Pregnancy Promise Program Project Specialist -

My3tech-Inc; Indianapolis (IN); On-site; USD 60,000 - 85,000; Full time

Job summary

My3tech-Inc is seeking a qualified public health program coordinator to support outreach for referring agencies and monitor performance across Medicaid-related programs. The role involves ensuring data quality, CMS reporting, and training material development for Complex Case Managers.

You will travel statewide, liaise with providers and enrollees, and help ensure compliance with federal and state guidelines.

Qualifications

• Bachelor's degree required in social work, public health, public administration or similar; 4–5 years healthcare or compliance experience may substitute
• Experience managing federal or state grants, including budget oversight
• Knowledge of state and federal laws, regulations and policies related to addiction treatment
• Ability to identify, analyze, summarize and communicate information, orally and in writing, and formulate recommendations
• Skill in coordinating work with agency staff, advisory groups and committees to achieve desired outcomes
• Ability to work effectively with diverse stakeholders, including individuals with lived experience, family members, advocates and mental health/addiction providers
• Knowledge of planning, program development and evaluation methods
• Flexible, creative, assertive and able to work in a multitask, multidisciplinary environment
• Extensive understanding of Medicaid, waiver services and managed care, and extensive knowledge of state laws, policies and procedures pertinent to Medicaid programs
• Knowledge of care coordination and case management (prior experience preferred)

Responsibilities

• Develop and revise project materials and outreach for referring agencies, including health care systems, human service agencies and community-based organizations
• Monitor, review and analyze performance outcomes and data quality for each of the four MCEs, and review biweekly MCE updates to ensure required CMS measures are met
• Ensure accurate data reaches OMPP so enrollment is reflected in CoreMMIS; work with OMPP on a CoreMMIS enrollment check box and on answering eligibility questions for potential enrollees
• Develop and revise MCE Complex Case Manager training materials
• Monitor and analyze performance and quality outcomes data for each MCE's complex case management program; assist and give feedback to MCE project managers
• Help develop and deliver stakeholder presentations, traveling statewide to present to all provider types, at conferences and at other events
• Help write quarterly and annual CMS reports; with the Project Manager, track grant activities to meet report and budget timelines and assist with CMS documentation requests during the grant period
• Help develop a new statewide MCE Complex Case Manager Best Practices Forum, collect quality improvement data, and facilitate implementation of new standard procedures
• Research, draft and disseminate complex case management best practice guidelines; draft a program manual, updated at least annually, covering guidelines, data requirements, case management practices, etc.
• Ensure grant funds are allocated per federal, state and grant guidelines and financial reports are submitted on time per federal requirements
• Address implementation barriers through field visits with MCE and community provider case managers, with problem-solving and feedback loops
• Develop agendas and coordinate cross-sector participants for regional meetings and MOM grant listening tours in the State's five Medicaid regions
• Serve as liaison to enrollees, community mental health center staff, referral sources and project partners; answer emails, calls and texts from enrollees, MCE care coordinators and other providers within 2 business days, providing program guidance
• Help develop the public-facing website of resources for members, loved ones and providers; review it for updates and work with the communications team on changes
• Manage website referrals: confirm Medicaid coverage/eligibility and route to the correct MCE
• Obtain and maintain Indiana Navigator licensure (8 hours of training, provider quiz, IDOI exam)
• Complete Medicaid applications for potential enrollees without coverage, with continuous outreach through 90 days postpartum
• Make all program materials as equitable and inclusive as possible; collaborate with Indiana 211 for members who are not eligible for the program
• Resolve disputes between MCE and community case managers; support and assist managed care case managers on individual client issues and best practices
• Coordinate with the Project ECHO Coordinator on curriculum, presenters and scheduling for case managers and community health workers serving the target population
• Work with the data and analytics team on developing an data app
• Record thorough, accurate minutes at all meetings for colleagues, MCEs and stakeholders
• Analytical, with keen attention to detail while keeping the broader picture and message in view
• Ability to resolve issues with professionalism and sensitivity and work well with other agencies and divisions
• Ability to use standard word processing, spreadsheet and database programs; compile, synthesize and present complex recommendations; and
• Passion for public service

