Pregnancy Promise Program Project Specialist

Pregnancy Promise Program Project Specialist, Indianapolis, IN, US Pregnancy Promise Program Project Specialist Purpose Of Position/Summary The mission of the Family and Social Services Administration (FSSA) is to compassionately serve Hoosiers of all ages and connect them with social services, health care and their communities. The agency includes the Office of Medicaid Policy and Planning (OMPP), a division that receives around 13 percent of the state's budget to provide vital healthcare coverage to roughly 1 in 5 Hoosiers. This Position Supports The Grant-supported Pregnancy Promise Program, Which Helps Pregnant Individuals With Substance Use Disorder (SUD) Achieve Sustained Recovery And Reduces Neonatal Abstinence Syndrome In Their Offspring Through Three Initiatives Collaborative care coordination – With the State's four Managed Care Entities (MCEs) and community health providers, develops collaborative problem-solving, shared best practices and innovative strategies for pregnant individuals with opioid use disorders (OUD).Provider Education – With the IU School of Medicine Project ECHO team, the Division of Mental Health and Addiction, and the Indiana State Department of Health Maternal and Child Health division, developed three educational tracks: obstetrical care of pregnant individuals with OUD, evidence-based neonatal abstinence syndrome management, and care coordination best practices for pregnant individuals with SUD.Addressing social determinants of health – Screens participants for social determinants and makes trauma-informed community referrals for identified needs.The Project Specialist works closely with the Project Manager, FSSA Chief Medical Officer, and internal and external stakeholders. Medicaid members, families, providers and advocates are engaged at all stages. This high-profile State initiative addresses one of the Governor's five pillars: attacking the drug epidemic and lowering infant mortality. Essential Duties /Responsibilities Help develop and revise project materials and outreach for referring agencies, including health care systems, human service agencies and community-based organizationsMonitor, 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 metEnsure 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 enrolleesDevelop and revise MCE Complex Case Manager training materialsMonitor and analyze performance and quality outcomes data for each MCE's complex case management program; assist and give feedback to MCE project managersHelp develop and deliver stakeholder presentations, traveling statewide to present to all provider types, at conferences and at other eventsHelp 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 periodHelp develop a new statewide MCE Complex Case Manager Best Practices Forum, collect quality improvement data, and facilitate implementation of new standard proceduresResearch, 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 requirementsAddress implementation barriers through field visits with MCE and community provider case managers, with problem-solving and feedback loopsDevelop agendas and coordinate cross-sector participants for regional meetings and MOM grant listening tours in the State's five Medicaid regionsServe 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 guidanceHelp develop the public-facing website of resources for members, loved ones and providers; review it for updates and work with the communications team on changesManage website referrals: confirm Medicaid coverage/eligibility and route to the correct MCEObtain 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 postpartumMake all program materials as equitable and inclusive as possible; collaborate with Indiana 211 for members who are not eligible for the programResolve disputes between MCE and community case managers; support and assist managed care case managers on individual client issues and best practicesCoordinate with the Project ECHO Coordinator on curriculum, presenters and scheduling for case managers and community health workers serving the target populationWork with the data and analytics team on developing an FSSA data appRecord thorough, accurate minutes at all meetings for FSSA colleagues, MCEs and stakeholdersAnalytical, with keen attention to detail while keeping the broader picture and message in viewAbility to resolve issues with professionalism and sensitivity and work well with other agencies and divisionsAbility to use standard word processing, spreadsheet and database programs; compile, synthesize and present complex recommendations; andPassion 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 substituteExperience managing federal or state grants, including budget oversightKnowledge of state and federal laws, regulations and policies related to addiction treatmentAbility to identify, analyze, summarize and communicate information, orally and in writing, and formulate recommendationsSkill in coordinating work with agency staff, advisory groups and committees to achieve desired outcomesAbility to work effectively with diverse stakeholders, including individuals with lived experience, family members, advocates and mental health/addiction providersKnowledge of planning, program development and evaluation methodsFlexible, creative, assertive and able to work in a multitask, multidisciplinary environmentExpertise working with culturally diverse, at-risk populationsExtensive understanding of Medicaid, waiver services and managed care, and extensive knowledge of state laws, policies and procedures pertinent to Medicaid programsKnowledge of care coordination and case management (prior experience preferred) Difficulty Of Work Work is complex, integrating diverse programs and policies across numerous federal and state agencies and requiring thorough understanding of legal, political, social justice, child welfare, medical and behavioral health parity and equity, and organizational issues. The position involves unprecedented coordination among programs affecting maternal and infant health within FSSA and other agencies, including the Department of Health and DCS. As the grant is new, the role requires innovative thinking, initiative and creativity in designing methods to solve new, complex problems. Must balance the program's long-term goals, managed care principles, political climate, and existing policies, laws, waivers, rules and regulations. Must know evidence-based and promising practices for pregnant women with OUD and infants with neonatal abstinence syndrome; be knowledgeable of home visitation programs and case management competencies; understand implicit bias, ethics and boundaries; create individualized care plans to improve outcomes for MOM enrollees; and be willing to use an implementation science framework for plan, do, study, act quality improvement/system building. Work is both strategic and tactical, requiring flexibility and creativity to set guidelines and priorities and maintain operations. Must resolve conflicts between partners, sometimes in an adversarial environment. Responsibility Working with the Project Manager, Chief Medical Officer and agency leads, the Project Specialist works with a high degree of independence under general guidance; new situations are discussed as needed. Work is reviewed for attainment of project and agency goals and compliance with federal and state requirements. Must formulate solutions and confer with the supervisor on highly complex and sensitive projects. Faulty recommendations could harm Medicaid members, the program or agency credibility, or cause loss of federal funding. Skill Matrix Bachelor's Degree in social work, public health, public administration or similar (consider 4-5 yrs. exp. in lieu of degree) RequiredPrior experience with Medicaid or Medicare care coordination and case management Required 3 YearsExtensive understanding of Medicaid, waiver services and managed care, plus state laws, policies and procedures for Medicaid programs Required 3 YearsKnowledge of state and federal laws, regulations and policies on addiction treatment Required 3 YearsExperience managing federal or state grants, including budget oversight Required 3 YearsExp. working with a wide range of stakeholders, including people with lived experience, families, advocates and mental health or addiction providers Required 3 YearsExp. with planning, program development and program evaluation. Required 3 YearsExp. working with standard word processing, spreadsheet and database programs RequiredIndiana Navigator License Highly desired Benefits At IntelliBee Long-Term Stability: Join us on a multi-year opportunities with room to grow.Comprehensive Health Coverage: Access quality healthcare benefits to keep you and your family well.Future Planning: Enroll in our 401(k) program and invest in your financial security.GC Assistance: We support immediate Green Card processing, if required. Date Posted:15-Oct-2026