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Medicaid Analyst 1-2

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Medicaid Analyst 1-2

Salary

$2,846.13 - $5,009.00 Monthly

Location

Thibodaux, LA

Job Type

Classified

Job Number

MVA/PAW/214265

Department

LDH-Medical Vendor Administration

Opening Date

10/28/2025

Closing Date

11/7/2025 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/)

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.

An ideal candidate should possess the following 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.

Making Accurate Judgments:The ability to form an opinion objectively and decisively based on relevant information and in accordance with established standards.

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

Using Data:The ability to use relevant and valid data to inform a recommendation for action.

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

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

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

Solving Problems:The ability to discover solutions to problems.

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 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:

Under close supervision, the entry level Medicaid Analyst learns to perform the following duties:

+ 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.

+ Medicaid eligibility is fundamental to the overall Medicaid program, and the mastery of eligibility policy and procedure may be the first step in a path for career growth in health insurance field.

+ Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs. Examines application packets for timelines, completeness, and appropriateness prior to authorization of reimbursements.

+ Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs as a result of the roll down procedure. Interprets and applies complex federal, state, and agency policies for each program.

+ Conducts special investigations and complies reports concerning fraud and location of absent parents. Counsels and refers potentially eligible recipients or applicants to other agencies.

Position-Specific Details:

Appointment Type: Probationary, Promotional appointment

Cost Center: 3052050404

Position Number(s): 149184, 50593204, 157412, and 157421

Career Progression: This position may be filled as aMedicaid Analyst1 or 2determined 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.

Medicaid Analyst 1 - $16.42 hr / $1,313.60 bi-weekly

Medicaid Analyst 2 - $17.56 hr / $1,404.80 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

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

FPP: Rate your ability to follow policies and procedures based on our definition: 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.

+ 1= I have no experience and/or am uncomfortable following policies and procedures

+ 2= I have limited experience or require assistance to follow policies and procedures

+ 3= I can follow policies and procedures

+ 4= I can follow policies and procedures and help others improve their ability to follow policies and procedures

06

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

07

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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