MEDICAID LTC SPECIALIST
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Apply to MEDICAID LTC SPECIALIST at State of LouisianaJob details
- Location
- Opelousas or Baton Rouge or St. Landry Parish County
- Work type
- Onsite
- Compensation
- $47,760 - $86,076/yr
- Posted
- today
- Apply on
- governmentjobs.com
About this role
About the Department
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
Join the Louisiana Department of Health and make a meaningful impact on the lives of Louisiana residents! As a Medicaid LTC Specialist within the Long Term Care processing unit, you’ll play an essential role in determining Medicaid eligibility and helping individuals access critical healthcare services. This opportunity offers career growth within the Medicaid Analyst series, with advanced-level positions providing opportunities to lead, mentor, and support staff. If you’re ready to build your career while contributing to a program that serves approximately 1.7 million Louisianans, we encourage you to apply!
An ideal candidate should possess the following competencies:
Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning
Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.
Acting Decisively: The ability to make timely, confident decisions using sound reason.
Adapting to Change: The ability to demonstrate flexibility in thoughts, behaviors, and actions in response to evolving circumstances or unexpected change.
Displaying Professionalism: The ability to uphold workplace standards through consistent conduct, responsible communication, and consideration for others.
Focusing on Customers: The ability to understand and meet the needs, preferences, and experiences of internal and external customers.
Learning Actively: The ability to pursue learning, seek feedback, and integrate new knowledge to improve personal and professional performance.
Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.
Position Duties
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.
Minimum Qualifications
The official job specifications for this role, as defined by the State Civil Service, can be found here.
Other Qualifications
Job Duties:
· Serves as a liaison with fiscal intermediaries and Medicaid Eligibility Systems staff to resolve recipient and provider service, eligibility, and payment discrepancies.
· Researches and analyzes provider billing practices, system reports, and payment information to identify issues and recommend appropriate corrective actions or sanctions.
· Conducts special studies, analyzes data, compiles reports, and completes projects related to Medicaid Long Term Care eligibility, liability rules, and program operations.
· Reviews case samples for accuracy, completeness, quality, and compliance to support Medicaid program integrity and identify opportunities for improvement.
· Analyzes federal performance data and program outcomes to identify trends, compare performance, and develop recommendations for operational improvements.
· Conducts ongoing programmatic reviews to ensure compliance with state and federal regulations and collaborates with Information Technology staff to ensure policies are accurately reflected in system programming.
· Participates in Medicaid training, continuous quality improvement initiatives, provider outreach, emergency preparedness activities, and assists with training Long Term Care staff.
Position-Specific Details:Location: Medical Vendor Administration / Eligibility Field Operations / St. Landry Parish
Appointment Type: This is a promotional opportunity open only to current permanent employees in a classified position with Louisiana Department of Health, Office of Medical Vendor Administration
Cost Center:305-2050405
Position Number(s): 50603355
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). Resumes
will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.
Contact Information:
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.
LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.
Benefits
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 at https://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.
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 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
Supplemental Questions
- I communicate unclearly, use poor tone, and ignore the audience.
- I share main ideas clearly and adapt to the audience when reminded.
- I communicate clearly, listen actively, and explain complex ideas well.
- I craft messages that connect, inspire, and drive action across audiences.
- I miss deadlines, act unprofessionally, or avoid responsibility for my actions or workplace expectations.
- I meet basic standards for work quality, behavior, and communication when given occasional reminders or support.
- I meet expectations, follow policies, and communicate respectfully and clearly—even in difficult situations.
- I model professionalism and ethics, adapt under pressure, and build trust through consistent and responsible behavior.
- I focus on surface issues, miss root causes, or struggle to follow through on solutions.
- I gather some information, but my solutions may not be fully thought through or feasible.
- I analyze problems thoroughly, identify root causes, and follow through with realistic, adaptable solutions.
- I anticipate and solve complex problems, develop innovative solutions, and improve systems based on outcomes and feedback.
- Yes
- No
Required Question
Agency Information
EmployerState of LouisianaAddress 1201 N 3rd StBaton Rouge, Louisiana, 70802 Phone(866) 783-5462
Website http://agency.governmentjobs.com/louisiana/default.cfm