MEDICAID PROGRAM SPECIALIST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4820177) Apply  MEDICAID PROGRAM SPECIALIST 1-2 Salary $2,978.00 - $5,843.00 Monthly Location Shreveport, LA Job Type Classified Job Number MVA/PJ/205365 Department LDH-Medical Vendor Administration Opening Date 02/06/2025 Closing Date 2/20/2025 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 / Caddo Parish Announcement Number: MVA/PJ/205365 Cost Center: 305-2050400 Position Number(s): 50656140 & 50656142 This vacancy is being announced as a Classified position and may be filled as a Probationary appointment, Job Appointment or Promotional or Detail appointment of a current classified Medicaid employee. Premium pay rate of up to $2.50 per hour for bilingual applicants. AN IDEAL CANDIDATE SHOULD POSSESS THE FOLLLOWING COMPETENCIES: Displaying Expertise: The ability to exhibit specialized skills or knowledge gained from experience or training Learning Actively: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals. 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 Decisively: The ability to make decisions quickly and effectively. Adapting to Change: The ability to adjust plans, expectations, and behaviors in response to change. Communicating Effectively: The ability to relay information correctly and appropriately to connect people and ideas. 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. Managing Time: The ability to control your time to increase effectiveness, efficiency, or productivity. NOTE REGARDING THE ADVERTISED PAY: This position participates in a Career Progression Group (CPG) and may be filled as a Medicaid Program Specialist 1-2. 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 experience in research and analysis related to Medicaid programs; public health, public relations, social services, health services, or administrative services; OR Six years of full-time work 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 perform research and analysis related to Medicaid programs. Level of Work: Entry. Supervision Received: Close from a Medicaid Program Supervisor or above. Supervision Exercised: None. Location of Work: Department of Health and Hospitals, Medical Vendor Administration. Job Distinctions: Differs from Medicaid Program Specialist 2 by the close supervision received and the absence of independent action. Examples of Work Maintains an extensive working knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary systems in order to effectively communicate Medicaid policy and eligible with members, potential members, and providers. Responsible for working accurately and independently within the Louisiana Medicaid Eligibility Determination System (LaMEDS) to perform, at minimum, the following actions: research person or case level records, complete Medicaid applications and renewals, provide information on case status and Medicaid program coverage, complete requests for duplicate cards, complete requests for case changes such as changes to demographic information. Complete a change report to report a change in income, add or remove case members. The Medicaid Program Specialist should be able to read and interpret case notes and notices. Responsible for employing knowledge of Medicaid eligibility policy and procedure to interpret and communicate eligibility determinations, including decision letters. Responsible for recognizing trends in communications and potential errors notices / determinations and escalating same thru the chain of command. Responsible for professional and considerate attention in all interactions. Responsible for communicating effectively with members, potential members, and providers in the manner (phone, email) of their choosing. The Medicaid Program Specialist should utilize soft skills in all interactions including empathy, problem solving, patience, active listening, conflict resolution, emotional intelligence, creativity, time management, critical thinking, and social skills. Responsible for understanding and applying cultural competency. Responsible for delivering information in an easy-to-understand manner based on the receiving audience. Responsible for meeting or exceeding customer service agent metrics set forth by the call center leadership. This includes first call resolution, average speed to answer, and customer satisfaction. Responsible for contribution to and support of customer service center metrics including but not limited to abandonment rates, average speed to answer, time in queue, and service levels. Participates and engages in all Medicaid policy, procedure, and systems training. Participates in all MSD, regional and statewide trainings as directed. Participates in continuous quality improvement initiatives including Micro learnings, Agile and Lean Six Sigma. Performs other duties as assigned in support of the mission of Eligibility Field Operations as directed by unit or section leadership. Assists others to meet needs and priorities of the Section and Department as required. 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 ADi: Rate your ability to accept direction based on our definition: The ability to accept and follow directions from those higher in the chain of command. + 1= I have no experience and/or am uncomfortable accepting direction + 2= I have limited experience or require assistance to accept direction + 3= I can accept direction + 4= I can accept directions and help others improve their ability to accept direction 02 ADi: Explain your rating by providing specific and relevant examples in the box below. 03 AC: Rate your ability to adapt to change based on our definition: The ability to adjust plans, expectations, and behaviors in response to change. + 1= I have no experience and/or am uncomfortable adapting to change + 2= I have limited experience or require assistance to adapt to change + 3= I can adapt to change + 4= I can adapt to change and help others improve their ability to adapt to change 04 AC: Explain your rating by providing specific and relevant examples in the box below. 05 CE: Rate your ability to communicate effectively based on our definition: The ability to relay information correctly and appropriately to connect people and ideas. + 1= I have no experience and/or am uncomfortable communicating effectively + 2= I have limited experience or require assistance to communicate effectively + 3= I can communicate effectively + 4= I can communicate effectively and help others improve their communication 06 CE: Explain your rating by providing specific and relevant examples in the box below. 07 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 08 FPP: Explain your rating by providing specific and relevant examples in the box below. 09 MT: Rate your ability to manage time based on our definition: The ability to control your time to increase effectiveness, efficiency, or productivity. + 1= I have no experience and/or am uncomfortable managing time. + 2= I have limited experience or require assistance to manage time + 3= I can manage time + 4= I can manage time and help others improve their ability to manage time 10 MT: Explain your rating by providing specific and relevant examples in the box below. 11 Are you bilingual? + Yes + No 12 If yes, please specify the languages (s). if no 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 Apply Please verify your email addressVerify Email