Medicaid Clinical Quality Specialist – Impact & Compliance

State of Indiana; Indianapolis (IN); On-site; USD 61,000 - 74,000; Full time

Benefits offered by this job

Medical plan options (3) including RX

Wellness rewards program

Health savings account

Pension plan options

Paid leave policies

Education Reimbursement

Free parking

LinkedIn Learning access

Job summary

The State of Indiana invites applications for a Clinical Quality Specialist within the Office of Medicaid Policy and Planning. You will oversee quality assurance, regulatory compliance, and performance improvement across Indiana Medicaid programs, ensuring data-driven, equitable strategies aligned with federal and state standards.

The role emphasizes quality oversight of vendors, collaboration with MCEs, and adherence to state laws, with opportunities for in-state travel.

Qualifications

• RN license and 3+ years of clinical experience.
• LPN license and 5+ years of clinical experience.
• Associate’s degree in a clinical discipline and 7+ years of experience.
• 10+ years of clinical experience with applicable knowledge and abilities.

Responsibilities

• Establish, monitor, and implement long-range objectives, strategies, KPIs, and actions.
• Analyze operations to evaluate performance and identify cost savings or program improvements.
• Interpret and explain complex policies, rules, regulations, or laws to organizations or officials.
• Develop and implement corrective action plans to solve organizational problems.
• Prepare and present reports for approval, including funding or service implementation to leadership.
• Develop and oversee program financial or budget activities to fund operations and investments.
• Develop and monitor program requirements to ensure compliance with federal and state policies.
• Develop and supervise training of employees and consultants on program requirements.
• Develop, coordinate, and deliver communication plans and communications.
• Preside over boards, management committees, or other governing bodies.
• Recruit, select, onboard, and train employees to ensure role clarity and development.
• Set expectations, measure progress, provide feedback, and evaluate employee performance.

Skills

RN License + 3+ years

LPN License + 5+ years

Associate’s Degree + 7+ years

10+ years clinical experience

Job description

The State of Indiana invites applications for a Clinical Quality Specialist within the Office of Medicaid Policy and Planning. You will oversee quality assurance, regulatory compliance, and performance improvement across Indiana Medicaid programs, ensuring data-driven, equitable strategies aligned with federal and state standards.

The role emphasizes quality oversight of vendors, collaboration with MCEs, and adherence to state laws, with opportunities for in-state travel.