CAU Eligibility Specialist
Location: Baton Rouge, La · Type: Full time · Posted: 2026-08-24 ·
Reference: R-002144
Thank you for your interest in LSU New Orleans.
Once you start the application process, you will not be able to save your
work, so you should collect all required information before you begin. The
required information is listed below in the job posting.
You must complete all required portions of the application and attach the
required documents in order to be considered for employment.
Department
Eligibility Support
Job Summary
Job Description
Timely complete appeal actions to re-open and/or close cases in accordance
with appeal status. Take precautions to not re-notice appellants when
taking these actions.
Process CAU reversals which will include clearing issues and discrepancies
in LaMEDS to assist with the processing of applications and renewals.
Review data systems to determine what action needs to be performed.
Maintain controls to ensure reversals are completed within required
deadlines.
Document eligibility research electronically in the required Medicaid
system applications.
Prepare eligibility decision notices by inputting required data into the
corresponding Medicaid application systems, as necessary.
Maintain knowledge of Medicaid policies and procedures and ensure that any
new changes, updates or clearances are applied accordingly.
Maintain knowledge and usage of all verification systems the agency has
access to.
Interpret and apply complex federal, state, and agency policy. Employ
rudimentary knowledge and terminology of legal, medical and business
areas, including real estate and insurance.
Trend and analyze appeals data both regionally and statewide. Develop and
produce reporting based on appeals data to influence training needs and
decision making.
Attend and participate in required meetings and trainings.
Other tasks as directed.
QUALIFICATIONS
REQUIRED:
Bachelor's degree or 6 years of professional experience in lieu of degree.
2 years of professional experience determining Medicaid eligibility.
Current working knowledge of the LaMEDS system.
Excellent analytical skills, effective organizational and time management
skills.
Great attention to detail and follow up.
Excellent verbal and written communication skills.
DESIRED:
Advanced degree.
Minimum 4 years of professional experience in determining Medicaid
eligibility.
Minimum 2 years of professional experience working with Medicaid appeals
process.
Advanced knowledge of the LaMEDS system.
Experience with data analysis and research.
SALARY: 40-50k
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.
