Medicaid Ltc Analyst 1
Medicaid Ltc Analyst 1
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$ 2978 - 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.
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.Minimum Qualifications
Three years of experience in eligibility determinations for long-term care programs; OR
Six years of full-time 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 full-time 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
The official job specifications for this role as defined by the State Civil Service can be found here.
Job Duties and Other Information
Job Duties:
Duties for this position include but are not limited to the following: Determines financial and medial eligibility for Medicaid Programs for individuals in Long Term Care who are institutionalized either in a facility or at home. Interprets and applies complex federal state and agency policies to long-term care eligibility requirements. Evaluates financial and medical documentation to determine if the applicant is eligible for institutionalized services. Reviews 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. Schedules interviews with applicants representatives and facilities to determine eligibility for Medicaid Long-Term Care programs. Analyzes all sources of information related to provider forms and medical certifications when needed Determines if the medical Certifications are consistent with provider forms and eligibility and if necessary resolves those inconsistencies. Examines application packets for timeliness completeness and appropriateness prior to authorization Gather and verify eligibility information from applicants and other sources including system interfaces to determine continued eligibility/ineligibility for medical assistance. Coordinates and communicates frequently with assigned providers facilities or program offices. Consults with internal and external professionals including groups providers nursing facilities corporate executives and financial institutions. Considers hardships and penalty periods when making determinations. Determines and reconciles recipient financial liabilities to provers. Determines and reconciles incurred medical expenses and other deductions that may impact financial lability.
Position-Specific Details:
This position is located within the Louisiana Department of Health / Medical Vendor Administration / Region 4 / St. Landry Parish
Announcement Number: MVA/PJ/209239
Cost Center: 305-2050405
Position Number(s): 69013
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 bi-weekly
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
How To Apply:
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 E-verify and for more information on E-verify please contact DHS at 1-.
Required Experience:
IC
Employment Type
Full Time
