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Medicaid Program Specialist 1-2

Company

Louisiana Department of Health

Address Monroe, LA, United States
Employment type FULL_TIME
Salary
Category Hospitals and Health Care
Expires 2023-09-04
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 / Ouachita Parish


Announcement Number: MVA/PJ/180847


Cost Center: 305-2050400


Position Number(s): 50473541, 50656025, 50656068, 50656101, 50656104
50656117, 50656129, 50656130, 50656132, 50656133, 50656134, 50656173
50656175, 50661094
This vacancy is being announced as a Classified position and may be filled as a Probational appointment, Job appointment, Promotional or Detail appointment of a current Medicaid 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.
As part of a Career Progression Group, vacancies may be filled from this recruitment as a Medicaid Program Specialist 1 or 2 depending on the level of experience of the selected applicant(s). The maximum salary for the Medicaid Program Specialist 2 is $80,267 . 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.
  • 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.
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 may be substituted 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 perform research and analysis related to Medicaid programs.
Level of Work:
Entry.
Supervision Received:
Close from a Medicaid Program Supervisor or above.
Supervision Exercised:
None.
Location of Work:
Department of Health and Hospitals, Medical Vendor Administration.
Job Distinctions:
Differs from Medicaid Program Specialist 2 by the close supervision received and the absence of independent action.
Examples of Work
Under close supervision:
Participates in on-the-job training program, which involves rotation from project to project training in various program areas.
Researches, analyzes and compiles data for various reports.
Provides assistance in response to inquiries from the general public and public officials relative to Medicaid eligibility, payments, policy and procedures.
Reviews and analyzes data for corrective action, fiscal impact, etc.
Updates and monitors system databases.
Maintains records, prepares reports and conducts correspondence relative to the program element assigned.
Researches and analyzes provider billing practices via complex system reports and/or on site visits and recommends sanctions in accordance with state and federal regulations.
Consults with Information Technology staff to assure policy is correctly reflected by system programming.