Medicaid and Medicare Coordinator

Select how often (in days) to receive an alert: Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package, and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. At the State of Indiana, we don’t just talk about diversity and inclusion—we make it our goal to create a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 18 percent of the state's budget to ensure vital healthcare coverage to approximately 1 in 4 Hoosiers. OMPP strives to build programs and processes that enable Hoosiers to live in fully engaged communities and reach their greatest emotional, mental, and physical well-being. Our mission is to support individual and community well-being with effective and efficient programs, remarkable collaborations, measurable impact on individuals and communities, and an energized staff that is fully engaged with this mission. The salary for this position traditionally starts at $75,010.00 but may be commensurate with education or work experience. Role Overview : The Medicaid/Medicare Coordination Manager establishes priorities, targets, and deadlines for improving health outcomes for Indiana's dually eligible population. You will be the subject matter expert, remaining current on Medicare and Medicaid policies and program initiatives. You will research and assess federal opportunities to create summaries and recommendations for OMPP leadership to consider. You will manage and develop the State Medicaid Agency Contracts (SMACs), working to develop increased alignment between Medicare and Medicaid programs to ensure that contracts reflect state goals for managing dually eligible members. You will serve as the Medicaid point of contact for Indiana's Dually-Eligible Special Needs Plans (D-SNPs) including collaboration with the Division of Aging. Your role will also serve as the OMPP Point of contact for Indiana's State Health Insurance-Assistance Program (SHIP). The ideal candidate will have experience with Medicare D-SNP or other Advantage Programs and Managed Medicaid Long Term Support & Services (MLTSS). You must be familiar with Medicaid delivery systems and underlying programs. Knowledge of the Indiana Health Coverage Programs (IHCP) is preferred. Knowledge of Medicare/Medicaid federal and state public health care programs and policies is desired. A Day in the Life: The essential functions of this role are: Plan, organize, direct, monitor, and participate in ongoing comprehensive development and implementation of specialized programs and development within the agency. Determine, analyze, identify, and implement long-range objectives and specify the strategies, KPIs, and actions to achieve them. Analyze operations to evaluate the performance of the specific program or its staff in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy change. Interpret and explain in-depth and complex policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals. Develop and implement corrective action plans to solve organizational or departmental problems. Prepare and present reports for approval, including those for funding or implementation of services to executive leadership. Develop and oversee program financial or budget activities to fund operations, maximize investments, or increase efficiency. Develop and monitor program requirements to ensure they meet federal and state policies and grant compliance. Develop and supervise training of employees and consultants on program requirements and usage. Develop, coordinate, and deliver communication plans and communications. Preside over, or serve on, boards of directors, management committees, or other governing boards. Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development. Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. Ensure work adheres to quality standards, deadlines, and proper procedures. The job profile is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time. What You'll Need for Success: Credentials: Master’s Degree and 7+ years of experience, or Bachelor’s Degree and 9+ years of experience, or Associate’s Degree and 11+ years of experience, or 13+ years of experience applying the knowledge, skills, and abilities outlined below. Extensive knowledge of the principles, practices, and techniques of a broad area of training and education, including texts and materials developed in the field. Thorough knowledge of the agency or institution’s functions, operations, and purpose. Considerable knowledge of experiential learning techniques. Practical knowledge of laws, rules, and regulations governing mandated training within the agency. Ability to develop, monitor, and evaluate broad training programs. Ability to plan and conduct seminars, workshops, and training sessions. Ability to assemble training materials, including writing comprehensive manuals and assembling texts, films, slides, and characters. Ability to establish effective and cooperative working relationships with trainees, other instructors, and the entire agency staff. Ability to keep current on new trends, philosophies, and available materials regarding adult education. Ability to delegate work, set clear direction, and manage workflow. Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skill sets. Supervisory Responsibilities/Direct Reports: This role may provide direct supervision for one or more staff members. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefits package for full-time employees which includes: Three (3) medical plan options (including RX coverage) as well as vision and dental plans Wellness Rewards Program: Complete wellness activities to earn gift card rewards Health savings account, which includes bi-weekly state contribution Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities Deferred compensation 457B account (similar to 401k plan) with employer match Two (2) fully-funded pension plan options A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid new parent leave Up to 15 hours of paid community service leave Combined 180 hours of paid vacation, personal, and sick leave time off 12 paid holidays, 14 on election years Education Reimbursement Program Group life insurance Employee assistance program that allows for covered behavioral health visits Qualified employer for the Public Service Loan Forgiveness Program Free Parking for most positions Free LinkedIn Learning access The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Our policy is to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, creed, religion, sex, national origin, ancestry, age, sexual orientation, gender identity, physical or mental disability, or veteran status. We will comply with the spirit as well as the letter of all applicable state and federal laws. If you are a qualified individual with a disability and require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov. The State of Indiana has established a culture that welcomes equity, inclusion, and opportunity for all employees and applicants. We encourage you to apply if you feel you have the transferable skills to be successful in this position and we look forward to reviewing your application. #J-18808-Ljbffr