Medicaid Analyst 1-3

State of Louisiana•Baton Rouge, LA

2d•Onsite

About The Position

Join the Louisiana Department of Health and play a vital role in delivering life-changing healthcare access to over 1.7 million residents each year. As part of the Bureau of Health Services Financing, you will work at the center of Louisiana’s $14 billion Medicaid program, navigating complex policies to ensure individuals and families receive the coverage they need. This is an exciting opportunity to build deep expertise in Medicaid eligibility, contribute to a mission-driven organization, and make a meaningful impact on communities across the state while advancing your career in the healthcare field.

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.

Nice To Haves

Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.
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.

Responsibilities

Applies Medicaid policy and procedures to determine eligibility accurately and within required timeframes
Reviews applications, verifications, and supporting documentation to make consistent and compliant eligibility decisions
Provides eligibility assistance to applicants and members through multiple channels including phone, email, mail, in-person, and electronic platforms
Conducts interviews and gathers necessary information to support eligibility determinations
Utilizes web-based systems and databases to process applications, update case records, and maintain accurate documentation
Responds to inquiries and resolves issues in a call-center environment while delivering high-quality customer service
Monitors case deadlines and ensures timely completion of eligibility actions and follow-ups
Maintains detailed and accurate case notes in accordance with program standards and audit requirements
Works independently to manage assigned caseload while collaborating with team members to ensure service continuity
Stays current on changes to Medicaid policies, procedures, and system updates to support ongoing accuracy and compliance