MEDICAID PROGRAM SPECIALIST 2

Medicaid Program Specialist 2Join the Louisiana Department of Health's Medicaid Eligibility Quality team and help ensure eligible Louisianans receive the healthcare coverage they need. As a Medicaid Program Specialist 2, you'll review complex eligibility cases, resolve discrepancies, support appeals, and help ensure accurate, timely decisions in accordance with Medicaid policy and federal requirements. If you're detail-oriented, analytical, and passionate about improving access to essential healthcare services, apply today!An ideal candidate should possess the following competencies: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.Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.Minimum Qualifications:Four 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 plus one year of experience in research and analysis related to Medicaid programs; public health, public relations, social services, health services, or administrative services; OR A bachelor's degree plus one year of experience in research and analysis related to Medicaid programs; public health, public relations, social services, health services, or administrative services; OR An advanced degree or a Juris Doctorate. 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 Duties and Other Information:Job Duties:Reviews and analyzes assigned Medicaid eligibility cases to determine the accuracy and appropriateness of actions taken by field staff.Investigate eligibility information and resolve case discrepancies using Medicaid policies, procedures, and applicable systems.Processes Medicaid applications, renewals, case changes, and appeals accurately and within federally mandated timeframes.Re-processes eligibility determinations and clears issues in LaMEDS to ensure accurate and timely case actions.Reviews cases for compliance with Medicaid eligibility requirements and applicable federal and state regulations.Prepares and issues eligibility decision notices by entering required information into the appropriate Medicaid systems.Maintains current knowledge of Medicaid verification systems, policies, procedures, and program updates to support accurate eligibility determinations and protect continuity of coverage.Position-Specific Details:Location: Medical Vendor Administration / Eligibility Program Operations / East Baton Rouge ParishAppointment Type: Probational or Job Appointment (temporary appointment that may last up to 48 months)Cost Center: Position Number(s): 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). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.Benefits:Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through 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 Leave – Up to six weeks paid parental leave More information can be found at and Leave – State employees receive the following paid holidays each year:New Year's DayMartin 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 ( LASERS has provided this video to give you more detailed information about their systemTeacher's Retirement System of Louisiana ( School Employees Retirement System ( among others