MEDICAID ANALYST 1-2
Louisiana Department of State Civil Service
MEDICAID ANALYST 1-2
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MEDICAID ANALYST 1-2
Salary
$2,784.00 - $5,009.00 Monthly
Location
Hammond, LA
Job Type
Classified
Job Number
MVA/PJ/205168
Department
LDH-Medical Vendor Administration
Opening Date
01/31/2025
Closing Date
2/13/2025 11:59 PM Central
+ Description
+ Benefits
+ Questions
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 / Eligibility Field Operations / Region 9 / Tangipahoa Parish
Announcement Number: MVA/PJ/205168
Cost Center: 305-2050410
Position Number(s): 50592990
This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.
Medicaid Analyst 1-2
+ Are you experienced in healthcare administration and looking for a new challenge?
+ Do you value time management, are you organized, and can make independent decisions?
+ Are you motivated, energetic, and excited to become part of the LDH Medicaid team?
A Career as a Medicaid Analyst may be just the right fit for you!
Let us give you a little history!
Medicaid began in 1965 as a federal and state partnership under Title XIX of the Social Security Act. Medicaid is administered and operated by the Louisiana Department of Health, according to federal laws and regulations. As it expands into the health care reform era, our Medicaid analysts continue to assess our citizen’s healthcare needs.
Who do we serve?
Medicaid provides health coverage to millions of citizens, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. We work diligently to provide our citizens with managed care services, Healthy Louisiana Health Plans, excellent customer service, and real-time eligibility.
What do we offer?
Medicaid Analysts working in LDH are eligible for Longevity Pay, Special Entrance pay rates, and receive extensive on the job training. We also offer a competitive benefits package and eligibility for remote work for qualifying employees.
Premium Pay Rate: Special Entrance Rate (SER)
Authorized Rate (for hours worked) Medicaid Analyst 1 $16.42/hr.-$1313.60 bi-wkly
0 months to less than 3 years $1.00/hr. Medicaid Analyst 2 $17.56/hr.-$1404.80 bi-wkly
3years to less than 6 years $1.50/hr.
6years or greater $2.00/hr.
Please visit the Benefits tab on this job announcement for more information about the state's competitive benefits package.
What do Medicaid Analysts do?
The Medicaid Analyst (MA) is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures, and using the same tools to make timely and accurate Medicaid eligibility determinations.
The MA determines eligibility for health insurance to members and applicants in the manner of their choosing. The applications are received electronically by computer, by mail, by email, in person, or most often by telephone. This position requires competency of web-based programs. Work conditions are a combination of sedentary work on a computer, helping members by phone in aCall-Center format.
The successful candidate is an individual who works independently, is detail-oriented, has excellent customer service skills, can perform routine activities, is attentive to deadlines, computer literate, is a team player, and experience with high call volumes.
Medicaid eligibility is fundamental to the overall Medicaid program, and mastery of eligibility policy and procedure may be the first step in a path for career growth in the health insurance field.
AN IDEAL CANIDATE SHOULD POSESS THE FOLLLOWING COMPETENCIES: 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.
Making Accurate Judgments: The ability to form an opinion objectively and decisively based on relevant information and in accordance with established standards.
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.
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.
Leveraging Technology: The ability to use technology and its related processes to further organizational goals.
Managing Conflict: The ability to recognize and navigate disagreements in a rational, unbiased, and productive way.
Managing Time: The ability to control your time to increase effectiveness, efficiency, or productivity.
Solving Problems: The ability to discover solutions to problems.
NOTE REGARDING THE ADVERTISED PAY:
This position participates in a Career Progression Group (CPG) and may be filled as a Medicaid Analyst 1-3. The level 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 (https://apps01.civilservice.louisiana.gov/onestopjobinfo/JobView2.aspx)
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.
* 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
paula.jackson@la.gov
LDH/HUMAN RESOURCES
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.
Minimum Qualifications
MINIMUM QUALIFICATIONS:
Three years of social services experience; OR
Six years of full-time experience in any field; OR
A bachelor's degree.
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 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
The Medicaid Analyst (MA) is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures, and using the same tools to make timely and accurate Medicaid eligibility determinations. The MA determines eligibility for health insurance to members and applicants in the manner of their choosing, The applications are received electronically by ‘computer, by mail, by email, in person, or most often by telephone. This position requires competency of web-based programs. Work conditions are a combination of sedentary work on a ‘computer, helping members by phone in a Call-Center format. The successful candidate is an individual who works independently, is detail-oriented, has excellent customer service skills, can perform routine activities, is attentive to deadlines, computer literate, is a team player, and experience with high call volumes. Medicaid eligibility is fundamental to the overall Medicaid program, and mastery of eligibility policy and procedure may be the first step in a path for career growth in the health insurance field.
Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.
As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:
Insurance Coverage More information can be found at https://info.groupbenefits.org/
Parental Leave– Up to six weeks paid parental leave
More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx
Holidays and Leave – State employees receive the following paid holidays each year:
+ New Year's Day
+ Martin Luther King, Jr. Day,
+ Mardi Gras,
+ Good Friday,
+ Memorial Day,
+ Independence Day,
+ Labor Day,
+ Veteran's Day,
+ Thanksgiving Day and Christmas Day.
***** Additional holidays may be proclaimed by the Governor
State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.
Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):
+ Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system
+ Teacher's Retirement System of Louisiana (www.trsl.org),
+ Louisiana School Employees Retirement System (www.lsers.net), among others
01
FC: Rate your ability to focus on customers based on our definition: The ability to serve the needs of those who support and/or rely on the services provided.
+ 1= I have no experience and/or am uncomfortable focusing on customers
+ 2= I have limited experience or require assistance to focus on customers
+ 3= I can focus on customers
+ 4= I can focus on customers and help others improve their ability to focus on customers
02
FC: Explain your rating by providing specific and relevant examples in the box below.
03
FPP: Rate your ability to follow policies and procedures based on our definition: 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.
+ 1= I have no experience and/or am uncomfortable following policies and procedures
+ 2= I have limited experience or require assistance to follow policies and procedures
+ 3= I can follow policies and procedures
+ 4= I can follow policies and procedures and help others improve their ability to follow policies and procedures
04
FPP: Explain your rating by providing specific and relevant examples in the box below.
05
LA: Rate your ability to learn actively based on our definition: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals.
+ 1= I have no experience and/or am uncomfortable learning actively
+ 2= I have limited experience or require assistance to learn actively
+ 3= I can learn actively
+ 4= I can learn actively and help others improve their ability to learn actively
06
LA: Explain your rating by providing specific and relevant examples in the box below.
07
TCr: Rate your ability to think critically based on our definition: The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion.
+ 1= I have no experience and/or am uncomfortable thinking critically
+ 2= I have limited experience or require assistance to think critically
+ 3= I can think critically
+ 4= I can think critically and help others improve their ability to think critically
08
TCr: Explain your rating by providing specific and relevant examples in the box below.
09
Do you have experience in high call volume settings?
+ Yes
+ No
10
If yes, please detail previous experience. If no, please enter N/A
Required Question
Employer
State of Louisiana
Address
For agency contact information, please refer to
the supplemental information above.
Louisiana State Civil Service, Louisiana, 70802
Phone
(866) 783-5462
Website
http://agency.governmentjobs.com/louisiana/default.cfm
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