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Medicaid Analyst Supervior Jobs

Company

Louisiana Department of Health

Address New Orleans, LA, United States
Employment type FULL_TIME
Salary
Category Hospitals and Health Care
Expires 2023-08-19
Posted at 9 months ago
Job Description
Supplemental Information


This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / Orleans Parish
Announcement Number: MVA/PJ/180210
Cost Center: 305-2050402Position Number(s): 72825 & 50527576
This vacancy is being announced as a Classified position and may be filled as a Probationary appointment or Promotional appointment of a current classified permanent LDH employee.
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.
This position has an SER (Special Entrance Rate) of $1948.00 Bi-weekly
  • 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 will NOT populate 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 plus three years of professional social services experience.
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.
Graduate training will substitute for a maximum of one year of the required work experience on the basis of thirty semester hours for one year of experience.
A master's degree will substitute for one year of the required experience.
A Juris Doctorate will substitute for one year of the required experience.
Graduate training with less than a Ph.D. will substitute for a maximum of one year of the required experience.
A Ph.D. will substitute for two years of the required experience.
Advanced degrees will substitute for a maximum of two years of the required experience.
NOTE:
Any college hours or degree must be from an accredited college or university.
Job Concepts
FUNCTION OF WORK:
To supervise a unit of Medicaid Analysts.
LEVEL OF WORK:
Supervisor.
SUPERVISION RECEIVED:
Medicaid Analysts typically report to a Medicaid Area Manager. May receive supervision from higher level personnel.
SUPERVISION EXERCISED:
Subordinate staff typically consists of Medicaid Analysts.
LOCATION OF WORK:
Department of Health and Hospitals, Medical Vendor Administration.
JOB DISTINCTIONS:
Differs from Medicaid Analyst 3 by the presence of direct supervisory responsibilities.
Differs from Medicaid Area Manager by the absence of managerial responsibilities.
Examples of Work
EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.
Supervises a unit of Medicaid Analysts with responsibility for the maintenance of acceptable standards of assistance.
Ensures strict adherence to all rules and regulations by all personnel in the unit.
Ensures that work production and quality meet state, regional, and national goals established by the respective administrators.
Assists Medicaid Analysts in especially sensitive or difficult applications by advising on procedural issues, policy, and decisions.
Plans and coordinates in-service training for personnel in the unit.
Monitors case development through reviews as directed by agency policy, previous review findings, and quality control findings.
Interprets program policy to subordinates to ensure consistency with federal rules, regulations, and guidelines.
Monitors work flow in the unit including controlling distribution of cases and completing weekly and monthly statistical reports.
Interviews applicants and recipients concerning their rights in relation to fair hearings.
Interviews complainants and investigates possible adjustments.
Responds to requests in accordance with the Privacy Act and the Freedom of Information Act.
Conducts special investigations and studies.
Develops and maintains files for corrective action.