Medicaid LTC Specialist
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Job Location:
Opelousas, LA - USA
Monthly Salary:
$ 4220 - 7025
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
About this Job
The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical preventive and rehabilitative services for all residents of the State of Louisiana.
Learn more about Louisiana Department of Health
Are you passionate about improving healthcare services and ensuring quality care for those who need it most As a Medicaid LTC Specialist youll play a vital role in analyzing provider data resolving eligibility issues and supporting program integrity in Long-Term Care. Use your expertise to research complex cases ensure policy compliance and collaborate across teams to drive continuous improvement. If youre detail-oriented love solving problems and want to make a real impact in Medicaid services we encourage you to apply today!
An ideal candidate should possess the following competencies:- 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.
- Learning Actively:The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals.
- Solving Problems:The ability to discover solutions to problems.
Minimum Qualifications
Six years of experience in eligibility determinations for long-term care programs; OR
Six years of full-time experience in any field plus three years of experience in eligibility determinations for long-term care programs; OR
A bachelors degree plus three years of experience in eligibility determinations for long-term care programs; OR
An advanced degree plus two years of experience in eligibility determinations for long-term care programs.
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:
- Act as a liaison with the fiscal intermediary and Medicaid Eligibility Systems to address recipient and provider service/payment discrepancies and recommend sanctions when necessary.
- Perform special studies analyze data and complete reports to ensure program integrity and accuracy in Long-Term Care eligibility.
- Conduct ongoing programmatic reviews to ensure compliance with federal and state regulations collaborating with IT staff to maintain accurate policy reflection in systems.
- Participate in Medicaid policy and procedure training as well as provider outreach and emergency preparedness activities.
- Assist in training LTC staff and support continuous quality improvement initiatives using methodologies like WorkSmart Agile and Lean Six Sigma.
Position-Specific Details:Location:Medical Vendor Administration / Eligibility Field Operations-LTC Processing Center / St. Landry Parish
Appointment Type:This is a promotionalopportunity open only tocurrent permanent employees in a classified position with Louisiana Department of Health Office of Medical Vendor Administration.
Cost Center: 2050405
Position Number(s):
Compensation: This position is eligible for the following Special Entrance Rates (SER) as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity.
Medicaid LTC Specialist - $24.35 hourly / $1948.00 bi-weekly
How To Apply:
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.
* Information to support your eligibility for the position must be included in the application (i.e. relevant detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.
Contact Information:
Patricia Walker
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge LA 70821
This organization participates in E-verify and for more information on E-verify please contact DHS at 1-.
LDH supports Louisianas commitment to being a State as a Model Employer (SAME) by promoting the recruitment hiring and retention of individuals with disabilities.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
