Medicaid Program Specialist 2

Baton Rouge, LA, United States

Job Description

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Supplemental Information
This position is located within the Louisiana Department of Health / Medical Vendor Administration / East Baton Rouge Parish

Announcement Number: MVA/PJ/173262
Cost Center: 305-2080300
Position Number(s): 143498

This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment of a classified employees of Louisiana Department of Health, Office of Medical Vendor Administration.

No Civil Service test score is required in order to be considered for this vacancy.

To apply for this vacancy, click on the \xe2\x80\x9cApply\xe2\x80\x9d 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.*

A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit

For further information about this vacancy contact:
Paula Jackson
paula.jackson@la.gov
LDH/HUMAN RESOURCES
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.
Qualifications

MINIMUM QUALIFICATIONS:
A baccalaureate degree plus one year of professional level experience in administrative services, economics, public health, public relations, statistical analysis, social services, or health services.

SUBSTITUTIONS:
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.

Graduate training with eighteen semester hours in one or any combination of the following fields will substitute for the required year of experience on the basis of thirty semester hours for one year of experience: public health; counseling; social work; psychology; rehabilitation services; economics; statistics; experimental/applied statistics; business, public, or health administration.

A master\'s degree in the above fields will substitute for the one year of required experience.

A Juris Doctorate will substitute for the one year of required experience.

A Ph.D. in the above fields will substitute for the one year of required experience.

NOTE: Any college hours or degree must be from an accredited college or university.
Job Concepts
Function of Work:
To perform research and analysis related to Medicaid programs.

Level of Work:
Experienced.

Supervision Received:
General 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 1 by the type of supervision received and the independence of action.

Differs from Medicaid Program Monitor by the absence of advanced duties of coordinating research, analysis and policy management of Medicaid programs.

Differs from Medicaid Program Supervisor by the absence of supervisory responsibilities.
Examples of Work
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.

Resolves discrepancies between the various recipient files and eligibility files and prepares corrections.

Reviews and analyzes data for corrective action, fiscal impact, etc.

Update and monitor 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.

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Job Detail

  • Job Id
    JD4250638
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Baton Rouge, LA, United States
  • Education
    Not mentioned