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MEDICAID PROGRAM SPECIALIST 1-2
$80k-102k (estimate)
Full Time 1 Week Ago
Save

Louisiana Department of Health is Hiring a MEDICAID PROGRAM SPECIALIST 1-2 Near Baton Rouge, LA

Supplemental Information
The 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.This position is located within the Louisiana Department of Health / Medical Vendor Administration / Medicaid Enterprise Systems / East Baton Rouge Parish
Announcement Number: MVA/SP/196401Cost Center: 3052080300Position Number: 50349449This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.
AN IDEAL CANIDATE SHOULD POSESS THE FOLLLOWING 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 generate ideas, manipulate ideas, and make unconventional connections to develop original approaches.
Using Data: The ability to use relevant and valid data to inform a recommendation for action.
NOTE REGARDING THE ADVERTISED PAY: This position participates in a Career Progression Group (CPG) and may be filled as a Medicaid Program Specialist 1 or Medicaid Program Specialist 2 level at which the vacancy is filled will be determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.
The actual starting salary depends on the education and experience of the selected applicant.Please click on the below links to learn more about each job level:
State Civil Service Job Information Finder
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:
Shambrielle Pooler
Shambrielle.Pooler@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 will substitute 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 Concepts
FUNCTION OF WORK:
To perform research and analysis related to Medicaid programs.LEVEL OF WORK:
Entry.
SUPERVISION RECEIVED:
Close from a Medicaid Program Supervisor or above.SUPERVISION EXERCISED:
None.LOCATION OF WORK:
Department of Health and Hospitals, Medical Vendor Administration.JOB DISTINCTIONS:
Differs from Medicaid Program Specialist 2 by the close supervision received and the absence of independent action.
Examples of Work
Under close supervision:
Participates in on-the-job training program, which involves rotation from project to project training in various program areas.
Researches, analyzes and compiles data for various reports.
Provides assistance in response to inquiries from the general public and public officials relative to Medicaid eligibility, payments, policy and procedures.
Reviews and analyzes data for corrective action, fiscal impact, etc.
Updates and monitors system databases.
Maintains records, prepares reports and conducts correspondence relative to the program element assigned.
Researches and analyzes provider billing practices via complex system reports and/or on site visits and recommends sanctions in accordance with state and federal regulations.
Consults with Information Technology staff to assure policy is correctly reflected by system programming.

Job Summary

JOB TYPE

Full Time

SALARY

$80k-102k (estimate)

POST DATE

06/22/2024

EXPIRATION DATE

07/20/2024

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