MEDICAID ANALYST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5013703) Apply  MEDICAID ANALYST 1-2 Salary $2,846.13 - $5,009.00 Monthly Location Thibodaux, LA Job Type Classified Job Number MVA/PJ/210883 Department LDH-Medical Vendor Administration Opening Date 07/21/2025 Closing Date 8/4/2025 11:59 PM Central + Description + Benefits + Questions About this Job 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 (https://ldh.la.gov/) 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 aCall-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 FOLLLOWING COMPETENCIES: 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. Learning Actively: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals. Making Accurate Judgments: The ability to form an opinion objectively and decisively based on relevant information and in accordance with established standards. Accepting Direction: The ability to accept and follow directions from those higher in the chain of command. Adapting to Change: The ability to adjust plans, expectations, and behaviors in response to change. Demonstrating Initiative: The ability to assess information and take action independently to help the organization achieve its goals. Solving Problems: The ability to discover solutions to problems. Minimum Qualifications 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. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. Job Specification The official job specifications for this role, as defined by the State Civil Service, can be foundhere. Job Duties and Other Information Job Duties: Under close supervision, the entry level Medicaid Analyst learns to perform the following 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. The applications are received electronically by computer, by mail, by email, in person, or most often by telephone. + 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. Examines application packets for timelines, completeness, and appropriateness prior to authorization of reimbursements. + 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. Interprets and applies complex federal, state, and agency policies for each program. + Conducts special investigations and complies reports concerning fraud and location of absent parents. Counsels and refers potentially eligible recipients or applicants to other agencies. Position-Specific Details: Location: Medical Vendor Administration / Eligibility Field Operations / Lafourche Parish Appointment Type: Probationary appointment or Promotional appointment. Cost Center: 305-2050404 Position Number(s): 157417 & 5593204 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 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. 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). Resumeswill not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete. For further information about this vacancy contact: Paula Jackson paula.jackson@la.gov LA Department of Health (LDH) Division of Human Resources PO Box 4818Baton Rouge, LA 70821225-342-6477 This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at https://info.groupbenefits.org/ Parental Leave– Up to six weeks paid parental leave More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx Holidays and Leave – State employees receive the following paid holidays each year: + New Year's Day + Martin Luther King, Jr. Day, + Mardi Gras, + Good Friday, + Memorial Day, + Independence Day, + Labor Day, + Veteran's Day, + Thanksgiving Day and Christmas Day. ***** Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase. Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): + Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system + Teacher's Retirement System of Louisiana (www.trsl.org), + Louisiana School Employees Retirement System (www.lsers.net), among others 01 AC: Rate your ability to adapt to change based on our definition: The ability to adjust plans, expectations, and behaviors in response to change. + 1= I have no experience and/or am uncomfortable adapting to change + 2= I have limited experience or require assistance to adapt to change + 3= I can adapt to change + 4= I can adapt to change and help others improve their ability to adapt to change 02 AC: Explain your rating by providing specific and relevant examples in the box below. 03 DIn: Rate your ability to demonstrate initiative based on our definition: The ability to assess information and take action independently to help the organization achieve its goals. + 1= I have no experience and/or am uncomfortable demonstrating initiative + 2= I have limited experience or require assistance to demonstrate initiative + 3= I can demonstrate initiative + 4= I can and help others improve their ability to demonstrate initiative 04 DIn: Explain your rating by providing specific and relevant examples in the box below. 05 MAJ: Rate your ability to make accurate judgments based on our definition: The ability to form an opinion objectively and decisively based on relevant information and in accordance with established standards. + 1= I have no experience and/or am uncomfortable making accurate judgments + 2= I have limited experience or require assistance to make accurate judgments + 3= I can make accurate judgments + 4= I can make accurate judgments and help others improve their ability to make accurate judgments 06 MAJ: Explain your rating by providing specific and relevant examples in the box below. Required Question Employer State of Louisiana Address For agency contact information, please refer to the supplemental information above. Louisiana State Civil Service, Louisiana, 70802 Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm Apply Please verify your email addressVerify Email