Education

Bachelor's degree in social work, public health, public administration or similar

Tools

Word processing

Spreadsheets

Databases

Job description

Help develop and revise project materials and outreach for referring agencies, including health care systems, human service agencies and community-based organizations

• Monitor, review and analyze performance outcomes and data quality for each of the four MCEs, and review biweekly MCE updates to ensure required CMS measures are met
• Ensure accurate data reaches OMPP so enrollment is reflected in CoreMMIS; work with OMPP on a CoreMMIS enrollment “check box” and on answering eligibility questions for potential enrollees
• Develop and revise MCE Complex Case Manager training materials
• Monitor and analyze performance and quality outcomes data for each MCE's complex case management program; assist and give feedback to MCE project managers
• Help develop and deliver stakeholder presentations, traveling statewide to present to all provider types, at conferences and at other events
• Help write quarterly and annual CMS reports; with the Project Manager, track grant activities to meet report and budget timelines and assist with CMS documentation requests during the grant period
• Help develop a new statewide MCE Complex Case Manager Best Practices Forum, collect quality improvement data, and facilitate implementation of new standard procedures
• Research, draft and disseminate complex case management best practice guidelines; draft a program manual, updated at least annually, covering guidelines, data requirements, case management practices, etc.
• Ensure grant funds are allocated per federal, state and grant guidelines and financial reports are submitted on time per federal requirements
• Address implementation barriers through field visits with MCE and community provider case managers, with problem-solving and feedback loops
• Develop agendas and coordinate cross-sector participants for regional meetings and MOM grant listening tours in the State's five Medicaid regions
• Serve as liaison to enrollees, community mental health center staff, referral sources and project partners; answer emails, calls and texts from enrollees, MCE care coordinators and other providers within 2 business days, providing program guidance
• Help develop the public-facing website of resources for members, loved ones and providers; review it for updates and work with the communications team on changes
• Manage website referrals: confirm Medicaid coverage/eligibility and route to the correct MCE
• Obtain and maintain Indiana Navigator licensure (8 hours of training, provider quiz, IDOI exam)
• Complete Medicaid applications for potential enrollees without coverage, with continuous outreach through 90 days postpartum
• Make all program materials as equitable and inclusive as possible; collaborate with Indiana 211 for members who are not eligible for the program
• Resolve disputes between MCE and community case managers; support and assist managed care case managers on individual client issues and best practices
• Coordinate with the Project ECHO Coordinator on curriculum, presenters and scheduling for case managers and community health workers serving the target population
• Work with the data and analytics team on developing an data app
• Record thorough, accurate minutes at all meetings for colleagues, MCEs and stakeholders
• Analytical, with keen attention to detail while keeping the broader picture and message in view
• Ability to resolve issues with professionalism and sensitivity and work well with other agencies and divisions
• Ability to use standard word processing, spreadsheet and database programs; compile, synthesize and present complex recommendations; and
• Passion for public service

Job Requirements:

• Bachelor's degree in social work, public health, public administration or similar; 4–5 years of healthcare or compliance experience may substitute
• Experience managing federal or state grants, including budget oversight
• Knowledge of state and federal laws, regulations and policies related to addiction treatment
• Ability to identify, analyze, summarize and communicate information, orally and in writing, and formulate recommendations
• Skill in coordinating work with agency staff, advisory groups and committees to achieve desired outcomes
• Ability to work effectively with diverse stakeholders, including individuals with lived experience, family members, advocates and mental health/addiction providers
• Knowledge of planning, program development and evaluation methods
• Flexible, creative, assertive and able to work in a multitask, multidisciplinary environment
• Expertise working with culturally diverse, at-risk populations
• Extensive understanding of Medicaid, waiver services and managed care, and extensive knowledge of state laws, policies and procedures pertinent to Medicaid programs
• Knowledge of care coordination and case management (prior experience preferred)