This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / Rapides Parish Announcement Number: MVA/PJ/154295 Cost Center: 305-2050400 Position Number(s): 50380809 This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.
Applicants must have Civil Service test scores for 8100-Professional Level Exam in order to be considered for this vacancy unless exempted by Civil Service rule or policy.
If you do not have a score prior to applying to this posting, it may result in your application not being considered.
Applicants without current test scores can apply to take the test here.
Working Job Description:
The Specialized Operations & Support 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 primarily sedentary on a computer.
The MA will also be required to reach out to applicants and enrollees by phone.
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.
Projects in the Specialized Operations & Support Unit frequently change to meet agency goals, adaptability is key.
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.
As part of a Career Progression Group, vacancies may be filled from this recruitment as a
1 or 2
depending on the level of experience of the selected applicant(s).
The maximum salary for the
Please refer to the ‘Job Specifications’ tab located at the top of the LA Careers ‘Current Job Opportunities’ page of the Civil Service website for specific information on salary ranges, minimum qualifications and job concepts for each level.
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.
A resume upload will
populate your information into your application.
Work experience left off your electronic application or only included in an attached resume
is not eligible to receive credit
For further information about this vacancy contact:
BATON ROUGE, LA 70821
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
A baccalaureate degree.
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 will substitute 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.
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
An applicant may be required to possess a valid Louisiana driver’s license at time of appointment.
FUNCTION OF WORK:
To make initial and continuing determination, under close supervision, as to clients’ eligibility for all Medicaid programs.
LEVEL OF WORK:
Medicaid Analysts typically report to a Medicaid Analyst Supervisor.
May receive supervision from higher level personnel.
LOCATION OF WORK:
Department of Health and Hospitals, Medical Vendor Administration.
Differs from Medicaid Analyst 2 by the presence of close supervision and the absence of independent action.
Examples of Work
EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE.
NOT ALL POSSIBLE TASKS ARE INCLUDED.
Under close supervision, the entry level Medicaid Analyst learns to perform the following duties:
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.
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