School Medicaid Specialist

2 weeks ago

Indianapolis, United States state of indiana Full time

Work for Indiana

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 Indiana Department of Education (IDOE):

The Indiana Department of Education provides innovative support to Indiana schools, teachers, students, and parents. We proactively work with educators, policymakers, business leaders, and community-based organizations to build student success. Our strategic priorities include:

Delivering quality, purposeful educational opportunities for each student Elevating and supporting Indiana’s educators Increasing partnerships and delivering aligned, effective, and efficient support
 

Salary:

This position traditionally starts at an annual salary of $59,800. Salary for this position may be commensurate with education and job experience.
 

Role Overview:

The School Medicaid Specialist is a liaison between the state Education and Medicaid agencies. You will facilitate state budget-neutral recovery of federal Medicaid matching funds available for medically necessary services and Medicaid and medically related administrative activities that public school corporations, charter schools, and state schools provide for qualifying students. Because school corporations are atypical Medicaid providers, the IDOE School Medicaid Specialist provides public policy research, support for Medicaid coverage and reimbursement, and technical assistance for public school corporations that voluntarily participate in Medicaid claiming.

A Day in the Life:

Provide school Medicaid claiming research, analysis, and public policy support as well as stakeholder/participant technical assistance by:

Coordinating with the state Medicaid agency, stakeholders, and IDOE Legislative Affairs Director regarding policies to facilitate public school corporations’ recovery of federal Medicaid funding for school-based medical services and Medicaid administrative activities. Collaborating with the state Medicaid agency to draft, update, and post-school user-friendly training and technical assistance materials regarding Medicaid claiming for school-based medical services and administrative activities. Drafting and coordinating renewals of two IDOE-FSSA/OMPP school Medicaid-related memos of understanding, compiling required data, and drafting IndianaMAC biennial budget narrative. Facilitating state-level interagency coordination to support timely and accurate funding projections and intergovernmental funds transfers as necessary to pay participating school corporations’ IndianaMAC claims and fund the state share of Medicaid reimbursements for covered medically necessary mandated school-based services claimed by School Corporation Medicaid Providers. Researching, referring, and responding to school Medicaid claiming-related inquiries and concerns. Training and coordinating with IDOE’s IndianaMAC Specialist on routine school-based Medicaid claiming contractor oversight, monitoring LEA participation, reviewing and approving quarterly IndianaMAC claim invoices, and completing tasks delegated to IDOE per IDOE’s IndianaMAC MOU with FSSA/OMPP. Attending meetings of stakeholder groups, communities of practice, and advisory boards to facilitate school Medicaid outreach and enrollment, services delivery, and IDOE customer relations.
 

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:

You must meet the following requirements to be considered for employment: 

Bachelor’s degree or higher, preferably in public policy, healthcare finance, or a related field.  At least two years of work experience in public health coverage programs policy or Medicaid program operations, or a related field. Able to comprehend the intersection of Medicaid policy and IDEA, 511 IAC 7, and Rehabilitation Act of 1973 requirements for purposes of serving K-12 students with disabilities. Demonstrates skill in relating to internal and external customers; is sensitive to customer needs and expectations. Encourages and facilitates cooperation, pride, trust, and group identity; fosters commitment and team spirit; works cooperatively with others to achieve overall goals. Clearly and effectively expresses self in the presentation of ideas; comprehends oral and written information. Works well under pressure; responds appropriately to stressful situations. Maintains confidentiality of information or materials. Establishes effective working relationships with coworkers, supervisors, managers, the public, and IDOE customers. Exercises logical thinking and foresees consequences of actions; possesses adequate knowledge of all applicable policies or rules and follows appropriate guidelines or procedures in a variety of situations. Establishes priorities and work sequences to coordinate efforts, maintain workflow, and meet deadlines. Recognizes and defines problems by obtaining facts, using appropriate resources, and engaging techniques to develop sound solutions while foreseeing possible consequences. Works effectively with contacts outside the agency in a courteous, cooperative, and objective manner. Provides timely and accurate assistance to IDOE customers and the public. Possesses expertise in the use of Microsoft Office suite, including Word, Excel, and PowerPoint.

Supervisory Responsibilities/Direct Reports:

This role may be utilized in a supervisory capacity based on agency needs.

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 leaveUp to 15 hours of paid community service leaveCombined 180 hours of paid vacation, personal, and sick leave time off12 paid holidays, 14 on election years Education Reimbursement Program Group life insurance Referral Bonus program 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

Equal Employment Opportunity:

The State of Indiana is an Equal

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