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Medicaid LTC Specialist

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Medicaid LTC Specialist

Salary

$4,220.67 - $7,025.00 Monthly

Location

Opelousas, LA

Job Type

Promotion

Job Number

MVA/PAW/213559

Department

LDH-Medical Vendor Administration

Opening Date

10/03/2025

Closing Date

10/17/2025 11:59 PM Central

+ Description

+ Benefits

+ Questions

About this Job

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 (https://ldh.la.gov/)

Are you passionate about improving healthcare services and ensuring quality care for those who need it most? As a Medicaid LTC Specialist, you'll play a vital role in analyzing provider data, resolving eligibility issues, and supporting program integrity in Long-Term Care. Use your expertise to research complex cases, ensure policy compliance, and collaborate across teams to drive continuous improvement. If you're detail-oriented, love solving problems, and want to make a real impact in Medicaid services, we encourage you to apply today!

An ideal candidate should possess the following competencies:

+ Acting Decisively: The ability to make decisions quickly and effectively.

+ 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.

+ Displaying Professionalism: The ability to recognize how your actions impact the perceptions of both you and your organization.

+ Focusing on Customers: The ability to serve the needs of those who support and/or rely on the services provided.

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

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

Minimum Qualifications

Six years of experience in eligibility determinations for long-term care programs; OR

Six years of full-time experience in any field plus three years of experience in eligibility determinations for long-term care programs; OR

A bachelor's degree plus three years of experience in eligibility determinations for long-term care programs; OR

An advanced degree plus two years of experience in eligibility determinations for long-term care programs.

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 Specification

The official job specifications for this role, as defined by the State Civil Service, can be foundhere.

Job Duties and Other Information

Job Duties:

+ Act as a liaison with the fiscal intermediary and Medicaid Eligibility Systems to address recipient and provider service/payment discrepancies and recommend sanctions when necessary.

+ Perform special studies, analyze data, and complete reports to ensure program integrity and accuracy in Long-Term Care eligibility.

+ Conduct ongoing programmatic reviews to ensure compliance with federal and state regulations, collaborating with IT staff to maintain accurate policy reflection in systems.

+ Participate in Medicaid policy and procedure training, as well as provider outreach and emergency preparedness activities.

+ Assist in training LTC staff and support continuous quality improvement initiatives using methodologies like WorkSmart, Agile, and Lean Six Sigma.

Position-Specific Details:

Appointment Type: This is apromotional opportunity open only to current permanent employees in aclassified position with Louisiana Department of Health, Office of Medical Vendor Administration.

Cost Center: 2050405

Position Number(s): 50603359

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.

Medicaid LTC Specialist - $24.35 hourly / $1,948.00 bi-weekly

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). Resumeswill notbe accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

Contact Information:

Patricia Walker

[email protected]

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.

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

Are you a current permanent employee in a classified position with Louisiana Department of Health - Medical Vendor Administration?

+ Yes

+ No

02

To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type “N/A” if no immediate family members are employed by LDH.

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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