Medicaid Analyst 1-3(Medicaid Analyst)

About the role

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Responsibilities

• 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.
• Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs.
• Examines application packets for timelines, completeness, and appropriateness prior to authorization of reimbursements.
• Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs as a result of the roll down procedure.
• Interprets and applies complex federal, state, and agency policies for each program.
• Conducts special investigations and complies reports concerning fraud and location of absent parents.
• Counsels and refers potentially eligible recipients or applicants to other agencies.

Requirements

• Three years of social services experience; OR Six years of full-time experience in any field; OR A bachelor's degree.

Qualifications

• 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.

Skills

• Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
• Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.
• Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.

Benefits

• Insurance Coverage: More information can be found at https://info.groupbenefits.org/.
• Parental Leave: Up to six weeks paid parental leave.
• 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.
• 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).

Pay

• Medicaid Analyst 1 - $16.42 hr. / $1,313.60 bi-weekly
• Medicaid Analyst 2 - $17.56 hr. / $1,404.80 bi-weekly
• Medicaid Analyst 3 – $21.27 hr. / $1,701.60 bi-weekly

Schedule

• Location: Medical Vendor Administration / Eligibility Field Operations - Region 7/ Caddo Parish
• Appointment Type: This position may be filled as a Probationary appointment or Promotional appointment
• Cost Center: 3052050408
• Position Number(s): 73022, 56301
• Career Progression: This position may be filled as a Medicaid Analyst 1, 2, or 3 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.