MEDICAID LTC ANALYST 1

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.

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Are you detail-oriented, solution-focused, and ready to make a difference in people’s lives? The Medicaid Long-Term Care (LTC) Analyst 1 plays a critical role in ensuring individuals receive the care and services they need — whether in a facility or at home.

This position is responsible for determining financial and medical eligibility for Medicaid’s Long-Term Care programs, interpreting complex policy, and coordinating with multiple stakeholders to ensure accurate, timely decisions that impact people’s lives.

AN IDEAL CANDIDATE SHOULD POSSESS THE FOLLOWING COMPETENCIES:

Accepting Direction: The ability to accept and follow directions from those higher in the chain of command. 

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.  

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. 

Displaying Professionalism: The ability to recognize how your actions impact the perceptions of both you and your organization. 

Focusing on Customers: The ability to serve the needs of those who support and/or rely on the services provided. 

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. 

Solving Problems: The ability to discover solutions to problems.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.

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.The official job specifications for this role, as defined by the State Civil Service, can be found here.Job Duties:

·  Evaluate both financial and medical documentation to determine eligibility for institutional and home-based long-term care services

·  Interpret and apply complex federal, state, and agency policies

·  Review application packets for completeness and timeliness before authorization

·  Investigate discrepancies and resolve inconsistencies in documentation from providers, agencies, and applicants

·  Communicate with applicants, family members, attorneys, advocacy groups, and providers

·  Consider special circumstances such as hardship cases and penalty periods during decision-making. Reconcile financial liabilities and determine allowable deductions and medical expenses

·  Manage task assignments in the LaMEDS system to ensure timely processing of applications and renewals

Position-Specific Details:
Location: Medical Vendor Administration / Eligibility Field Operations / Region 4 / St. Landry Parish

Appointment Type:  Probational appointment, Promotional appointment or Detail appointment of a active classified LDH employee.

Cost Center: 305-2050405

Position Number(s): 50593136, 60680 & 50309368

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. 

This position has a Special Entrance Rate (SER) of:
Medicaid LTC Analyst 1 - $17.56 hr / $1,404.80 bi-weekly
 
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 this job title must be included in the application (i.e., relevant, detailed experience/education).  Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.

Contact Information:  
For further information about this vacancy, contact:
Paula Jackson
paula.jackson@la.gov
LDH/HUMAN RESOURCES
BATON ROUGE, LA 70821

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. 

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