Medicaid Specialist I
This listing closes on 5/7/2021 at 11:59 PM Central Time (US & Canada).
Location 14 – COAHOMA COUNTY, MS
14 – COAHOMA COUNTY, MS
0665 – MEDICAID DIVISION
Closing date and time
5/7/2021 at 11:59 PM Central Time (US & Canada)
Characteristics of Work
This is investigative work involving the interpretation of policy to determine Medicaid eligibility for families and children and aged, blind, and disabled individuals. The incumbent makes the initial and continuing determinations of eligibility for Medicaid recipients who live in private and institutional settings. Limited supervision is received from administrative supervisors who oversee a regional office or Central Enrollment Office.
Examples of Work
Examples of work performed in this classification include, but are not limited to, the following:
Assumes responsibility for a Medicaid eligibility determination caseload for a designated territory within a region.
Investigates and verifies accuracy of information provided by recipients under the Medicaid programs to determine compliance with State and Federal laws, rules, and regulations.
Determines an applicant’s eligibility for institutional care based on State and Federal guidelines and verifies the accuracy of information listed on the applicants’ applications.
Maintains effective public relations with medical facilities and federal, state, county, and city agencies within assigned territory.
Verifies accuracy of information listed on applicants’ applications including income, bank accounts, and any other assets.
Makes determination of an applicant’s eligibility based upon established criteria.
Visits contact centers and medical facilities; assists other regional offices on an as-needed basis.
Performs related or similar duties as required or assigned.
These minimum qualifications have been agreed upon by Subject Matter Experts (SMEs) in this job class and are based upon a job analysis and the essential functions. However, if a candidate believes he/she is qualified for the job although he/she does not have the minimum qualifications set forth below, he/she may request special consideration through substitution of related education and experience, demonstrating the ability to perform the essential functions of the position. Any request to substitute related education or experience for minimum qualifications must be addressed to the Mississippi State Personnel Board in writing, identifying the related education and experience which demonstrates the candidate’s ability to perform all essential functions of the position.
A Bachelor’s Degree from an accredited four-year college or university.
An Associate’s Degree or completion of sixty (60) semester hours from an accredited college or university;
Two (2) years of experience related to the described duties.
Above an Associate’s Degree or completion of sixty semester hours from an accredited college or university, related education and related experience may be substituted on an equal basis.
Additional essential functions may be identified and included by the hiring agency. The essential functions include, but are not limited to, the following:
1. Maintains caseload for Medicaid eligibility.
2. Maintains good public relations and customer service.
3. Collects eligibility data information.
4. Visits Medicaid contact centers and/or long-term care facilities.
Eligible employees have the opportunity to participate in the state’s health and prescription insurance program. Employees may select either single or family coverage with affordable co-payments. More detail can be found at Know Your Benefits.
Employees are eligible for a wellness and health promotion program. This plan provides annual benefits for certain services with first-dollar coverage with no deductible.
All eligible employees receive an actual term life insurance policy upon employment. The policy coverage is two times the employee’s annual salary to a maximum of $100,000. More detail can be found at Life Insurance Choices.
Many agencies offer discounted premiums for dental, vision, and cancer insurance.
Flexible Spending Accounts
Many state agencies provide opportunity for employees to participate in pre-tax spending accounts. These accounts allow employees to withhold childcare expenses and unreimbursed medical expenses prior to application of state and federal taxes.
Paid Personal Leave and Sick Leave
Full-time employees receive paid time off for personal needs and for sick leave. Leave begins accruing after one month of employment and may be used as it is accrued. Employees earn approximately 18 days of personal leave annually and 12 days of sick leave annually.
In accordance with federal law, all employees serving in the armed forces or the military reserves are entitled to 15 days per year for military training.
Employees receive up to 10 paid holidays to enjoy many of our nation’s celebrations with family and friends.
The State of Mississippi provides all its employees a Defined Benefit/Defined Contribution Retirement Program. Employees become vested in the State’s retirement system after 8 years of employment. Both you and your employing agency contribute toward your retirement. More detailed information regarding the State’s retirement program can be found at http://www.pers.state.ms.us
State agencies offer several opportunities for their employees to participate in a deferred compensation voluntary retirement savings plan. More information can be found at Deferred Compensation.
State Credit Union
All state employees are eligible to participate in the Mississippi Public Employees’ Credit Union. This organization offers state employees special savings and borrowing plans. For more information about this program, call 601.948.8191.
Many state agencies provide opportunities for their employees to achieve higher education through tuition reimbursement. Common programs include medical and nursing fields, accounting, and business/administrative fields.
Career Development and Training
The Mississippi State Personnel Board offers several management and administrative certification programs, as well as professional development courses to enhance employee value to the agency. Individual agencies also offer technical training and allow membership in professional organizations to employees in their specific fields of employment.
Employees who have completed 6 or more months of service are eligible for promotional opportunities within state government employment. Minimum qualifications must be met.
Many job classifications provide career-ladder opportunities based upon attainment of competencies. These career ladders can increase an individual’s salary, provided funds are available within the agency.
What is the highest level of education (or semester hours of college) you have completed from an accredited college or university?
- GED or High School Equivalency Diploma / High School
- 1 year / 30 semester hours
- Associate’s Degree / 2 yrs / 60 semester hours
- 3 years / 90 semester hours
- Bachelor’s Degree
- Master’s Degree
- Specialist Degree
- Doctorate Degree
How many years of related experience do you have? (refer to the job posting for an explanation of related experience)
- No experience
- 1 year of experience
- 2 years of experience
- 3 years of experience
- 4 years of experience
- 5 years of experience
- 6 years of experience
- 7 years of experience
- 8 years of experience
- 9 years of experience
- 10 years of experience
- More than 10 years
* Required Question
Agency State of Mississippi Phone 601-359-1406 Website http://agency.governmentjobs.com/mississippi/default.cfm
Address 210 East Capitol Street
Jackson, Mississippi, 39201