Job Information
State of Indiana Medicaid & Medicare Coordination Manager in Indianapolis, Indiana
Medicaid & Medicare Coordination Manager
Date Posted: Feb 13, 2025
Requisition ID: 456458
Location:
Indianapolis, IN, US, 46204
Work for IndianaBegin 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.
A Day in the Life:
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.
Promote and communicate strategy, goals, and initiatives with the Agency and Division leadership as well as other agencies and stakeholders.
Manage and develop the State Medicaid Agency Contracts (SMACs)
Serve as the Medicaid point of contact for Indiana's Dually Eligible Special Needs Plans (D-SNPs)
Serve as the OMPP Point of contact for Indiana’s State Health Insurance-Assistance Program (SHIP)
Serve as subject matter expert on dually eligible individuals: keep abreast of Medicare/Medicaid policy and program innovations, current research and opportunities at the federal level. Assess new opportunities at the federal level and provide summary and recommendations to OMPP leadership for consideration.
Work with other OMPP SMEs and program leads to ensure alignment of goals across programs that best serve the needs of dually eligible enrollees.
Oversee the creation of new data collection and reporting on the dually eligible population in Indiana. Review and report on data within the agency and externally.
Coordinate and collaborate with CMS Medicare-Medicaid Coordination Office (the Duals Office)
Other duties, responsibilities, and activities may change or be assigned at any time with or without notice.
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:
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.
Effective communication skills.
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.
Able to perform essential functions with or without reasonable accommodation.
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 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 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 transferrable skills to be successful in this position and we look forward to reviewing your application.
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