Medicaid Analyst 1-2

State Of Louisiana Monroe , LA 71201

Posted 1 week ago

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 / Medical Vendor Administration / Bureau of Health Services & Finance / Ouachita Parish

Announcement Number: MVA/PJ/196325

Cost Center: 305-2050409

Position Number(s):76157

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

This position has a Special Entrance Rate (SER) of:

Medicaid Analyst 1 - $16.42 hr / $1,313.60 bi-weekly

Medicaid Analyst 2 - $17.56 hr / $1,404.80 bi-weekly

This position comes with a Premium Pay Rate of up to $2.00 per hour for hours worked only and based on years of service at the Louisiana Department of Health (LDH):

 0 months to less than 3 years - $1.00/hour

 3 years to less than 6 years - $1.50/hour

 6 years or greater - $2.00/hour

Please visit the Benefits tab on this job announcement for more information about the state's competitive benefits package.

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.

NOTE REGARDING THE ADVERTISED PAY:

This position participates in a Career Progression Group (CPG) and may be filled as a Medicaid Analyst 1-2.  The level at which the vacancy is filled will be determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

The actual starting salary depends on the education and experience of the selected applicant.

Please click on the below links to learn more about each job level:

State Civil Service Job Information Finder

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.

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

For further information about this vacancy contact:

Paula Jackson

paula.jackson@la.gov

LDH/HUMAN RESOURCES

BATON ROUGE, LA 70821

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.        

MINIMUM QUALIFICATIONS:

A baccalaureate degree.

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 will substitute 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 tosubstitute for the baccalaureate degree.

NOTE:

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

NOTE:

An applicant may be required to possess a valid Louisiana driver's license at time of appointment.

FUNCTION OF WORK:

To make initial and continuing determination, under close supervision, as to clients' eligibility for all Medicaid programs.

LEVEL OF WORK:

Entry.

SUPERVISION RECEIVED:

Medicaid Analysts typically report to a Medicaid Analyst Supervisor. May receive supervision from higher level personnel.

SUPERVISION EXERCISED:

None.

LOCATION OF WORK:

Department of Health and Hospitals, Medical Vendor Administration.

JOB DISTINCTIONS:

Differs from Medicaid Analyst 2 by the presence of close supervision and the absence of independent action.

Under close supervision, the entry level Medicaid Analyst learns to perform the following duties:

Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs.

Examines application packets for timeliness, completeness, and appropriateness prior to authorization of reimbursement.

Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs as a result of the rolldown procedure.

Interprets and applies complex federal, state, and agency policies for each program.

Conducts special investigations and compiles reports concerning fraud and location of absent parents.

Counsels and refers potentially eligible recipients or applicants to other agencies.

Contacts individuals, companies, businesses, local, state and federal agencies as needed to obtain or to verify information.

Records findings, recommendations, and services provided; completes case record forms and necessary correspondence in connection with assigned cases.


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