Medicaid Analyst

About This Job

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.

Learn more about Louisiana Department of Health

Join the Louisiana Department of Health and play a vital role in delivering life-changing healthcare access to over 1.7 million residents each year. As part of the Bureau of Health Services Financing, you will work at the center of Louisiana’s $14 billion Medicaid program, navigating complex policies to ensure individuals and families receive the coverage they need. This is an exciting opportunity to build deep expertise in Medicaid eligibility, contribute to a mission-driven organization, and make a meaningful impact on communities across the state while advancing your career in the healthcare field.

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.

Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.

Minimum Qualifications

Three years of social services experience; 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.

Job Specification

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

Job Duties

Job Duties and Other Information

• Applies Medicaid policy and procedures to determine eligibility accurately and within required timeframes
• Reviews applications, verifications, and supporting documentation to make consistent and compliant eligibility decisions
• Provides eligibility assistance to applicants and members through multiple channels including phone, email, mail, in-person, and electronic platforms
• Conducts interviews and gathers necessary information to support eligibility determinations
• Utilizes web-based systems and databases to process applications, update case records, and maintain accurate documentation
• Responds to inquiries and resolves issues in a call-center environment while delivering high-quality customer service
• Monitors case deadlines and ensures timely completion of eligibility actions and follow-ups
• Maintains detailed and accurate case notes in accordance with program standards and audit requirements
• Works independently to manage assigned caseload while collaborating with team members to ensure service continuity
• Stays current on changes to Medicaid policies, procedures, and system updates to support ongoing accuracy and compliance

Position-Specific Details

Location: Medical Vendor Administration / Eligibility Field Operations (Region 2)/ East Baton Rouge Parish

Appointment Type: This position will be filled as a Probationary appointment

Cost Center: 3052050403

Position Number(s): 157560, 50329436, 50372641

Career Progression: This position may be filled as a

Medicaid Analyst 1, 2, or 3 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

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.

Medicaid Analyst 1 - $16.42 hr. / $1,313.60 bi-weekly

Medicaid Analyst 2 - $17.56 hr. / $1,404.80 bi-weekly

Medicaid Analyst 3 – $21.27 hr. / $1,701.60 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 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.

For information on how to check your application status and understand status updates, please click HERE .

Contact Information

Shambrielle Pooler

***email_hidden***

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

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

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here .

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.

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.

Insurance Coverage

More information can be found at https://info.groupbenefits.org/

Parental Leave – Up to six weeks paid parental leave

More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays 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 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 (www.lasersonline.org). LASERS has provided this video 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

CE: Communicating Effectively - How well do you share information and ideas in ways that others can understand, relate to, and act on?

• I communicate unclearly, use poor tone, and ignore the audience.
• I share main ideas clearly and adapt to the audience when reminded.
• I communicate clearly, listen actively, and explain complex ideas well.
• I craft messages that connect, inspire, and drive action across audiences.

CE: Communicating Effectively - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

DA: Demonstrating Accountability - How well do you take responsibility for your actions, results, and performance?

• I avoid responsibility, deliver poor work, and resist feedback.
• I take ownership when prompted and meet basic expectations.
• I own results, meet standards, and respond to feedback professionally.
• I drive high performance, prevent issues, and model accountability.

DA: Demonstrating Accountability - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

FPP: Following Policies and Procedures - How well do you apply rules, policies, and procedures in your work?

• I struggle to follow rules or apply policies correctly, which can lead to confusion or mistakes.
• I follow rules with support and help correct issues, but I sometimes apply policies inconsistently.
• I apply and explain policies accurately, adapt to routine situations, and help improve procedures.
• I guide others in applying policies, prevent compliance issues, and improve procedures based on experience.

FPP: Following Policies and Procedures - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type “N/A” if no immediate family members are employed by LDH.

• Required Question