Medicaid/Medicare Coordinator_

Indianapolis

Medicaid/Medicare Coordinator

Date Posted: Jun 25, 2024

Requisition ID: 445663

Location:

Indianapolis, IN, US, 46202

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 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 health care 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.

Role Overview:

In this role, Medicaid/Medicare Coordination Manager, you will establish priorities, targets, and deadlines for accomplishing both short-range and long-range goals for improving health outcomes for Indiana's dually-eligible population as well as Medicare and Medicaid integration in line with state goals. You will serve as the subject matter expert on dually-eligible individuals, staying breast of Medicare/Medicaid policy and program innovations, current research and opportunities at the federal level, and assessing new opportunities at the federal level to provide summary and recommendations to OMPP leadership for consideration. Your role will manage and develop the State Medicaid Agency Contracts (SMACs), working to develop increased alignment between Medicare and Medicaid programs and to ensure that contracts reflect state goals for the management of 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), should be familiar with Medicaid delivery systems and underlying programs, and a familiarity with Indiana Health Coverage Programs (IHCP) preferred. Knowledge of Medicare/Medicaid regulations and coverage and federal and state public health care programs and policy is desired.

Salary Statement:

The salary for this position traditionally starts at $75,010.00 but may be commensurate with education or work experience.

Short Description

The Medicare and Medicaid Coordination Manager serves as OMPP's subject matter expert on Dually eligible Medicaid

members and the integration of mLTSS programs that serve dually-eligible individuals.

A Day in the Life:

The essential functions of this role are as follows:

+ 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 specifying the strategies, KPIs, and actions to achieve them.

+ Analyze operations to evaluate 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 it meets federal and state policies and grants compliance.

+ Develop and supervise training of employees and consultants on program requirements and usage.

+ Develop, coordinator, 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 with or without notice.

Job Responsibilities

What You'll Need for Success:

The ideal candidate in this role should minimally have either

+ a Master’s Degree and 7+ years of experience, or a Bachelor’s Degree and 9+ years of experience, or

+ an Associate’s Degree and 11+ years of experience, or

+ at least 13+ years of experience applying the below, outlined knowledge, skills, and abilities in a similar role.

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

+ Strong leadership and creative problem-solving skills; must possess excellent verbal and written communication skills and the ability to effectively engage stakeholders ranging from members of the public to agency leadership or health plan executives.

+ Knowledge of federal and state public health care programs and policy, and national public health care issues and trends.

+ Must be familiar with Medicaid delivery systems and underlying programs. Familiarity with Indiana Health Coverage Programs (IHCP) preferred.

+ Ability to plan, initiate, and properly execute programs and initiatives. Must be highly self-motivated and possess initiative.

+ Working knowledge of reporting systems and ability to accurately interpret complex statistical data and reports. Ability to use standard computer word processing, spreadsheet and database programs.

+ Ability to marshal resources, work well with other agencies/divisions, and consistently implement a unified vision for the Medicaid program. Must be collaborative and build relationships.

+ Ability to critically assess effectiveness of programs, and identify interventions as needed to maintain or enhance quality and effectiveness.

+ Ability to compile, synthesize, and present complex recommendations in areas of policy and procedure;

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit 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

+ 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 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 [email protected] .

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 transferrable skills to be successful in this position and we look forward to reviewing your application.

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