Medicaid Analyst 1-3

The official job specifications for this role, as defined by the State Civil Service, can be found here.Job Duties:

·  Acquire and maintain in-depth knowledge of Medicaid policies, procedures, and eligibility requirements 

·  Review and analyze applications to make accurate and timely Medicaid eligibility determinations 

·  Provide eligibility assistance to members and applicants through multiple channels, including phone, email, mail, in-person, and electronic systems 

·  Utilize web-based programs and tools to process applications, verify information, and update records 

·  Respond to inquiries from members and applicants, providing clear guidance on eligibility, benefits, and program requirements 

·  Document and maintain accurate records of all member interactions, eligibility decisions, and communications 

·  Collaborate with team members and supervisors to resolve complex eligibility issues and ensure compliance with state and federal regulations 

·  Monitor and track application progress to ensure timely processing and follow-up with applicants as needed 

·  Maintain confidentiality and security of member information in accordance with privacy laws and agency policies 

·  Participate in ongoing training and development to stay current on policy changes, system updates, and procedural enhancements

The ideal candidate is an individual who works independently, is detail-oriented, has excellent customer service skills, can perform routine activities, is attentive to deadlines, and is a team player. Medicaid eligibility is fundamental to the overall Medicaid program, and mastery of eligibility policy and procedure may provide a path for career growth in the health insurance field. 

Location: Medical Vendor Administration / Eligibility Field Operations - Region 6 / Calcasieu Parish

Appointment Type: This position may be filled as a Probationary appointment or Promotional appointment

Cost Center:   3052050407

Position Number(s): 172446

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.

Compensation:   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 Louisiana Department of Health (LDH), Office of Medical Vendor Administration (MVA) – Eligibility Field Operations (EFO), Medicaid Analyst 1-3:

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

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
Medicaid Analyst 3 – $21.27 hr / $1,701.60 bi-weekly

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. 

* Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education).  Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

Contact Information:

Patricia Walker

Patricia.Walker.DCFS@la.gov

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. 

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities. 

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.