What are the responsibilities and job description for the Medicaid Program Specialist 1-2 position at State of Louisiana?
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.
Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.
Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.
Using Data: The ability to collect, analyze, and use data to generate insights and inform decisions.
Accepting Direction: The ability to be open and willing to follow guidance or instructions.
Acting with Ethics and Integrity: The ability to make choices that reflect ethical standards, integrity and honesty, regardless of circumstances or personal benefit.
Demonstrating Emotional Intelligence: The ability to identify and understand emotions in oneself and others and use that understanding to manage one's behavior and relationships.
Demonstrating Initiative: The ability to assess situations independently and take proactive steps to address them without being prompted or instructed by others.
Thinking Strategically: The ability to anticipate trends, understand context, and align actions with long-term priorities.
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
Position-Specific Details:
Location: Medical Vendor Administration/ Eligibility Field Operations / East Baton Rouge
Appointment Type: This position may be filled as a Probationary appointment, Promotional appointment, Job appointment or Detail to Special Duty
Cost Center: 3052050400
Position Number(s): 50656018, 50661280, 50656200, 50473566, 50656114, 50661207, 50656167, 50656171, 50656228, 50661202
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 a premium pay rate of up to $2.50 hourly for hours worked only for bilingual applicants.
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.
Contact Information:
Shambrielle Pooler
Shambrielle.Pooler@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.
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:
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):
ADi: Accepting Direction - How well do you accept guidance, follow instructions, and adjust when given feedback?
ADi: Accepting Direction - 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
CE: 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.
04
CE: Communicating Effectively - How well do you share information and ideas in ways that others can understand, relate to, and act on?
DIn: Demonstrating Initiative - How well do you take action and solve problems on your own without waiting for direction?
DIn: Demonstrating Initiative - 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
Are you bilingual?
If answered yes, please specify the language(s): (Written answer. Type N/A if not bilingual)
09
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.
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.
Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.
Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.
Using Data: The ability to collect, analyze, and use data to generate insights and inform decisions.
Accepting Direction: The ability to be open and willing to follow guidance or instructions.
Acting with Ethics and Integrity: The ability to make choices that reflect ethical standards, integrity and honesty, regardless of circumstances or personal benefit.
Demonstrating Emotional Intelligence: The ability to identify and understand emotions in oneself and others and use that understanding to manage one's behavior and relationships.
Demonstrating Initiative: The ability to assess situations independently and take proactive steps to address them without being prompted or instructed by others.
Thinking Strategically: The ability to anticipate trends, understand context, and align actions with long-term priorities.
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 / East Baton Rouge
Appointment Type: This position may be filled as a Probationary appointment, Promotional appointment, Job appointment or Detail to Special Duty
Cost Center: 3052050400
Position Number(s): 50656018, 50661280, 50656200, 50473566, 50656114, 50661207, 50656167, 50656171, 50656228, 50661202
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 a premium pay rate of up to $2.50 hourly for hours worked only for bilingual applicants.
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:
Shambrielle Pooler
Shambrielle.Pooler@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.
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
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
ADi: Accepting Direction - How well do you accept guidance, follow instructions, and adjust when given feedback?
- I resist direction, ignore feedback, and need reminders to complete tasks.
- I follow direction with reminders and often need clarification or support.
- I follow direction reliably, adjust to feedback, and complete tasks on time.
- I adapt quickly, follow through, and help others adjust as needed.
ADi: Accepting Direction - 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
CE: 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.
04
CE: 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.
DIn: Demonstrating Initiative - How well do you take action and solve problems on your own without waiting for direction?
- I wait for direction, avoid ownership, and don’t solve problems.
- I meet expectations and help with solutions when asked.
- I take ownership, solve problems, and follow through.
- I take initiative, innovate, and deliver results beyond expectations.
DIn: Demonstrating Initiative - 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
Are you bilingual?
- Yes
- No
If answered yes, please specify the language(s): (Written answer. Type N/A if not bilingual)
09
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.
- Required Question
Salary : $3