Medicaid Analyst 1-2 Jobs

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MEDICAID ANALYST 1-2

Salary

$2,846.13 - $5,009.00 Monthly

Location

Lafayette, LA

Job Type

Classified

Job Number

MVA/PJ/181689

Department

LDH-Medical Vendor Administration

Opening Date

08/15/2023

Closing Date

8/29/2023 11:59 PM Central

• Description
• Questions
• Benefits

Supplemental Information

This position is located within the Louisiana Department of Health / Medicaid Vendor Administration / Eligibility Field Operations / Lafayette Parish

Announcement Number: MVA/PJ/181689

Cost Center: 305-2050405

Position Number(s): 157428 & 56603

This vacancy is being announced as a Classified position and may be filled as a Probationary appointment, Job appointment or Promotional appointment of a current LDH employee.

Job appointments are temporary appointments that may last up to 48 months.

No Civil Service test score is required in order to be considered for this vacancy.

Working

The Medicaid Analyst (MA) is a position responsible for acquiring extensive knowledge of Medicaid policy and procedures and using same to make timely and accurate Medicaid eligibility determinations. The MA is responsible for providing eligibility assistance to members and applicants in the manner of their choosing which may be electronic, by mail, by email, in person, or most often by phone. This position requires competency of web-based programs. Work conditions are a combination of sedentary work on a computer and assistance to members by phone in a call-center format. The ideal candidate is an individual who works independently, is detail-oriented, has excellent customer service skills, can perform routine activities, is attentive to deadlines, and is a team player. Medicaid eligibility is fundamental to the overall Medicaid program, and mastery of eligibility policy and procedure may provide a path for career growth in the health insurance field.

As part of a Career Progression Group, vacancies may be filled from this recruitment as aMedicaid Analyst 1 or 2depending on the level of experience of the selected applicant(s). The maximum salary for theMedicaid Analyst 2 is $64,314. Please refer to the 'Job Specifications' tab located at the top of the LA Careers 'Current Job Opportunities' page of the Civil Service website for specific information on salary ranges, minimum qualifications and job concepts for each level.

The following job titles have a Special Entrance Rate (SER):

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

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

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. *

A resume upload willNOTpopulate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit

For Further Information About This Vacancy Contact

Paula Jackson

[email protected]

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.

Qualifications

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.

Job Concepts

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.

Examples of Work

EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.

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.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

As a State Employee, You Will Earn Competitive Pay, Choose From a Variety Of Benefits, And Have Access To a Great Professional Development Program

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Holidays and Leave – State employees receive the following paid holidays each year:

• New Year's Day
• Martin Luther King, Jr. Day,
• Thanksgiving Day and Christmas Day.
• Mardi Gras,
• Good Friday,
• Veteran's Day,
• Memorial Day,
• Labor Day,
• Independence Day,
• Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

State Retirement Systems May Include (but Are Not Limited To)

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries.

• Teacher's Retirement System of Louisiana (www.trsl.org),
• Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your_Retirement_System.mp4) to give you more detailed information about their system
• Louisiana School Employees Retirement System (www.lsers.net), among others

01

Please reflect on the following statement and choose the response that best describes your skill level. "I am a highly organized person."

• Untrue of me
• True of me
• Very untrue of me
• Sometimes true of me
• Very true of me

02

Please reflect on the following statement and choose the response that best describes your skill level. "I am detailed-orientated and regularly check my work for accuracy"

• Untrue of me
• Very untrue of me
• Very true of me
• True of me
• Sometimes true of me

03

Please reflect on the following statement and choose the response that best describes your skill level. "When faced with a challenge or barrier, I analyze the details of a complex situation or question in order to discover solutions."

• Very true of me
• Untrue of me
• True of me
• Very untrue of me
• Sometimes true of me

04

Reflect on the following statement and choose the response that best describes your skill level. "I am skilled at learning computer software programs and systems."

• True of me
• Untrue of me
• Very true of me
• Sometimes true of me
• Very untrue of me

Required Question

Agency

State of Louisiana

Address

For agency contact information, please refer to

the supplemental information above.

Louisiana State Civil Service, Louisiana, 70802

Phone

(866) 783-5462

Website

http://agency.governmentjobs.com/louisiana/default.cfm

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