MEDICAID LTC ANALYST 1

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

About This Job

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 the Louisiana Department of Health

As a Medicaid Long-Term Care (LTC) Analyst, 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.

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.

Acting Decisively: The ability to make timely, confident decisions using sound reason.

Adapting to Change: The ability to demonstrate flexibility in thoughts, behaviors, and actions in response to evolving circumstances or unexpected change.

Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.

Displaying Expertise: The ability to demonstrate specialized knowledge, skills, and experience to apply subject‑matter expertise in diverse and evolving contexts.

Focusing on Customers: The ability to understand and meet the needs, preferences, and experiences of internal and external customers.

Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.

Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.

Minimum 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.

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 Specification

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

Job Duties

• 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.

Position-Specific Details

Location: Medical Vendor Administration / Eligibility Field Operations-Region 4 / St. Landry Parish

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

Cost Center: 305-2050405

Position Number(s): Multiple

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

Contact Information

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

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.

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.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non‑merit factor.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

As a State Employee, You Will Earn Competitive Pay, Choose From a Variety Of Benefits, And Have Access To a Great Professional Development Program:

Insurance Coverage

More information can be found at https://info.groupbenefits.org/

Parental Leave

Up to six weeks paid parental leave

More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave

State employees receive the following paid holidays each year:

• New Year's Day
• Martin Luther King, Jr. Day
• Mardi Gras
• Good Friday
• Memorial Day
• Independence Day
• Labor Day
• Veteran's Day
• Thanksgiving Day and Christmas Day.
• Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement

State Of Louisiana Employees Are Eligible To Participate In Various Retirement Systems (based On The Type Of Appointment And Agency For Which An Employee Works). These Retirement Systems Provide Retirement Allowances And Other Benefits For State Officers And Employees And Their Beneficiaries. State Retirement Systems May Include (but Are Not Limited To):

• Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
• Teacher's Retirement System of Louisiana (www.trsl.org),
• Louisiana School Employees Retirement System (www.lsers.net), among others