Medicaid LTC Analyst

Overview

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

As a Medicaid Long-Term Care (LTC) Analyst 1, you’ll learn how to determine financial and medical eligibility for individuals needing institutionalized care—either at home or in a facility. In this entry-level role, you ll gain hands-on experience interpreting complex policies, reviewing vital documentation, conducting interviews, and working with a wide range of professionals—from healthcare providers to legal representatives.

If you re detail-oriented, eager to learn, and passionate about helping others, this is your opportunity to grow while making a real difference in people’s lives.

• Learn to determine financial and medical eligibility for Medicaid Long-Term Care programs for institutionalized individuals, including those in facilities or receiving services at home, by applying federal, state, and agency policies.
• Review and evaluate financial, medical, and case documentation to assess eligibility, resolve discrepancies, obtain required verifications, and request additional documentation as needed.
• Schedule and conduct interviews with applicants, authorized representatives, and facilities to gather information necessary for Long-Term Care eligibility determinations.
• Analyze provider forms and medical certifications to ensure consistency with eligibility requirements, resolving discrepancies related to medical evidence, hardship considerations, penalty periods, and allowable deductions.
• Determine and reconcile recipient financial liabilities, including incurred medical expenses and other deductions that impact provider payments.
• Manage assigned tasks within LaMeds by tracking workloads, analyzing task reports, maintaining required spreadsheets, ensuring applications and renewals are completed within established time frames, participating in required training, and performing other duties as assigned in support of Eligibility Field Operations.

An ideal candidate should possess the following competencies:

• Accepting Direction: The ability to be open and willing to follow guidance or instructions.
• Learning Actively: The ability to pursue learning, seek feedback, and integrate new knowledge to improve personal and professional performance.
• Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.

Experience options include:

• Three years of experience in eligibility determinations for long-term care programs; 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.

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

Location: Medical Vendor Administration / Eligibility Field Operations / St. Landry Parish

Appointment Type: This position will be filled as a Job appointment (temporary appointment that may last up to 48 months)

Cost Center: 2050405

Position Number(s):

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 LTC Analyst 1 - $17.56 hourly / $1,404.80 bi-weekly

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…