Medicaid Analyst 1-3

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

The Medicaid Analyst (MA) is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures and using the same tools to make timely and accurate Medicaid eligibility determinations.

The MA determines eligibility for health insurance to members and applicants in the manner of their choosing. The applications are received electronically by computer by mail by email in person or most often by telephone. This position requires competency of web-based programs. Work conditions are a combination of sedentary work on a computer helping members by phone in a Call-Center forma t.

The successful candidate is an individual who works independently is detail-oriented has excellent customer service skills can perform routine activities is attentive to deadlines computer literate is a team player and experience with high call volumes.

Medicaid eligibility is fundamental to the overall Medicaid program and mastery of eligibility policy and procedure may be the first step in a path for career growth in the health insurance field.

An ideal candidate should possess the following competencies:

Following Policies and Procedures: The ability to comply with policies and procedures of the organization as well as State Civil Service rules and all applicable federal and state laws.
Making Accurate Judgments: The ability to form an opinion objectively and decisively based on relevant information and in accordance with established standards.
Thinking Critically: The ability to generate ideas manipulate ideas and make unconventional connections to develop original approaches.
Accepting Direction: The ability to accept and follow directions from those higher in the chain of command.
Communicating Effectively: The ability to relay information correctly and appropriately to connect people and ideas.
Displaying Professionalism: The ability to recognize how your actions impact the perceptions of both you and your organization.
Leveraging Technology: The ability to use technology and its related processes to further organizational goals.
Managing Conflict: The ability to recognize and navigate disagreements in a rational unbiased and productive way.
Managing Time: The ability to control your time to increase effectiveness efficiency or productivity.
Solving Problems: The ability to discover solutions to problems.

Minimum Qualifications

Three years of social services experience; OR

Six years of full-time experience in any field; OR

A bachelors degree.

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:

UnderclosesupervisiontheentrylevelMedicaidAnalystlearnstoperformthefollowingduties:

• The Medicaid Analyst (MA) is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures and using the same tools to make timely and accurate Medicaid eligibility determinations.

• The MA determines eligibility for health insurance to members and applicants in the manner of their choosing. The applications are received electronically by computer by mail by email in person or most often by telephone.
• Medicaid eligibility is fundamental to the overall Medicaid program and the mastery of eligibility policy and procedure may be the first step in a path for career growth in health insurance field.
• Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs. Examines application packets for timelines completeness and appropriateness prior to authorization of reimbursements.
• Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs as a result of the roll down procedure. Interprets and applies complex federal state and agency policies for each program.
• Conducts special investigations and complies reports concerning fraud and location of absent parents. Counsels and refers potentially eligible recipients or applicants to other agencies.

Position-Specific Details:

Location: Medical Vendor Administration / Medicaid Region 8 / Ouachita Parish

Appointment Type: This position may be filled as a Probationary appointment

Cost Center:

Position Number(s):

Career Progression: This position may be filled as a Medicaid Analyst 1 2 or 3 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

Compensation: This position is eligible for the following Special Entrance Rates (SER) as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity.

Medicaid Analyst 1 - $16.42 hr / $1313.60 bi-weekly
Medicaid Analyst 2 - $17.56 hr / $1404.80 bi-weekly
Medicaid Analyst 3 $21.27 hr / $1701.60 bi-weekly

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.

Contact Information:

Paul Tran

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge LA 70821

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

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

Required Experience:

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