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Department
Medicaid Support
Job Summary
Job Description
- Serves as a subject matter expert (SME) for billing/premium collections for the LaCHIP Affordable Plan (LAP) and FOA programs, as well as for Medicare premium payments made for the Buy-In program, and may stand-in for the Program Managers as SME for various projects.
- Serves as the primary point of contact for LAP and FOA inquiries received by members, eligibility workers, and external entities; and, may work to resolve escalated issues, alongside and/or independent of team lead (i.e. Coordinator 3) and/or Program Managers.
- Monitors and ensures the reliability and accuracy of the Buy-In System as it interfaces with the Louisiana Medicaid Eligibility Data System (LaMEDS), Medicaid Management Information System (MMIS) maintained by the Fiscal Intermediary, and CMS.
- Participates in planning, development, design, testing, and implementation of changes and/or new specifications to the related systems.
- Assists with monitoring, identifying, and reporting changes in trends to team lead/Program Managers to identify potential system issues and impacts.
- Coordinates with Medicaid’s Technology teams and others to identify system issues and work towards resolution; coordinates with team lead (i.e. Coordinator 3) and/or Program Managers in these efforts.
- Submits additions and deletions to the Buy-In file and notifies CMS of any changes to the individual’s Buy-In status through a daily, weekly, and/or monthly electronic data exchange.
- Assists Coordinator 3 and/or Program Managers with training of new staff, as needed.
- Serve as back up to the Coordinator 3 and/or Program Managers, as needed.
- Assists in providing program expenditure projections as needed by LDH Management.
- Assists LDH upper management with special projects and/or other duties, as assigned.
- Other tasks as assigned.
QUALIFICATIONS
REQUIRED:
- Bachelor’s Degree or 6 years of professional work experience in lieu of a degree.
- Minimum 1 year professional experience with MAGI and NON-MAGI related policies and procedures.
- Minimum 1 year professional experience with the Medicaid Management Information System (MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS).
- Demonstrates excellent analytical abilities with strong organizational and time management skills to effectively prioritize and complete tasks.
- Proven ability to manage projects, assignments, and competing priorities while working independently and applying strong problem-solving skills.
- Proficient in Microsoft Office Suite, including Outlook, Word, and Excel, with the ability to leverage these tools effectively for communication, documentation, and data management.
DESIRED:
- Advanced Degree.
- Minimum 2 years professional experience with MAGI and NON-MAGI related policies and procedures.
- Minimum 2 years professional experience with the Medicaid Management Information System (MMIS) and the Louisiana Medicaid Eligibility Determination System (LaMEDS).
- Minimum 2 years professional experience with Medicare Part A and B, and the Social Security Administration (SSA).
- Minimum 2 years professional experience facilitating and overseeing premium billing and collections, as well as administering the State Medicaid Buy-In program.
SALARY: 50-60k
Required Attachments
Please upload the following documents in the Resume/Cover Letter section.
- Detailed resume listing relevant qualifications and experience;
- Cover Letter indicating why you are a good fit for the position and LSU New Orleans;
- Names and contact information of three references;
Applications that do not include the required uploaded documents may not be considered.
Posting Close Date
This position will remain open until filled.
Note to Applicant:
Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.
References will be contacted at the appropriate phase of the recruitment process.
This position may require a criminal background check to be conducted on the candidate(s) selected for hire.
As part of the hiring process, applicants for positions at LSU New Orleans may be required to demonstrate the ability to perform job-related tasks.
LSU New Orleans seeks to recruit a highly productive 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.
