MEDICAID ANALYST – State of LA

 
 

Louisiana Department of
Public Safety & Corrections –
Corrections Services
DEPT OF CORRECTIONS HEADQUARTERS
Baton Rouge, LA

www.doc.louisiana.gov

THIS POSITION WILL BE FILLED AS A TEMPORARY JOB APPOINTMENT

DETAIL – The selected employee may be required to serve a trial detail prior to being permanently promoted.

TEMPORARY JOB APPOINTMENT – This position may be filled by temporary job appointment. If filled as a temporary job appointment, should a permanent position become available, the employee may be converted to a probational appointment.

This position is located at DOC-Headquarters, Health Services in Baton Rouge, LA.

As part of a Career Progression Group, vacancies may be filled from this recruitment as a Medicaid Analyst 1, 2, or 3 depending on the level of experience of the selected applicant(s). 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.


In the supplemental questions section, applicants must authorize the HR Office of DPS&C-Corrections Services to contact prior employers to check references under the Prison Rape Elimination Act (PREA) to be considered for employment.


Applicants must have a Civil Service test score 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.

Any qualifying experience that is based on college credit/college hours should have an accompanying transcript for verification. The transcript should be attached to the application or faxed prior to the close of this announcement for your application to be considered. Fax to (225) 342-5968, or mail by close of this announcement.



>>>> An attached resume will not replace a completed application. <<<<


****REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT. Failure to provide your qualifying work experience may result in your application not being considered.****


Any degree, certificate, special license, or DD-214 must be verified by official documentation prior to hire.


This Agency is a Drug Free Workplace.


The Louisiana Department of Public Safety and Corrections – Corrections Services is an Equal Opportunity Employer and does not discriminate based on any non-merit factor including disability.


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.


There is no guarantee that everyone who applies to this posting will be interviewed. The hiring supervisor/manager has 90 days from the closing date of the announcement to make a hiring decision. Specific information about this job will be provided to you in the interview process, should you be selected.


*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*


For information about this job posting contact:
Roderick Wells or Sara Barton
(225) 342-6664 or (225) 342-8627
Department of Corrections
P.O. Box 94304
Baton Rouge, LA 70804-9304
Fax: 225-342-5968

 
 

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 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.

NOTE:
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.

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

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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