Medicaid analyst 1

Company Name:
Louisiana Department of State Civil Service
Agency: DHH-Medical Vendor Admin
Opening Date: Thu. 04/17/14
Closing Date/Time: Tue. 04/22/14 11:59 PM Central Time
State Salary Range: $11.62 - $24.46 hourly
$929.54 - $1,956.92 biweekly
$2,014.00 - $4,240.00 monthly
$24,168.00 - $50,880.00 annually
Agency Hiring Range: Min: Max:
Job Type: Classified
Location: Lafayette, Louisiana
Print Job Information-Apply
QualificationsBenefitsSupplemental Questions
A baccalaureate degree.
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 may be substituted 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 tosubstitute for the baccalaureate degree.
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies:the Middle States Commission on Higher Education; the New England Association of Schools and Colleges; the North Central Association of Colleges and Schools; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
NOTE:An applicant may be required to possess a valid Louisiana driver's license at time of appointment.
Supplemental Information:
This position is located in Medical Vendor Administration (MVA) - Regional Eligibility-Reg 4-Lafayette Parish- cost center 0305/8341, Position Number: 64861.
This vacancyis being announced as a Classified position and may be filledeither as a Probationary Appointment, Job Appointment or Promotional Appointment.
Note As part of a Career Progression Group , vacancies may be filled from this recruitment as a Medicaid Analyst 1 or 2 depending on the level of experience of the selected applicant. The maximum salary for theMedicaid Analyst 2is $54,434.00. Please refer to the "Job Specifications" tab located at the top of the LA Careers "Current Job Opportunities page" for specific information on salary ranges, minimum qualification requirements and job concepts for each level.
Applicants must have Civil Service test scores for8100-Professional Level Examin order to be considered for this vacancy unless exempted by Civil Service rule or policy. If you do not have a score prior to applying to this posting, it may result in your application not being considered.
Applicantswithoutcurrent test scores can apply to take the testhere.
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 can check the status of their application at any time by selecting the 'Application Status' link after logging into their account.Below are the most common status messages and their meanings.
Application Status Message
What it Means
Application received
Your application has been submitted successfully.
Checking for required test score
We are making sure you have an active, passing score for the required written test.
Evaluating experience
Your application is being reviewed by Human Resources to ensure you meet the minimum qualifications for the position.
Eligible for consideration
You are among a group of applicants who MAY be selected for the position.
Referred to hiring manager for review
Your application has been delivered to the hiring manager.You may or may not be called for an interview.
Position filled
Someone has been selected for the position.
Position cancelled
The agency has decided not to fill the position.
Resumes will not be accepted in lieu of job experience on job application.
For further information about this vacancy contact:
write to the following address:
P. O. Box 4818 Bin 28
Baton Rouge, LA 70821
This organization participates in E-Verify and for more information on E-Verify; please contact DHS @ .
Job Concepts:
Function of Work:
To make initial and continuing determination, under close supervision, as to clients eligibility for all Medicaid programs.
Level of Work:
Supervision Received:
Close from a Medicaid Analyst Supervisor or Medicaid Area Manager.
Supervision Exercised:
Location of Work:
Department of Health and Hospitals, Medical Vendor Administration.
Job Distinctions:
Differs from Medicaid Analyst 2 by the close supervision received and the lack of independent action.
Examples of Work:
Under close supervision, the entry level Medicaid Analyst learns to perform the following duties:
Conducts interviews with clients and makes other necessary collateral contacts for verification in determining initial or continuing eligibility or ineligibility for Medicaid Programs.
Examines Application Center application packets for timeliness, completeness, and appropriateness prior to authorization of reimbursement.
Makes decisions on complex eligibility factors and determines level of benefits for federal and state funded programs as a result of the roll down procedure.
Interprets and applies complex federal, state, and agency policies for each program.
Conducts special investigations and compiles reports concerning fraud and location of absent parents.
Counsels and refers potentially eligible recipients or applicants to other agencies.
Contacts individuals, companies, businesses, local, state and federal agencies as needed to obtain or to verify information. Records findings, recommendations, and services provided, completes case record forms and necessary correspondence in connection with assigned cases.

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.