Medicaid Analyst 1-3
Supplemental InformationThe 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.About this positionThis position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations /Rapides ParishAnnouncement Number:
MVA/PJ/190737Cost Center:
305-2050400Position Number(s):
50380812This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.This position has a Special Entrance Rate (SER) of:
Medicaid Analyst 1 - $16.42 hr / $1,313.60 bi-weeklyMedicaid Analyst 2 - $17.56 hr / $1,404.80 bi-weeklyMedicaid Analyst 3 - $21.27 hr / $1,701.60 bi-weeklyThis 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):
0 months to less than 3 years - $1.00/hour3 years to less than 6 years - $1.50/hour6 years or greater - $2.00/hourAN IDEAL CANIDATE SHOULD POSESS THE FOLLLOWING COMPETENCIESFocusing 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.Learning Actively:
The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals.Accepting Direction:
The ability to accept and follow directions from those higher in the chain of command.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.Communicating Effectively:
The ability to relay information correctly and appropriately to connect people and ideas.Demonstrating Self-Awareness:
The ability to manage your personality, behavior, skills, and emotions.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 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 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.NOTE REGARDING THE ADVERTISED PAYThis position participates in a Career Progression Group (CPG)and may be filled as a Medicaid Analyst 1-3. Thelevel 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 levelState Civil Service Job Information FinderNo Civil Service test scoreis 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 contactPaula Jackson email protected LDH/HUMAN RESOURCESBATON ROUGE, LA 70821225-342-6477This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.QualificationsMINIMUM QUALIFICATIONSA baccalaureate degree.SUBSTITUTIONSSix 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 willsubstitute 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.NOTEAny college hours or degree must be from an accredited college or university.NOTEAn applicant may be required to possess a valid Louisiana driver's license at time of appointment.Job ConceptsFUNCTION OF WORKTo make initial and continuing determination, under close supervision, as to clients' eligibility for all Medicaid programs.LEVEL OF WORKEntry.SUPERVISION RECEIVEDMedicaid Analysts typically report to a Medicaid Analyst Supervisor. May receive supervision from higher level personnel.SUPERVISION EXERCISEDNone.LOCATION OF WORKDepartment of Health and Hospitals, Medical Vendor Administration.JOB DISTINCTIONSDiffers from Medicaid Analyst 2 by the presence of close supervision and the absence of independent action.Examples of WorkUnder close supervision, the entry level Medicaid Analyst learns to perform the following duties:
Makes decisions on complex eligibility factors and determines level of benefits for federal andstate funded programs as a result of rolldown procedure.Interprets and applies complex federal, state, and agency policies for each program.Contacts Medicaid applicants and enrollees 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.Review and process reports as requested to ensure eligibility actions are in linewith federal guidelines. Recommended Skills Adaptability Attention To Detail Communication Computer Literacy Customer Service Medicaid Apply to this job. Think you're the perfect candidate? Apply on company site $('.external-apply-email-saved').on('click', function (event) window.ExternalApply = window.open('/interstitial?jobdid=j3r6sr6405y7wz6jrm7', 'ExternalApply-j3r6sr6405y7wz6jrm7'); ); $(document).ready( function() $(#ads-desktop-placeholder).html(
n
n
n Estimated Salary: $20 to $28 per hour based on qualifications.
MVA/PJ/190737Cost Center:
305-2050400Position Number(s):
50380812This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.This position has a Special Entrance Rate (SER) of:
Medicaid Analyst 1 - $16.42 hr / $1,313.60 bi-weeklyMedicaid Analyst 2 - $17.56 hr / $1,404.80 bi-weeklyMedicaid Analyst 3 - $21.27 hr / $1,701.60 bi-weeklyThis 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):
0 months to less than 3 years - $1.00/hour3 years to less than 6 years - $1.50/hour6 years or greater - $2.00/hourAN IDEAL CANIDATE SHOULD POSESS THE FOLLLOWING COMPETENCIESFocusing 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.Learning Actively:
The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals.Accepting Direction:
The ability to accept and follow directions from those higher in the chain of command.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.Communicating Effectively:
The ability to relay information correctly and appropriately to connect people and ideas.Demonstrating Self-Awareness:
The ability to manage your personality, behavior, skills, and emotions.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 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 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.NOTE REGARDING THE ADVERTISED PAYThis position participates in a Career Progression Group (CPG)and may be filled as a Medicaid Analyst 1-3. Thelevel 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 levelState Civil Service Job Information FinderNo Civil Service test scoreis 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 contactPaula Jackson email protected LDH/HUMAN RESOURCESBATON ROUGE, LA 70821225-342-6477This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.QualificationsMINIMUM QUALIFICATIONSA baccalaureate degree.SUBSTITUTIONSSix 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 willsubstitute 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.NOTEAny college hours or degree must be from an accredited college or university.NOTEAn applicant may be required to possess a valid Louisiana driver's license at time of appointment.Job ConceptsFUNCTION OF WORKTo make initial and continuing determination, under close supervision, as to clients' eligibility for all Medicaid programs.LEVEL OF WORKEntry.SUPERVISION RECEIVEDMedicaid Analysts typically report to a Medicaid Analyst Supervisor. May receive supervision from higher level personnel.SUPERVISION EXERCISEDNone.LOCATION OF WORKDepartment of Health and Hospitals, Medical Vendor Administration.JOB DISTINCTIONSDiffers from Medicaid Analyst 2 by the presence of close supervision and the absence of independent action.Examples of WorkUnder close supervision, the entry level Medicaid Analyst learns to perform the following duties:
Makes decisions on complex eligibility factors and determines level of benefits for federal andstate funded programs as a result of rolldown procedure.Interprets and applies complex federal, state, and agency policies for each program.Contacts Medicaid applicants and enrollees 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.Review and process reports as requested to ensure eligibility actions are in linewith federal guidelines. Recommended Skills Adaptability Attention To Detail Communication Computer Literacy Customer Service Medicaid Apply to this job. Think you're the perfect candidate? Apply on company site $('.external-apply-email-saved').on('click', function (event) window.ExternalApply = window.open('/interstitial?jobdid=j3r6sr6405y7wz6jrm7', 'ExternalApply-j3r6sr6405y7wz6jrm7'); ); $(document).ready( function() $(#ads-desktop-placeholder).html(
n
n
n Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
