Job description
Supplemental Information
This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations - Region 1 / New Orleans / Orleans Parish
Announcement Number: MVA/CSH/166560
Cost Center: 30522050400
Position Number(s): 172426, 68305, 50593254
This vacancy is being announced as a Classified position and may be filled as a Job appointment, Probationary appointment or Promotional appointment
No Civil Service test score is required in order to be considered for this vacancy.
Working Job Description:
As part of a Career Progression Group, vacancies may be filled from this recruitment as a Medicaid Analyst 1 or 2 depending on the level of experience of the selected applicant(s). The maximum salary for the Medicaid Analyst 2 is $57, 179. Please refer to the 'Job Specifications' tab located at the top of the LA Careers 'Current Job Opportunities' page of the Civil Service website for specific information on salary ranges, minimum qualifications and job concepts for each level.
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. *
A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit
For further information about this vacancy contact:
Casey Hickman
Casey.Hickman@la.gov
LDH/HUMAN RESOURCES
BATON ROUGE, LA 70821
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218
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 will substitute 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.
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 will substitute 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 an accredited college or university.
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.
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