Medicaid LTC Analyst 1

About This Job

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.

Job Duties and Other Information

• Determine financial and medical eligibility for Medicaid Long-Term Care programs for institutionalized individuals, including those in facilities or receiving services at home, by applying federal, state, and agency policies.
• Review and evaluate financial, medical, and case documentation to assess eligibility, resolve discrepancies, obtain required verifications, and request additional documentation as needed.
• Schedule and conduct interviews with applicants, authorized representatives, and facilities to gather information necessary for Long-Term Care eligibility determinations.
• Analyze provider forms and medical certifications to ensure consistency with eligibility requirements, resolving discrepancies related to medical evidence, hardship considerations, penalty periods, and allowable deductions.
• Determine and reconcile recipient financial liabilities, including incurred medical expenses and other deductions that impact provider payments.
• Manage assigned tasks within LaMeds by tracking workloads, analyzing task reports, maintaining required spreadsheets, ensuring applications and renewals are completed within established timeframes, participating in required training, and performing other duties as assigned in support of Eligibility Field Operations.

Position-Specific Details

• Location: Medical Vendor Administration / Eligibility Field Operations (LTC Processing Center) / St. Landry Parish
• Appointment Type: Job appointment (temporary appointment that may last up to 48 months)
• Cost Center: 3052050405
• Position Number(s): 50331638

Contact Information

Shambrielle Pooler
Shambrielle.Pooler@la.gov
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge, LA 70821
225-342-6477

Required Question

Acknowledge by checking “Yes” that you understand this is a temporary position.