FSSA-Pregnancy Promise Program Project Specialist

Wiserhunt•Indianapolis, IN

7d•Hybrid

About The Position

The Pregnancy Promise Program Project Specialist supports the Family and Social Services Administration’s grant-supported program to help pregnant individuals with substance use disorder achieve sustained recovery and reduce neonatal abstinence syndrome. The program includes collaborative care coordination with managed care entities and community health providers, provider education, and trauma-informed referrals that address social determinants of health. The Specialist works closely with the Project Manager, FSSA Chief Medical Officer, and internal and external stakeholders, including Medicaid members, families, providers, and advocates. The role combines strategic and operational project work across state and federal programs. It involves monitoring managed care entity performance and data quality; supporting Medicaid enrollment and eligibility processes; developing training, guidance, program materials, and a public-facing resource website; coordinating stakeholder meetings and presentations; supporting grant reporting and budget compliance; and helping resolve implementation barriers and partner disputes. The Specialist operates with substantial independence under general guidance, while consulting with a supervisor on highly complex or sensitive matters. The position is hybrid, with two days in the office and three days remote or traveling, and requires substantial local and statewide travel. The standard environment is an office, with extended computer use and occasional work beyond standard hours 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.
Three years of care coordination or case management experience with pregnant or postpartum individuals with SUD/OUD in a Medicaid setting.
Experience with Medicaid MCEs/MCOs, including data review, escalations, care coordination, and joint problem-solving; the posting lists three years in the experience table.
Three years of knowledge of state and federal laws, regulations, and policies related to addiction treatment.
Three years of experience managing federal or state grants, including budget oversight.
Three years of experience working with diverse stakeholders, including people with lived experience, families, advocates, and mental health or addiction providers.
Three years of experience with planning, program development, and program evaluation.
Three years of experience using standard word processing, spreadsheet, and database programs.
Experience with culturally diverse, at-risk populations.
Ability to identify, analyze, summarize, and communicate information orally and in writing, and to formulate recommendations.
Ability to coordinate 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.
Analytical ability and keen attention to detail while maintaining focus on broader goals and communications.
Passion for public service.

Nice To Haves

Knowledge of care coordination and case management; prior experience is preferred.
Direct experience working with individuals with substance use disorders, preferably opioid use disorder.
Two years of direct experience serving pregnant or postpartum women, infants, or children, such as maternal-child health, home visiting, NAS/NOWS, or perinatal programs.
Active Indiana Navigator license or documented experience completing Medicaid applications and eligibility screening (Navigator, CAC, or equivalent).
Two years of public speaking and stakeholder presentation experience with providers, conferences, and community audiences.

Responsibilities

Develop and revise project materials and outreach for referring agencies, including healthcare systems, human service agencies, and community-based organizations.
Monitor and analyze each of the four MCEs’ performance outcomes and data quality, and review biweekly updates to ensure required CMS measures are met.
Ensure accurate enrollment data reaches OMPP for CoreMMIS; coordinate on a CoreMMIS enrollment checkbox and respond to eligibility questions from potential enrollees.
Develop and revise training materials for MCE Complex Case Managers.
Monitor complex case management performance and quality data for each MCE, and provide feedback to MCE project managers.
Help develop and deliver stakeholder presentations, including statewide travel to providers, conferences, and other events.
Help prepare quarterly and annual CMS reports, track grant activities against reporting and budget timelines, and assist with CMS documentation requests.
Help establish a statewide MCE Complex Case Manager Best Practices Forum, collect quality improvement data, and facilitate new standard procedures.
Research, draft, and distribute complex case management best-practice guidance; draft and annually update a program manual covering guidelines, data requirements, and case management practices.
Ensure grant funds are allocated according to federal, state, and grant guidelines and that financial reports are submitted on time.
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 liaison to enrollees, community mental health center staff, referral sources, and project partners; respond to program-related messages from enrollees and providers within two business days.
Help develop and maintain the public-facing website of resources for members, loved ones, and providers, coordinating updates with the communications team.
Manage website referrals by confirming Medicaid coverage or eligibility and routing referrals to the appropriate MCE.
Obtain and maintain Indiana Navigator licensure, including required training, quiz, and IDOI examination.
Complete Medicaid applications for potential enrollees without coverage and continue outreach through 90 days postpartum.
Ensure program materials are equitable and inclusive, 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 application.
Record thorough and accurate minutes at meetings involving FSSA colleagues, MCEs, and stakeholders.
Analyze and communicate complex information and recommendations; resolve issues professionally and sensitively; and work effectively with other agencies and divisions.