Medicaid Program Specialist 1-2

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 a team where your expertise and people skills shine. Use your deep knowledge of Medicaid programs to guide members through eligibility, applications, renewals, and case updates—while delivering exceptional service through empathy, critical thinking, and cultural awareness. If you’re passionate about helping others and solving complex challenges, we want you.

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.
Focusing on Customers:The ability to understand and meet the needs, preferences, and experiences of internal and external customers.
Thinking Critically:The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.

Selected Preferred Competencies:
Acting Decisively:The ability to make timely, confident decisions using sound reason.
Adapting to Change:The ability to demonstrate flexibility in thoughts, behaviors, and actions in response to evolving circumstances or unexpected change.
Demonstrating Initiative: The ability to assess situations independently and take proactive steps to address them without being prompted or instructed by others.
Displaying Professionalism: The ability to uphold workplace standards through consistent conduct, responsible communication, and consideration for others.
Learning Actively: The ability to pursue learning, seek feedback, and integrate new knowledge to improve personal and professional performance.
Managing Time: The ability to prioritize tasks, meet deadlines, and allocate time to ensure timely completion of work goals.
Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.Three 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; 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.The official job specifications for this role, as defined by the State Civil Service, can be found here.Job Duties:

• Maintains an extensive and precise working knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary systems in order to accurately and effectively communicate Medicaid policy and eligibility with members, potential members, and providers.
• Responsible for employing knowledge of Medicaid eligibility policy and procedure to interpret and communicate eligibility determinations, including decision letters.
• Completes Medicaid applications, completes Medicaid renewals, provides information on case status and Medicaid program coverage, completes requests for duplicate cards, completes requests for case changes such as changes to demographic information and income, add or remove case members, and reads and interprets case notes and notices.
• Responsible for communicating effectively with members, potential members, and providers by phone.
• Responsible for utilizing soft skills in all interactions including empathy, problem solving, patience, active listening, conflict resolution, emotional intelligence, creativity, time management, critical thinking, and social skills. Responsible for understanding and applying cultural competency.

Position-Specific Details:

Location:Medical Vendor Administration / EFO MSD / Statewide

Appointment Type: This position may be filled as aProbationary appointment, Promotional appointment,Job appointment (temporary appointment that may last up to 48 months) or Detail to Special Duty

Cost Center: 3052050400

Position Number(s): 50656188, 50661219, 50661225, 50656192, 50661218, 50656164

Career Progression: This position may be filled as a Medicaid ProgramSpecialist 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

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 clickHERE.

Contact Information:

Patricia Walker

Patricia.Walker.DCFS@la.gov

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 availablehere.

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.