Job Information
Louisiana Department of State Civil Service MEDICAID ANALYST 1-2 in Thibodaux, Louisiana
MEDICAID ANALYST 1-2
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MEDICAID ANALYST 1-2
Salary
$2,784.00 - $5,009.00 Monthly
Location
Thibodaux, LA
Job Type
Classified
Job Number
MVA/PJ/196413
Department
LDH-Medical Vendor Administration
Opening Date
06/20/2024
Closing Date
6/30/2024 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 / Lafourche Parish
Announcement Number: MVA/PJ/196413
Cost Center: 305-2050404
Position Number(s):157418, 176034 & 78061
This vacancy is being announced as a Classified position and may be filled as a Probationary appointment or Promotional appointment of a current classified LDH employee.
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.
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
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 CANDIDATE SHOULD POSESS THE FOLLOWING 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.
Acting Decisively:The ability to make decisions quickly and effectively.
Acting with Ethics and Integrity:The ability to be consistent, honest, and a trustworthy steward of State resources.
Adapting to Change:The ability to adjust plans, expectations, and behaviors in response to change.
Demonstrating Initiative: The ability to assess information and take action independently to help the organization achieve its goals.
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
EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.
Under close supervision, the entry level Medicaid Analyst learns to perform the following duties:
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.
Conducts special investigations and compiles reports concerning fraud and location of absent parents.
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.
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
AD: Rate your ability to act decisively based on our definition: The ability to make decisions quickly and effectively.
1= I have no experience and/or am uncomfortable acting decisively
2= I have limited experience or require assistance to act decisively
3= I can act decisively
4= I can act decisively and help others improve their ability to act decisively
02
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03
AEI: Rate your ability to act with ethics and integrity based on our definition: The ability to be consistent, honest, and a trustworthy steward of State resources.
1= I have no experience and/or am uncomfortable acting with ethics and integrity
2= I have limited experience or require assistance to act with ethics and integrity
3= I can act with ethics and integrity
4= I can act with ethics and integrity and help others improve their ability to act with ethics and integrity
04
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05
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
06
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07
DIn: Rate your ability to demonstrate initiative based on our definition: The ability to assess information and take action independently to help the organization achieve its goals.
1= I have no experience and/or am uncomfortable demonstrating initiative
2= I have limited experience or require assistance to demonstrate initiative
3= I can demonstrate initiative
4= I can and help others improve their ability to demonstrate initiative
08
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09
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
10
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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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