Medicaid Analyst 1

Shreveport, Louisiana

State of Louisiana
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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. About this position: This position is located within the Louisiana Department of Health / Medical Vendor Administration / Caddo Parish Announcement Number: MVA/PJ/193297 Cost Center: 408 Position Number(s): 56502 & 60442 This vacancy is being announced as a Classified position and may be filled as a Probationary appointment or Promotional appointment of a current classified LDH employee. AN IDEAL CANDIDATE SHOULD POSESS THE FOLLOWING 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. Accepting Direction: The ability to accept and follow directions from those higher in the chain of command. Acting with Ethics and Integrity: The ability to be consistent, honest, and a trustworthy steward of State resources. Adapting to Change: The ability to adjust plans, expectations, and behaviors in response to change. Demonstrating Accountability: The ability to accept ownership for your actions, behaviors, performance, and decisions. NOTE REGARDING THE ADVERTISED PAY: This position participates in a Career Progression Group (CPG) and may be filled as a Medicaid Analyst 1-2. Thelevel 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 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 - This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-. 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 willsubstitute 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 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 Working Job Description: The Medicaid Analyst (MA) is a position responsible for acquiring extensive knowledge of Medicaid policy and procedures and using same to make timely and accurate Medicaid eligibility determinations. The MA is responsible for providing eligibility assistance to members and applicants in the manner of their choosing which may be electronic, by mail, by email, in person, or most often by phone. This position requires competency of web-based programs. Work conditions are a combination of sedentary work on a computer and assistance to members by phone in a call-center format. The ideal candidate is an individual who works independently, is detail-oriented, has excellent customer service skills, can perform routine activities, is attentive to deadlines, and is a team player. Medicaid eligibility is fundamental to the overall Medicaid program, and mastery of eligibility policy and procedure may provide a path for career growth in the health insurance field.
Date Posted: 19 April 2024
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