MEDICAID PROGRAM SPECIALIST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5065781) Apply  MEDICAID PROGRAM SPECIALIST 1-2 Salary $3,127.00 - $6,136.00 Monthly Location Monroe, LA Job Type Classified Job Number MVA/PJ/212512 Department LDH-Medical Vendor Administration Opening Date 09/03/2025 Closing Date 9/13/2025 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/) Join our team as a Medicaid Program Specialist 1-2 and make a direct impact on the lives of Louisiana families. In this role, you’ll use your knowledge of Medicaid programs and policies to help members access vital healthcare services. You’ll work independently in the Louisiana Medicaid Eligibility Determination System (LaMEDS) to research cases, process applications and renewals, and provide clear, accurate information to members, potential members, and providers. You’ll apply critical thinking, empathy, and cultural competence to every interaction, while contributing to the success of a high-performing call center. This role is a great fit for detail-oriented problem-solvers who enjoy helping others and want to grow their career in public service. AN IDEAL CANDIDATE SHOULD POSSESS THE FOLLOWING COMPETENCIES: Displaying Expertise: The ability to exhibit specialized skills or knowledge gained from experience or training Learning Actively: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals. Thinking Critically: The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion. Accepting Direction: The ability to accept and follow directions from those higher in the chain of command. Acting Decisively: The ability to make decisions quickly and effectively. Adapting to Change: The ability to adjust plans, expectations, and behaviors in response to change. Communicating Effectively: The ability to relay information correctly and appropriately to connect people and ideas. Minimum Qualifications Three years of experience in research and analysis related to Medicaid programs; public health, public relations, social services, health services, or administrative services; OR Six years of full-time work 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 (https://apps01.civilservice.louisiana.gov/onestopjobinfo/DisplayJobSpec.aspx?JobCode=169260) . Job Duties and Other Information Job Duties: + Apply knowledge of Medicaid programs, policies, and procedures to research cases, determine eligibility, and process applications and renewals in LaMEDS. + Communicate eligibility decisions, program coverage, and case updates clearly and accurately to members, potential members, and providers. + Handle case maintenance tasks including demographic updates, income changes, adding or removing case members, and issuing duplicate cards. + Deliver professional, empathetic, and culturally competent customer service through phone, email, and other communication methods. + Meet or exceed call center performance standards, including first call resolution, customer satisfaction, and service level goals. + Participate in ongoing training, quality improvement initiatives, and team efforts to ensure compliance, accuracy, and continuous growth. Position-Specific Details: Location: Medical Vendor Administration / Eligibility Field Operations / Ouachita Parish Appointment Type: Probationary appointment, Job appointment, Promotional appointment or Detail to Special Duty Cost Center: 305-2050400 Position Number(s): 50656135, 50387738 & 50656105 Career Progression: This position may be filled as a Medicaid Program Specialist 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series. Compensation: This position is eligible for a premium pay rate of up to $2.50 hourly for hours worked only for bilingual applicants. 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. Contact Information: 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. 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. 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 To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type “N/A” if no immediate family members are employed by LDH. 02 TCr: Rate your ability to think critically based on our definition: The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion. + 1= I have no experience and/or am uncomfortable thinking critically + 2= I have limited experience or require assistance to think critically + 3= I can think critically + 4= I can think critically and help others improve their ability to think critically 03 TCr: Explain your rating by providing specific and relevant examples in the box below. 04 DE: Rate your ability to display expertise based on our definition: The ability to exhibit specialized skills or knowledge gained from experience or training. + 1= I have no experience and/or am uncomfortable displaying expertise + 2= I have limited experience or require assistance to display expertise + 3= I can display expertise + 4= I can display expertise and help others improve their ability to display expertise 05 DE: Explain your rating by providing specific and relevant examples in the box below. 06 LA: Rate your ability to learn actively based on our definition: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals. + 1= I have no experience and/or am uncomfortable learning actively + 2= I have limited experience or require assistance to learn actively + 3= I can learn actively + 4= I can learn actively and help others improve their ability to learn actively 07 LA: Explain your rating by providing specific and relevant examples in the box below. 08 Are you bilingual? + Yes + No 09 If answered yes, please specify the language(s); If no enter N/A 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