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Medicaid Analyst 1-3
Medicaid Analyst 1-3State of Louisiana • Lake Charles, LA, US
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Medicaid Analyst 1-3

Medicaid Analyst 1-3

State of Louisiana • Lake Charles, LA, US
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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

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 :

  • 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.
  • Thinking Critically : The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion.
  • Adapting to Change : The ability to adjust plans, expectations, and behaviors in response to change.

Requirements :

  • 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.

    Job 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.
  • 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.
  • 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.
  • Conducts special investigations and complies reports concerning fraud and location of absent parents.
  • Career Progression : This position may be filled as a Medicaid Analyst 1, 2, or 3 determined by the qualifications of the candidate selected.

    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

    Medicaid Analyst 3 – $21.27 hr / $1,701.60 bi-weekly

    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.

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    Analyst • Lake Charles, LA, US

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