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Medicaid Analyst 1

Company: State of Louisiana
Location: Monroe
Posted on: November 19, 2021

Job Description:

Supplemental Information This position is located in the Department of Health, Medical Vendor Administration, Eligibility Field Operations Section located in Monroe, LA. This position will be filled as a job appointment. (Job Appointments are temporary appointments that may last up to 48 months) The Louisiana Medicaid Program, which provides healthcare services to low income individuals, has an annual budget of approximately $12.9 billion dollars, a staffing complement of almost 900 authorized employees and almost 500 contracted direct-support staff, and provides services to approximately 1.7 million enrollees annually. The program is a state of federal partnership financed with a combination of state and federal funds and governed by a complex body of state and federal laws, policies, regulations, and guidelines. The incumbent will be responsible for carrying out professional administrative duties that effectuate Medicaid eligibility. Applicants must have Civil Service test scores for 8100-Professional Level Exam in order to be considered for this vacancy unless exempted by Civil Service rule or policy. If you do not have a score prior to applying to this posting, it may result in your application not being considered. Applicants withoutcurrent test scores can apply to take the test here.

  • Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.* 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. For further information about this vacancy contact: Kelsi Chaney LDH/Human Resources P.O. Box 4818, Baton Rouge, LA 70821 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 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. NOTE: Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies:the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges. 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.

Keywords: State of Louisiana, Monroe , Medicaid Analyst 1, Professions , Monroe, Louisiana

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