Medicaid Analyst 1-3

State of Louisiana • Alexandria, LA

1d • Onsite

About The Position

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. Join the Special Operations and Supports team and play a key role in strategic eligibility and enrollment activities, special projects, and initiatives that directly support Medicaid clients. This position offers the opportunity to apply your analytical skills, Medicaid knowledge, and problem-solving abilities while helping ensure important projects are completed accurately and efficiently. If you’re ready to make a difference and be part of a team that supports access to vital healthcare services, 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. Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies. Making Accurate Judgments : The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning. Accepting Direction : The ability to be open and willing to follow guidance or instructions. Acting Decisively : The ability to make timely, confident decisions using sound reason. Acting with Ethics and Integrity: The ability to make choices that reflect ethical standards, integrity and honesty, regardless of circumstances or personal benefit. Adapting to Change : The ability to demonstrate flexibility in thoughts, behaviors, and actions in response to evolving circumstances or unexpected change. Demonstrating Initiative: The ability to assess situations independently and take proactive steps to address them without being prompted or instructed by others. Managing Time: The ability to prioritize tasks, meet deadlines, and allocate time to ensure timely completion of work goals. Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.

Requirements

• Three years of social services experience; OR Six years of full-time experience in any field; OR A bachelor's degree.
• 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.

Responsibilities

• Maintains working knowledge of Medicaid programs, eligibility criteria, and policies to accurately determine eligibility for federally and state-funded Medicaid programs using LaMEDS.
• Reviews and validates Medicaid eligibility determinations, including decision letters and benefit information, and processes required updates to applicant and recipient information.
• Processes applications, case changes, retroactive coverage requests, reimbursements, manual notices, and other Medicaid-related requests in accordance with applicable policies and procedures.
• Counsels applicants and recipients regarding Medicaid eligibility, covered services, available resources, and application requirements, and provides referrals to appropriate governmental agencies and community programs.
• Utilizes LaMEDS and related reporting tools to monitor application assignments, verify eligibility information, and ensure initial and renewal applications are completed within established federal and state timeframes.
• Interprets and applies complex federal, state, and agency policies and procedures; analyzes eligibility issues and system-generated decisions; and recommends procedural updates as appropriate.
• Participates in Medicaid policy, procedure, and systems training and quality improvement initiatives, while completing outreach, emergency preparedness, and other assigned activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level