Medicaid Ltc Analyst 1
Medicaid Ltc Analyst 1
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 3043 - 5360
1 Vacancy
Job Description
About this Job
- 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 / Region 4 / Lafourche Parish
Announcement Number: MVA/PJ/208593
Cost Center:
Position Number(s): 172459
This vacancy is being announced as a Classified position and may be filled as a Probationary appointment or by Detail of a current classified Medicaid Employee.
This position has a Special Entrance Rate (SER) of:
Medicaid LTC Analyst 1 $17.56 hr / $1404.80 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):
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
AN IDEAL CANDIDATE SHOULD POSSESS THE FOLLLOWING COMPETENCIES:
Accepting Direction: The ability to accept and follow directions from those higher in the chain of command.
Learning Actively: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals.
Thinking Critically: The ability to objectively question analyze interpret and evaluate information to form a conclusion.
Acting Decisively: The ability to make decisions quickly and effectively.
Adapting to Change: The ability to adjust plans expectations and behaviors in response to change.
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.
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.
Solving Problems: The ability to discover solutions to problems.
Please click on the below links to learn more about each job level:
State Civil Service Job Information Finder
No Civil Service test scoreis 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
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 experience in eligibility determinations for longterm care programs; 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 Specification
FUNCTION OF WORK:
To perform initial determination of eligibility and ongoing case management for the Medicaid LongTerm Care program.
LEVEL OF WORK:
Entry.
SUPERVISION RECEIVED:
Direct from a Medicaid LTC Supervisor. Other reporting relationships may be approved by SCS.
SUPERVISION EXERCISED:
None.
LOCATION OF WORK:
Department of Health Medical Vendor Administration. Other locations may be approved by SCS.
JOB DISTINCTIONS:
Differs from Medicaid LTC Analyst 2 by the absence of experiencedlevel eligibility and case management responsibilities.
Job Duties and Other Information
EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.
Learns to determine financial and medical eligibility for Medicaid programs for individuals in LongTerm Care who are institutionalized either in a facility or at home.
Learns to interpret and apply complex federal state and agency policies to longterm care eligibility requirements.
Learns to evaluate financial and medical documentation to determine if the applicant is eligible for institutionalized services.
Acquires skill in the review of all case documentation resolves discrepancies in financial eligibility and medical evidence from other agencies and makes efforts to obtain required documentation and request additional documentation.
Learns to schedule interviews with applicants representatives and facilities to determine eligibility for Medicaid LongTerm Care programs.
Trains in the analysis of all sources of information related to provider forms and medical certifications when needed. Learns to determine if the medical certifications are consistent with provider forms and eligibility and if necessary resolves those inconsistencies.
Learns to examine application packets for timeliness completeness and appropriateness prior to authorization.
Learns to consult with internal and external professionals including advocacy groups attorneys providers nursing facilities corporate executives and financial institutions. Considers hardships and penalty periods when making determinations.
Learns to determine and reconcile recipient financial liabilities to providers. Learns to determine and reconcile incurred medical expenses and other deductions that may impact financial liability.
May be assigned directly to providers or facilities.
Required Experience:
IC
Employment Type
Full Time
