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 Louisiana Department Of Health
Join a team where your expertise and people skills shine. Use your deep knowledge of Medicaid programs to guide members through eligibility, applications, renewals, and case updates—while delivering exceptional service through empathy, critical thinking, and cultural awareness. If you’re passionate about helping others and solving complex challenges, we want you.
An Ideal Candidate Should Possess The Following Competencies:
Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
Focusing on Customers: The ability to understand and meet the needs, preferences, and experiences of internal and external customers.
Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.
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 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 Specification
The official job specifications for this role, as defined by the State Civil Service, can be found here.
Job Duties:
Job Duties and Other Information
- Maintains an extensive and precise working knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary systems in order to accurately and effectively communicate Medicaid policy and eligibility with members, potential members, and providers.
- Responsible for employing knowledge of Medicaid eligibility policy and procedure to interpret and communicate eligibility determinations, including decision letters.
- Completes Medicaid applications, completes Medicaid renewals, provides information on case status and Medicaid program coverage, completes requests for duplicate cards, completes requests for case changes such as changes to demographic information and income, add or remove case members, and reads and interprets case notes and notices.
- Responsible for communicating effectively with members, potential members, and providers by phone.
- Responsible for utilizing soft skills in all interactions including empathy, problem solving, patience, active listening, conflict resolution, emotional intelligence, creativity, time management, critical thinking, and social skills. Responsible for understanding and applying cultural competency.
Position-Specific Details:
Location: Medical Vendor Administration / Eligibility Field Operations / Baton Rouge and Ouachita Parish
Appointment Type: This position may be filled as a Job appointment (temporary appointment that may last up to 48 months)
Cost Center: 3052050400
Position Number(s): 50473593, additional position
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 the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity. )
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:
Patricia Walker
Patricia.Walker.DCFS@la.gov
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.
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
01
CE - 26: Communicating Effectively - How well do you share information and ideas in ways that others can understand, relate to, and act on?
- I communicate unclearly, use poor tone, and ignore the audience.
- I share main ideas clearly and adapt to the audience when reminded.
- I communicate clearly, listen actively, and explain complex ideas well.
- I craft messages that connect, inspire, and drive action across audiences.
02
CE - 26: Communicating Effectively - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.
03
FC - 26: Focusing on Customers - How well do you understand and meet the needs of internal or external customers?
- I struggle to understand customer needs, provide clear information, or resolve issues.
- I respond to customer needs with some support and build basic working relationships.
- I understand customer needs, communicate clearly, and deliver timely, reliable service.
- I anticipate customer needs, build trust, and deliver personalized, proactive service.
04
FC - 26: Focusing on Customers - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.
05
FPP - 26: Following Policies and Procedures - How well do you apply rules, policies, and procedures in your work?
- I struggle to follow rules or apply policies correctly, which can lead to confusion or mistakes.
- I follow rules with support and help correct issues, but I sometimes apply policies inconsistently.
- I apply and explain policies accurately, adapt to routine situations, and help improve procedures.
- I guide others in applying policies, prevent compliance issues, and improve procedures based on experience.
06
FPP - 26: Following Policies and Procedures - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.
07
SP - 26: Solving Problems - How do you approach challenges and work toward effective solutions?
- I focus on surface issues, miss root causes, or struggle to follow through on solutions.
- I gather some information, but my solutions may not be fully thought through or feasible.
- I analyze problems thoroughly, identify root causes, and follow through with realistic, adaptable solutions.
- I anticipate and solve complex problems, develop innovative solutions, and improve systems based on outcomes and feedback.
08
SP - 26: Solving Problems - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.
09
TCr - 26: Thinking Critically - How do you analyze information and draw meaningful conclusions from it?
- I miss key details or oversimplify information, and my conclusions may not be based on evidence.
- I try to analyze information, but I may overlook the relevance or credibility of my sources.
- I analyze key information, consider the evidence, and form logical conclusions based on credible sources.
- I uncover deeper insights by connecting different sources, questioning assumptions, and identifying patterns.
10
TCr - 26: Thinking Critically - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.
11
This position will be filled as a Job appointment only. Job appointments may last up to 48 months. Acknowledge by checking “Yes” that you understand this is a temporary position.
12
To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type “N/A” if no immediate family members are employed by LDH.
