MEDICAID LTC ANALYST 1Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4677638) ApplyMEDICAID LTC ANALYST 1Salary $2,978.00 - $5,360.00 MonthlyLocation Opelousas, LAJob TypeClassifiedJob NumberMVA/PJ/200672DepartmentLDH-Medical Vendor AdministrationOpening Date10/01/2024Closing Date10/15/2024 11:59 PM Central
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Supplemental InformationThe Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner. LDH serves as a model employer for individuals with disabilities. About this position:This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / St. Landry ParishAnnouncement Number: MVA/PJ/200672Cost Center: 305-2050405Position Number(s): 50331638 & 72641This vacancy is being announced as a Classified position and may be filled as a Job appointment or by Detail of a current classified Medicaid (MVA) employee. Job appointments are temporary and may last up to 48 months. This position has a Special Entrance Rate (SER) of: Medicaid LTC Analyst 1 - $1404.80 bi-weekly This position comes with a Premium Pay Rate of up to $2.00 per hour for hours worked only and based on years of service at the Louisiana Department of Health (LDH): 0 months to less than 3 years - $1.00/hour 3 years to less than 6 years - $1.50/hour 6 years or greater - $2.00/hour Please visit the Benefits tab on this job announcement for more information about the state's competitive benefits package. AN IDEAL CANDIDATE SHOULD POSESS 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.Please click on the below links to learn more about each job level: State Civil Service Job Information Finder (https://apps01.civilservice.louisiana.gov/onestopjobinfo/JobView2.aspx) 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.
Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
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. Minimum QualificationsMINIMUM QUALIFICATIONS:A baccalaureate degree.SUBSTITUTIONS:Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.College credit earned without obtaining a baccalaureate degree will substitute for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree.NOTE:Any college hours or degree must be from an accredited college or university.NOTE:An applicant may be required to possess a valid Louisiana driver's license at time of appointment.Job ConceptsFUNCTION OF WORK:To perform initial determination of eligibility and ongoing case management for the Medicaid Long-Term Care program. LEVEL OF WORK:Entry.SUPERVISION RECEIVED:Direct from a Medicaid LTC Supervisor. Other reporting relationships may be approved by SCS. SUPERVISION EXERCISED:None.LOCATION OF WORK: Department of Health, Medical Vendor Administration. Other locations may be approved by SCS.JOB DISTINCTIONS:Differs from Medicaid LTC Analyst 2 by the absence of experienced-level eligibility and case management responsibilities. Examples of WorkEXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.Learns to determine financial and medical eligibility for Medicaid programs for individuals in Long-Term Care who are institutionalized either in a facility or at home.Learns to interpret and apply complex federal, state, and agency policies to long-term care eligibility requirements.Learns to evaluate financial and medical documentation to determine if the applicant is eligible for institutionalized services.Acquires skill in the review of all case documentation, resolves discrepancies in financial eligibility and medical evidence from other agencies, and makes efforts to obtain required documentation and request additional documentation.Learns to schedule interviews with applicants, representatives, and facilities to determine eligibility for Medicaid Long-Term Care programs.Trains in the analysis of all sources of information related to provider forms and medical certifications when needed. Learns to determine if the medical certifications are consistent with provider forms and eligibility and, if necessary, resolves those inconsistencies.Learns to examine application packets for timeliness, completeness, and appropriateness prior to authorization.Learns to consult with internal and external professionals including advocacy groups, attorneys, providers, nursing facilities, corporate executives, and financial institutions. Considers hardships and penalty periods when making determinations.Learns to determine and reconcile recipient financial liabilities to providers. Learns to determine and reconcile incurred medical expenses and other deductions that may impact financial liability.May be assigned directly to providers or facilities.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 leaveMore information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspxHolidays 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 GovernorState 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/YourRetirementSystem.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
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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
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AC: Explain your rating by providing specific and relevant examples in the box below.
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DPf: Rate your ability to display professionalism based on our definition: The ability to recognize how your actions impact the perceptions of both you and your organization.
1= I have no experience and/or am uncomfortable displaying professionalism
2= I have limited experience or require assistance to display professionalism
3= I can display professionalism
4= I can display professionalism and help others improve their ability to display professionalism
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DPf: Explain your rating by providing specific and relevant examples in the box below.
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FC: Rate your ability to focus on customers based on our definition: The ability to serve the needs of those who support and/or rely on the services provided.
1= I have no experience and/or am uncomfortable focusing on customers
2= I have limited experience or require assistance to focus on customers
3= I can focus on customers
4= I can focus on customers and help others improve their ability to focus on customers
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FC: Explain your rating by providing specific and relevant examples in the box below.
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AgencyState of LouisianaAddressFor agency contact information, please refer tothe supplemental information above.Louisiana State Civil Service, Louisiana, 70802Phone(866) 783-5462Websitehttp://agency.governmentjobs.com/louisiana/default.cfmApplyPlease verify your email addressVerify Email
