MEDICAID PROGRAM SPECIALIST 1/2

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. 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. Ideal Candidate 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. 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. Displaying Professionalism : The ability to uphold workplace standards through consistent conduct, responsible communication, and consideration for others. Learning Actively : The ability to pursue learning, seek feedback, and integrate new knowledge to improve personal and professional performance. Managing Time : The ability to prioritize tasks, meet deadlines, and allocate time to ensure timely completion of work goals. Solving Problems : The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges. 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. Job Duties 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, renewals, provides information on case status and Medicaid program coverage, processes requests for duplicate cards, case changes such as changes to demographic information and income, adds or removes case members, and reads and interprets case notes and notices. Communicates effectively with members, potential members, and providers by phone. Utilizes soft skills in all interactions including empathy, problem solving, patience, active listening, conflict resolution, emotional intelligence, creativity, time management, critical thinking, and social skills. Understands and applies cultural competency. Position‑Specific Details Location : Medical Vendor Administration / Eligibility Field Operations / East Baton Rouge Appointment Type : Probationary appointment, Job appointment, Promotional appointment of a current permanent employee in a classified position with LDH or by Detail to Special Duty Cost Center : View phone number on click.appcast.io Position Number(s) : 50661081 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 : Eligible for a premium pay rate of up to $2.50 hourly for hours worked only for bilingual applicants. #J-18808-Ljbffr State of Louisiana