Medicaid Ltc Analyst 1

State of Louisiana • Opelousas, LA

20h • 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. As a Medicaid Long-Term Care (LTC) Analyst, 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. An ideal candidate should possess the following competencies: Accepting Direction: The ability to be open and willing to follow guidance or instructions. Learning Actively: The ability to pursue learning, seek feedback, and integrate new knowledge to improve personal and professional performance. 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. Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement. Displaying Expertise: The ability to demonstrate specialized knowledge, skills, and experience to apply subject-matter expertise in diverse and evolving contexts. Focusing on Customers: The ability to understand and meet the needs, preferences, and experiences of internal and external customers. 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. Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.

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.
• 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

• Learn to determine financial and medical eligibility for Medicaid Long-Term Care programs for institutionalized individuals, including those in facilities or receiving services at home, by applying federal, state, and agency policies.
• Review and evaluate financial, medical, and case documentation to assess eligibility, resolve discrepancies, obtain required verifications, and request additional documentation as needed.
• Schedule and conduct interviews with applicants, authorized representatives, and facilities to gather information necessary for Long-Term Care eligibility determinations.
• Analyze provider forms and medical certifications to ensure consistency with eligibility requirements, resolving discrepancies related to medical evidence, hardship considerations, penalty periods, and allowable deductions.
• Determine and reconcile recipient financial liabilities, including incurred medical expenses and other deductions that impact provider payments.
• Manage assigned tasks within LaMeds by tracking workloads, analyzing task reports, maintaining required spreadsheets, ensuring applications and renewals are completed within established timeframes, participating in required training, and performing other duties as assigned in support of Eligibility Field Operations.

What This Job Offers

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