MEDICAID PROGRAM SPECIALIST 1-2 - LOUISIANA STAFFING : Job Details

Join our team as a Medicaid Program Specialist 1-2 and make a direct impact on the lives of Louisiana families. In this role, you'll use your knowledge of Medicaid programs and policies to help members access vital healthcare services. You'll work independently in the Louisiana Medicaid Eligibility Determination System (LaMEDS) to research cases, process applications and renewals, and provide clear, accurate information to members, potential members, and providers. You'll apply critical thinking, empathy, and cultural competence to every interaction, while contributing to the success of a high-performing call center. This role is a great fit for detail-oriented problem-solvers who enjoy helping others and want to grow their career in public service.

An ideal candidate should possess the following competencies:

• Displaying expertise: The ability to exhibit specialized skills or knowledge gained from experience or training
• Learning Actively: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals
• Thinking Critically: The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion
• Accepting Direction: The ability to accept and follow directions from those higher in the chain of command
• Acting Decisively: The ability to make decisions quickly and effectively
• Adapting to Change: The ability to adjust plans, expectations, and behaviors in response to change
• Communicating Effectively: The ability to relay information correctly and appropriately to connect people and ideas

Minimum Qualifications:

• 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.

Job Duties:

• Apply knowledge of Medicaid programs, policies, and procedures to research cases, determine eligibility, and process applications and renewals in LaMEDS.
• Communicate eligibility decisions, program coverage, and case updates clearly and accurately to members, potential members, and providers.
• Handle case maintenance tasks, including demographic updates, income changes, adding or removing case members, and issuing duplicate cards.
• Deliver professional, empathetic, and culturally competent customer service through phone, email, and other communication methods.
• Meet or exceed call center performance standards, including first call resolution, customer satisfaction, and service level goals.
• Participate in ongoing training, quality improvement initiatives, and team efforts to ensure compliance, accuracy, and continuous growth.

Position-Specific Details:

• Location: Medical Vendor Administration / Eligibility Field Operations / Caddo Parish
• Appointment Type: Probationary appointment, Job appointment, Promotional appointment, or Detail to Special Duty
• Cost Center: 305-#######
• Position Number(s): 50656136 & 50656140
• Career Progression: This position may be filled as a Medicaid Program Specialist 1 or 2, 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 a premium pay rate of up to $2.50 hourly for hours worked only for bilingual applicants.

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.

Contact Information:

For further information about this vacancy, contact: Paula Jackson [email protected] LA Department of Health (LDH) Division of Human Resources PO Box 4818 Baton Rouge, LA 70821225-###-#### This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-###-####. 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.