Medicaid Analyst 1-3
Medicaid Analyst 1-3
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$ 2784 - 5009
1 Vacancy
Job Description
Supplemental Information
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.
This position is located within the Louisiana Department of Health / Medical Vendor Administration /Eligibility Field Operations / East Baton Rouge Parish
Announcement Number: MVA/SP/208511Cost Center:
Position Number: 172427
This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment
Preferred Experience
This position has a Special Entrance Rate (SER) of:
Medicaid Analyst 1 $16.42 hr. / $1313.60 biweekly
Medicaid Analyst 2 $17.56 hr. / $1404.80 biweekly
Medicaid Analyst 3 $21.27 hr. / $1701.60 biweekly
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 Louisiana Department of Health (LDH)Office of Medical Vendor Administration (MVA) Eligibility Field Operations (EFO) Medicaid Analyst 13:0 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/hourAN IDEAL CANIDATE SHOULD POSESS THE FOLLLOWING COMPETENCIES:
Focusing on Customers:The ability to serve the needs of those who support and/or rely on the services provided.
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.
Thinking Critically: The ability to objectively question analyze interpret and evaluate information to form a conclusion.
Adapting to Change: The ability to adjust plans expectations and behaviors in response to change.
NOTE REGARDING THE ADVERTISED PAY:
This position participates in a Career Progression Group (CPG)and may be filled as a Medicaid Analyst 13 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:
Shambrielle Pooler
LDH/HUMAN RESOURCES
BATON ROUGE LA 70821
This organization participates in EVerify and for more information on EVerify please contact DHS at.
Minimum Qualifications
MINIMUM QUALIFICATIONS:
Three years of social services experience; OR
Six years of fulltime 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 fulltime 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 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
Under close supervision the entry level Medicaid Analyst learns to perform the following duties: The Medicaid Analyst (MA) 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 webbased programs. Work conditions are a combination of sedentary work on a computer helping members by phone in a CallCenter format. The successful candidate is an individual who works independently is detailoriented has excellent customer service skills can perform routine activities is attentive to deadlines computer literate isa 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. 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.
Required Experience:
IC
Employment Type
Full Time
