Pregnancy Promise Program Project Specialist

Job ID: 813832 Department: FSSA Position: Pregnancy Promise Program Project Specialist Location: 2525 N Shadeland Ave, Indianapolis, IN 46219 Duration:12 + Months (Hybrid) Position is hybrid with field travel, 2 days in office, 3 days remote/travel.Local travel is approximately 40-50% with occasional overnight travel required, expenses reimbursed for field travel.Travel to the Indianapolis office for meetings, trainings, etc. is not reimbursed.Position is anticipated to last through 9/30/2027 with the possibility to extend longer.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 enrolment is reflected in CoreMMIS; work with OMPP on a CoreMMIS enrolment "check box" and on answering eligibility questions for potential enroleesDevelop 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 enrolees, community mental health centre staff, referral sources and project partners; answer emails, calls and texts from enrolees, 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 enrolees 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 Required Skills Bachelor's Degree in social work, public health, public administration or similar (consider 4-5 yrs. exp. in lieu of degree)Prior experience with Medicaid or Medicare care coordination and case managementExtensive understanding of Medicaid, waiver services and managed care, plus state laws, policies and procedures for Medicaid programsKnowledge of state and federal laws, regulations and policies on addiction treatmentExperience managing federal or state grants, including budget oversightExp. working with a wide range of stakeholders, including people with lived experience, families, advocates and mental health or addiction providersExp. with planning, program development and program evaluation.Exp. working with standard word processing, spreadsheet and database programsIndiana Navigator License