Job ID: 813832
Job Title: Medicaid Program Specialist
Work Arrangement: Hybrid
Work Location: 3834 Madison Ave in Indianapolis, Indiana 46227
Interview Type: In person only
Job Description:
The Project Specialist supports Indiana’s Pregnancy Promise Program, which promotes recovery among pregnant individuals with substance use disorders (SUD) and improves maternal and infant health outcomes. The role coordinates managed care entities (MCEs), healthcare providers, and community partners while supporting care coordination, provider education, grant compliance, and quality improvement initiatives.
Key Responsibilities:- Coordinate program activities with MCEs, healthcare providers, and community organizations.
- Monitor program performance, data quality, enrollment, and complex case management outcomes.
- Develop training materials, best-practice guidelines, program manuals, and stakeholder presentations.
- Support grant administration, budget monitoring, CMS reporting, and compliance with state and federal requirements.
- Facilitate stakeholder meetings, regional outreach, and statewide collaboration.
- Provide program guidance, resolve care coordination issues, and connect eligible participants with Medicaid coverage and community resources.
- Support educational initiatives, website resource management, and continuous quality improvement.
- Maintain accurate meeting records and ensure program materials are equitable, inclusive, and trauma-informed.
Required Qualifications:- Bachelor’s degree in Social Work, Public Health, Public Administration, or a related field; alternatively, 4–5 years of relevant healthcare or compliance experience.
- Minimum 3 years of experience in Medicaid/Medicare care coordination and case management.
- Minimum 3 years of knowledge or experience in Medicaid managed care, waiver services, and applicable state policies and procedures.
- Minimum 3 years of experience with addiction treatment regulations, grant management and budget oversight, stakeholder engagement, and program planning, development, and evaluation.
- Proficiency in word processing, spreadsheet, and database applications.
- Strong analytical, communication, organizational, problem-solving, and stakeholder coordination skills.
- Ability to work effectively with diverse populations and multidisciplinary teams. Preferred Qualification
- Indiana Navigator License or willingness to obtain licensure.
