This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / St. Landry Parish

Announcement Number: MVA/PJ/176638
Cost Center: 305-2050405
Position Number(s): 50603352

This vacancy is being announced as a Classified position and will be filled as a Promotional appointment.

This is a promotional opportunity open only to 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 “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.

*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

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

MINIMUM QUALIFICATIONS:

A baccalaureate degree plus three years of professional level experience in long-term care eligibility programs.

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 will substitute 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 to substitute for the baccalaureate degree.

NOTE:

Any college hours or degree must be from an accredited college or university.

NOTE:

An applicant may be required to possess a valid Louisiana driver's license at time of appointment.

EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.

Reviews a random sampling of cases for completion and accuracy to ensure that quality and program integrity are maintained.

Performs special studies, analyzes data, compiles reports, and completes projects as determined by administration. Researches, analyzes and compiles data for various reports.

Analyzes available federal performance data and makes comparisons to program performance to make recommendations for improvement to share through meetings or trainings.

Acts as liaison with the fiscal intermediary and Medicaid Eligibility Systems section in order to address recipient and provider service and payment discrepancies.

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. Receives reports and reconciles recipient eligibility and vendor payment eligibility segments.

Receives and handles inquiries from recipients and providers contacting the LTC Contact Center.

Conducts ongoing programmatic reviews to ensure compliance with federal and state regulations.

Consults with Information Technology staff to assure policy is correctly reflected by system programming.