Entry-Level Medicaid LTC Analyst: Eligibility & Impact

State of Louisiana; Opelousas (LA); On-site; USD 37,000 - 45,000; Full time

Benefits offered by this job

Parental Leave

Holidays

Retirement Benefits

Job summary

The Louisiana Department of Health is seeking a Medicaid Long-Term Care (LTC) Analyst for the St. Landry Parish region.

This entry-level position focuses on determining financial and medical eligibility for individuals needing institutionalized care, both at home and in facilities, by applying federal, state, and agency policies. You will gain hands-on experience reviewing complex documents, conducting interviews, and collaborating with healthcare providers and legal representatives to support

Qualifications

• 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.

Responsibilities

• 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 timeframes, participating in required training, and performing other duties as assigned in support of Eligibility Field Operations.

Skills

Accepting Direction

Learning Actively

Thinking Critically

Acting Decisively

Adapting to Change

Communicating Effectively

Displaying Expertise

Focusing on Customers

Following Policies and Procedures

Solving Problems

Education

Bachelor's degree

Job description

The Louisiana Department of Health is seeking a Medicaid Long-Term Care (LTC) Analyst for the St. Landry Parish region.

This entry-level position focuses on determining financial and medical eligibility for individuals needing institutionalized care, both at home and in facilities, by applying federal, state, and agency policies. You will gain hands-on experience reviewing complex documents, conducting interviews, and collaborating with healthcare providers and legal representatives to support