas of the city.Since its first commencement exercises in 1962, the university has conferred more than 80,000 degrees creating an extensive network of Privateer Alumni that includes prominent local leaders in fields such as business, tourism, athletics, government, and academia. The university is also an important catalyst of socio-economic mobility for the region. Its student body includes a significant share of first-generation students, working students, adult learners, and veterans.The institution has grown from a commuter-oriented campus into a comprehensive urban research university with undergraduate, graduate, and doctoral programs in distinctive academic categories tied to the city and region. Its evolution has been inseparable from the story of New Orleans; an internationally recognized city of creativity, resilience, industry, cultural influence, and global connectivity. As one of the most strategically important cities in America, New Orleans’s economy is rooted in legacy sectors such as energy, maritime commerce, tourism, healthcare, and international trade. Recently, the city has expanded its economic portfolio to include areas such as coastal restoration, film and media production, technology, and advanced manufacturing. The city’s strengths are the university’s opportunities. New Orleans needs talent, civic leadership, resilient infrastructure, healthcare innovation, artists, and entrepreneurs. This combination of culture, commerce and connectivity gives LSU New Orleans a set of dynamic factors that allows it to serve as both an access institution and a problem-solving university as it reinvents itself beginning this summer. LSU New Orleans Welcomes Job Applicants from Varied Backgrounds LSU New Orleans seeks to recruit a highly productive 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.

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