MEDICAID ANALYST 1-2

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MEDICAID ANALYST 1-2

Salary

$2,784.00 - $5,009.00 Monthly

Location

New Orleans, LA

Job Type

Classified

Job Number

MVA/PJ/194789

Department

LDH-Medical Vendor Administration

Opening Date

05/14/2024

Closing Date

5/28/2024 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 / Orleans Parish

Announcement Number: MVA/PJ/194789

Cost Center: 305-2050402

Position Number(s):50593214, 50350433, 176030 & 157399

This vacancy is being announced as a Classified position and may be filled as a Probationary, Job Appointment or Promotional appointment pf current classified LDH employee.

A Job Appointment is a temporary appointment that may last up to 48 months.

This position has a Special Entrance Rate (SER) of:

Medicaid Analyst 1 - $16.42 hr / $1,313.60 bi-weekly

Medicaid Analyst 2 - $17.56 hr / $1,404.80 bi-weekly

This position comes with a Premium Pay Rate of up to $2.00 per hour for hours worked only and based on years of service at the Louisiana Department of Health (LDH):

0 months to less than 3 years - $1.00/hour

3 years to less than 6 years - $1.50/hour

6 years or greater - $2.00/hour

AN IDEAL CANDIDATE SHOULD POSESS THE FOLLOWING COMPETENCIES:

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.

Thinking Critically: The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion.

Adapting to Change: The ability to adjust plans, expectations, and behaviors in response to change.

NOTE REGARDING THE ADVERTISED PAY:

This position participates in a Career Progression Group (CPG) and may be filled as a Medicaid Analyst 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:

A baccalaureate degree.

SUBSTITUTIONS:

Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.

Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:

A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.

30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.

60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.

90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.

120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.

College credit earned without obtaining a baccalaureate degree will substitute for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience tosubstitute for the baccalaureate degree.

NOTE:

Any college hours or degree must be from an accredited college or university.

NOTE:

An applicant may be required to possess a valid Louisiana driver's license at time of appointment.

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

Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs.

Examines application packets for timeliness, completeness, and appropriateness prior to authorization of reimbursement.

Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs as a result of the rolldown procedure.

Interprets and applies complex federal, state, and agency policies for each program.

Counsels and refers potentially eligible recipients or applicants to other agencies.

Contacts individuals, companies, businesses, local, state and federal agencies as needed to obtain or to verify information.

Records findings, recommendations, and services provided; completes case record forms and necessary correspondence in connection with assigned cases.

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.

Provides Medicaid Member support as directed, by phone, email, and/or in person.

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

  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

  02

  AC: Explain your rating by providing specific and relevant examples in the box below.

  03

  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

  04

  FC: Explain your rating by providing specific and relevant examples in the box below.

  05

  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

  06

  FPP: 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 your previous experience, otherwise enter N/A

  Required Question

Agency

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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