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Medicaid LTC Analyst 1

Medicaid LTC Analyst 1

LouisianaOpelousas, LA, US
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Overview

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.

As a Medicaid Long-Term Care (LTC) Analyst 1, you'll learn how to determine financial and medical eligibility for individuals needing institutionalized care—either at home or in a facility. In this entry-level role, you'll gain hands-on experience interpreting complex policies, reviewing vital documentation, conducting interviews, and working with a wide range of professionals—from healthcare providers to legal representatives.

If you're detail-oriented, eager to learn, and passionate about helping others, this is your opportunity to grow while making a real difference in people's lives.

Responsibilities

  • Learn to determine financial and medical eligibility for Medicaid Long-Term Care programs for individuals in institutional or home care settings.
  • Review and interpret complex federal, state, and agency policies related to long-term care eligibility requirements.
  • Evaluate financial and medical documentation to verify applicant eligibility and resolve discrepancies by obtaining additional required information.
  • Schedule and conduct interviews with applicants, representatives, and facilities to gather necessary information for eligibility determinations.
  • Collaborate with internal and external professionals, including providers, attorneys, advocacy groups, and financial institutions, to ensure accurate eligibility assessments.
  • Manage and complete task assignments within established timeframes, including processing initial and renewal Medicaid applications according to federal and state guidelines.

Qualifications

  • Accepting Direction : The ability to accept and follow directions from those higher in the chain of command.
  • 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.
  • 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.
  • 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.
  • Solving Problems : The ability to discover solutions to problems.
  • Experience and Education Requirements

    Three years of experience in eligibility determinations for long-term care programs; 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.

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

    Position Details

    Location : Medical Vendor Administration / Eligibility Field Operations - LTC Processing Center / St. Landry Parish

    Appointment Type : Job appointment (temporary appointment that may last up to 48 months)

    Cost Center : 2050405

    Position Number(s) : 50331638

    Compensation : This position is eligible for Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00 / hr for hours worked based on longevity.

    Medicaid LTC Analyst 1 - $17.56 hourly / $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). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

    Contact Information

    Patricia Walker

    Patricia.Walker.DCFS@la.gov

    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.

    J-18808-Ljbffr

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    Analyst • Opelousas, LA, US

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