Appeals Manager

State of Indiana•Indianapolis, IN

About The Position

The Appeals Manager provides strategic leadership in planning, organizing, and managing the Waiver Appeals team and its operations for the Family & Social Services Administration’s Division of Disability, Aging and Rehabilitative Services. The role establishes priorities, organizes assignments, maximizes efficiency, sustains internal appeal processes, and evaluates and reports on appeal metrics while ensuring accurate, consistent, and efficient outcomes. The position supervises a staff of four and may serve as a team lead for an assigned work group. The ideal candidate is proficient with MS Excel and Microsoft applications. The position is exempt from overtime compensation. Additional hours may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report at least 75 hours per pay period of work and/or paid leave to receive their base biweekly salary. Duties may change or be assigned at any time.

Requirements

Specialized knowledge of program subject matter gained through experience and/or education.
Extensive knowledge of provider agencies and their programs and services.
Extensive knowledge of source materials and references, including federal and state laws governing the programs.
Ability to develop and implement principles and policies and identify their far-reaching implications.
Ability to present to internal and external customers, the public, government officials, and other stakeholders.
Ability to analyze information and evaluate results to select solutions and solve problems.
Ability to work effectively with a wide variety of stakeholders.
Ability to prepare monthly finance and accounting reports for program budgets and grants.
Ability to delegate work, set clear direction, and manage workflow.
Ability to give feedback, provide guidance or corrective action, coach, and develop employee skills.
Proficiency with MS Excel and Microsoft applications.
At least 9 years of experience applying the outlined knowledge, skills, and abilities in a similar role may be considered; a degree is not required.
Ability to perform essential functions with or without reasonable accommodation.

Responsibilities

Establish and monitor program objectives, key performance indicators, and actions to achieve them.
Direct, plan, or implement organizational policies, objectives, or activities to ensure continuing operations or increase productivity.
Interpret and explain policies, rules, regulations, or laws to organizations, officials, or individuals.
Recommend and implement corrective action plans to address program problems.
Prepare reports for approval, including reports related to funding or service implementation.
Direct or coordinate financial and budget activities to fund operations, maximize investments, or increase program efficiency.
Ensure program requirements comply with federal and state policies and grant requirements.
Develop and train employees or agency consultants on program requirements and usage.
Coordinate and deliver communications plans and communications.
Serve on boards of directors, management committees, or other governing boards.
Recruit, select, onboard, and train employees, clarifying responsibilities and expectations and supporting professional development.
Set expectations, measure progress, provide ongoing feedback, and evaluate employee performance.
Ensure work meets quality standards, deadlines, and established procedures.
Plan and organize Waiver Appeals team work, establish priorities, and manage workflow.
Develop and maintain internal appeal processes; evaluate and report appeal metrics for accuracy, consistency, and efficiency.
Supervise staff of four and delegate work, provide guidance, coach employees, and support skill development.
Prepare monthly finance and accounting reports to maintain program budgets and grants.

Benefits

Three medical plan options, including prescription coverage, and vision and dental plans.
Wellness Rewards Program with gift card rewards for completing wellness activities.
Health savings account with biweekly state contributions.
Deferred compensation 457(b) account with employer match.
Two fully funded pension plan options.
Leave policies including paid New Parent Leave, paid Childbirth Recovery Leave for eligible mothers, paid community service leave, combined vacation, personal, and sick leave, and paid holidays.
Education Reimbursement Program.
Group life insurance.
Referral Bonus program.
Employee assistance program with covered behavioral health visits.
Eligibility as a qualified employer for the Public Service Loan Forgiveness Program.
Free parking for most positions.
Free LinkedIn Learning access.