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MEDICAID ANALYST 1 (MEDICAID ANALYST 1-2)

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MEDICAID ANALYST 1 (MEDICAID ANALYST 1-2)

Salary

$2,784.00 - $5,009.00 Monthly

Location

Thibodaux, LA

Job Type

Classified

Job Number

MVA/DPT/208513

Department

LDH-Medical Vendor Administration

Opening Date

05/09/2025

Closing Date

5/19/2025 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.

This position is located within the Louisiana Department of Health / Medicaid Vendor Administration / Eligibility Field Operations - Region 3 / Lafourche Parish

Announcement Number: MVA/DPT/208513

Cost Center: 3052050404

Position Number(s): 172434

This vacancy is being announced as a Classified position and may be filled as a Probationary appointment.

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 Louisiana Department of Health (LDH), Office of Medical Vendor Administration (MVA) – Eligibility Field Operations (EFO):

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

AN IDEAL CANIDATE SHOULD POSESS THE FOLLLOWING COMPETENCIES:

Selected Core 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.

+ Learning Actively:The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals.

+ Thinking Critically:The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion.

Selected Preferred Competencies:

+ Accepting Direction:The ability to accept and follow directions from those higher in the chain of command.

+ Adapting to Change: The ability to adjust plans, expectations, and behaviors in response to change.

+ Demonstrating Accountability: The ability to accept ownership for your actions, behaviors, performance, and decisions.

+ Demonstrating Initiative:The ability to assess information and take action independently to help the organization achieve its goals.

+ Managing Performance:The ability to direct and to evaluate the work of employees.

+ Managing Time:The ability to control your time to increase effectiveness, efficiency, or productivity.

+ Solving Problems:The ability to discover solutions to problems.

NOTE REGARDING THE ADVERTISED PAY:

This position participates in a Career Progression Group (CPG) and may be filled as a Medicaid Analyst 2 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 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 contact:

Debbie Parris-Thymes

[email protected]

LDH/HUMAN RESOURCES

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.

Minimum Qualifications

MINIMUM QUALIFICATIONS:

Three years of social services experience; OR

Six years of full-time 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.

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

[ADi: Rate your ability to accept direction based on our definition: The ability to accept and follow directions from those higher in the chain of command.]

+ 1= I have no experience and/or am uncomfortable accepting direction

+ 2= I have limited experience or require assistance to accept direction

+ 3= I can accept direction

+ 4= I can accept directions and help others improve their ability to accept direction

02

[ADi: Explain your rating by providing specific and relevant examples in the box below.]

03

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

04

DIn: Explain your rating by providing specific and relevant examples in the box below.

05

MT: Rate your ability to manage time based on our definition: The ability to control your time to increase effectiveness, efficiency, or productivity.

+ 1= I have no experience and/or am uncomfortable managing time.

+ 2= I have limited experience or require assistance to manage time

+ 3= I can manage time

+ 4= I can manage time and help others improve their ability to manage time

06

MT: Explain your rating by providing specific and relevant examples in the box below.

07

SP: Rate your ability to solve problems based on our definition: The ability to discover solutions to problems.

+ 1= I have no experience and/or am uncomfortable solving problems

+ 2= I have limited experience or require assistance to solve problems

+ 3= I can solve problems

+ 4= I can solve problems and help others improve their ability to solve problems

08

SP: Explain your rating by providing specific and relevant examples in the box below.

Required Question

Employer

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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