IN-FSSA-Pregnancy Promise Program Project Specialist

Inteletech Global•Indianapolis, IN

8d•Hybrid

About The Position

The Project Specialist supports the grant-funded Pregnancy Promise Program, a statewide initiative intended to help pregnant individuals with substance use disorder achieve sustained recovery and reduce neonatal abstinence syndrome. The program works through collaborative care coordination with managed care entities and community health providers, provider education, and screening and referrals addressing participants’ social determinants of health. The specialist works closely with the Project Manager, FSSA Chief Medical Officer, and internal and external stakeholders, engaging Medicaid members, families, providers, and advocates throughout the program. The role combines strategic and operational work across complex state and federal programs and policies. It requires coordinating with multiple agencies and partners, developing program practices and materials, monitoring performance and data quality, supporting grant reporting and budget compliance, and resolving implementation issues. The position operates with a high degree of independence under general guidance; work is reviewed for progress toward project and agency goals and compliance with applicable requirements. The role is anticipated to last through September 30, 2027, with the possibility of extension. It is hybrid, with two days in the office and three days remote or traveling, and requires approximately 40–50% local travel, occasional overnight travel, and statewide field travel. Some work beyond the standard workday may be required during high-volume periods.

Requirements

Bachelor's degree in social work, public health, public administration, or a similar field; 4–5 years of healthcare or compliance experience may substitute. The job requirements section specifies 4–5 years may substitute, while the skills table lists the degree requirement as requiring no stated years of experience.
At least 3 years of care coordination or case management experience with pregnant or postpartum individuals with SUD/OUD in a Medicaid setting.
At least 2 years of experience working with Medicaid MCEs/MCOs, including data review, escalations, care coordination, or joint problem-solving.
At least 3 years of knowledge or experience relating to state and federal laws, regulations, and policies on addiction treatment.
At least 3 years of experience managing federal or state grants, including budget oversight.
At least 3 years of experience working with diverse stakeholders, including people with lived experience, families, advocates, and mental health or addiction providers.
At least 3 years of experience with planning, program development, and program evaluation.
Experience using standard word-processing, spreadsheet, and database programs; the skills table lists no minimum years of experience.
At least 2 years of experience working with culturally diverse, at-risk populations.
Ability to identify, analyze, summarize, and communicate information orally and in writing, and formulate recommendations.
Skill coordinating work with agency staff, advisory groups, and committees to achieve desired outcomes.
Ability to work effectively in a flexible, creative, assertive, multitask, multidisciplinary environment.
Extensive understanding of Medicaid, waiver services, managed care, and state laws, policies, and procedures pertinent to Medicaid programs.
Knowledge of care coordination and case management.
Ability to resolve complex issues, work independently under general guidance, and confer with a supervisor on highly complex and sensitive projects.
Ability to travel for meetings and public speaking engagements, including statewide field travel; approximately 40–50% local travel and occasional overnight travel are specified.
Ability to work extended time beyond the standard workday during high-volume seasons or operations.
Must attend meetings at locations throughout the Government Center and at off-site locations statewide.
No unusual physical effort is required; may occasionally lift up to 10 pounds, and extended computer use is required.

Nice To Haves

Direct experience working with individuals with substance use disorders, with opioid use disorder preferred; 2 years desired.
Direct experience serving pregnant or postpartum women, infants, and/or children, such as maternal-child health, home visiting, NAS/NOWS, or perinatal programs; 2 years desired.
Active Indiana Navigator license or documented experience completing Medicaid applications and eligibility screening, such as Navigator, CAC, or equivalent; 2 years desired.
Public speaking and stakeholder presentation experience with providers, conferences, and community audiences; 2 years desired.
Prior care coordination or case management experience is 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 Managed Care Entities (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 checkbox and respond to eligibility questions from 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, and assist and provide feedback to MCE project managers.
Help develop and deliver stakeholder presentations, including statewide presentations to provider types, conferences, and other events.
Help prepare quarterly and annual CMS reports; track grant activities with the Project Manager to meet reporting and budget timelines; and assist with CMS documentation requests during the grant period.
Help develop a 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 and update it at least annually to cover guidelines, data requirements, and case management practices.
Ensure grant funds are allocated according to federal, state, and grant guidelines, and submit financial reports on time as required by federal requirements.
Address implementation barriers through field visits with MCE and community provider case managers, using 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 a liaison to enrollees, community mental health center staff, referral sources, and project partners; respond to emails, calls, and texts from enrollees, MCE care coordinators, and other providers within two business days and provide program guidance.
Help develop and maintain the public-facing resource website for members, loved ones, and providers, and coordinate updates with the communications team.
Manage website referrals by confirming Medicaid coverage and eligibility and routing referrals to the correct MCE.
Obtain and maintain Indiana Navigator licensure, including completing eight hours of training, a provider quiz, and the IDOI exam.
Complete Medicaid applications for potential enrollees without coverage and maintain outreach through 90 days postpartum.
Make program materials as equitable and inclusive as possible and collaborate with Indiana 211 for members who are ineligible for the program.
Resolve disputes between MCE and community case managers and support managed care case managers with 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 to develop an FSSA data app.
Record thorough, accurate minutes at meetings for FSSA colleagues, MCEs, and stakeholders.
Use analytical skills and attention to detail while keeping broader program goals and messaging in view; resolve issues professionally and sensitively and work with other agencies and divisions.
Use standard word-processing, spreadsheet, and database programs; compile, synthesize, and present complex recommendations; and contribute to public service.