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Medicaid Program Specialist 1-2



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.


Learn more about Louisiana Department of Health


Join a team where your expertise and people skills shine. Use your deep knowledge of Medicaid programs to guide members through eligibility, applications, renewals, and case updates—while delivering exceptional service through empathy, critical thinking, and cultural awareness. If you’re passionate about helping others and solving complex challenges, we want you.

An ideal candidate should possess the following competencies:

Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.

Focusing on Customers: The ability to understand and meet the needs, preferences, and experiences of internal and external customers.
Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.
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.
Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.

Requirements

Three years of experience in research and analysis related to Medicaid programs; public health, public relations, social services, health services, or administrative services; OR

Six years of full-time work experience in any field; OR

A bachelor's degree.

EXPERIENCE SUBSTITUTION:
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.

Qualifications

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

  • Maintains an extensive and precise working knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary systems in order to accurately and effectively communicate Medicaid policy and eligibility with members, potential members, and providers. 
  • Responsible for employing knowledge of Medicaid eligibility policy and procedure to interpret and communicate eligibility determinations, including decision letters. 
  • Completes Medicaid applications, completes Medicaid renewals, provides information on case status and Medicaid program coverage, completes requests for duplicate cards, completes requests for case changes such as changes to demographic information and income, add or remove case members, and reads and interprets case notes and notices. 
  • Responsible for communicating effectively with members, potential members, and providers by phone. 
  • Responsible for utilizing soft skills in all interactions including empathy, problem solving, patience, active listening, conflict resolution, emotional intelligence, creativity, time management, critical thinking, and social skills. Responsible for understanding and applying cultural competency.

Position-Specific Details:

Location: Medical Vendor Administration / Eligibility Field Operations / Baton Rouge and Ouachita Parish

Appointment Type: This position may be filled as a Job appointment (temporary appointment that may last up to 48 months)

Cost Center: 3052050400

Position Number(s): 50473593, additional position

Career Progression:  This position may be filled as a Medicaid Program Specialist 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

Compensation: This position is eligible for the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity. )


How To Apply:

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.


Date Posted
03/04/2026
Job Reference
MVA/PAW/217780
Organization
LDH-Medical Vendor Administration
Location
Statewide, LA
Category
Health Policy Management
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