IN-FSSA-Pregnancy Promise Program Project Specialist

Technotopia Solutions•Indianapolis, IN

23d•Onsite

About The Position

The Project Specialist supports Indiana’s grant-supported Pregnancy Promise Program, which helps pregnant individuals with substance use disorder achieve sustained recovery and reduces neonatal abstinence syndrome among their infants. The program works through collaborative care coordination with managed care entities and community health providers, provider education, and screening and trauma-informed referrals addressing social determinants of health. Working closely with the Project Manager, FSSA Chief Medical Officer, and internal and external stakeholders, the specialist supports program implementation, performance monitoring, reporting, training, stakeholder engagement, and continuous improvement. The position involves coordination across state agencies, managed care entities, providers, enrollees, families, and advocates. It requires independent work under general guidance and balancing strategic goals with operational, legal, policy, and grant requirements.

Requirements

Bachelor’s degree in social work, public health, public administration, or a similar field; alternatively, 4–5 years of healthcare or compliance experience may substitute.
Experience managing federal or state grants, including budget oversight.
Knowledge of state and federal laws, regulations, and policies related to addiction treatment.
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 with diverse stakeholders, including people with lived experience, family members, advocates, and mental health and addiction providers.
Knowledge of planning, program development, and evaluation methods.
Ability to work flexibly, creatively, and assertively in a multitask, multidisciplinary environment.
Expertise working with culturally diverse, at-risk populations.
Extensive understanding of Medicaid, waiver services, and managed care, as well as state laws, policies, and procedures pertinent to Medicaid programs.
Analytical ability and keen attention to detail while maintaining awareness of broader program goals and messaging.
Ability to resolve issues professionally and sensitively and work effectively with other agencies and divisions.
Ability to use standard word-processing, spreadsheet, and database programs; compile, synthesize, and present complex recommendations.
Passion for public service.
Ability to understand evidence-based and promising practices for pregnant women with OUD and infants with neonatal abstinence syndrome, home visitation programs, case-management competencies, implicit bias, ethics, and professional boundaries.
Ability to create individualized care plans and apply an implementation-science framework for plan-do-study-act quality improvement and system building.
Willingness to travel in-state for meetings and public speaking engagements.
Ability to occasionally lift up to 10 pounds and perform extended computer use.

Nice To Haves

Knowledge of care coordination and case management; prior 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 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; coordinate with OMPP on a CoreMMIS enrollment checkbox and eligibility questions for potential enrollees.
Develop and revise MCE Complex Case Manager training materials.
Monitor and analyze performance and quality outcomes 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 write quarterly and annual CMS reports; track grant activities with the Project Manager to meet reporting and budget timelines; and assist with CMS documentation requests.
Help develop a statewide MCE Complex Case Manager Best Practices Forum, collect quality-improvement data, and facilitate implementation of standard procedures.
Research, draft, and disseminate complex case management best-practice guidelines, and 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, including problem-solving and feedback.
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 emails, calls, and texts from enrollees, MCE care coordinators, and other providers within two business days with program guidance.
Help develop and maintain the public-facing website of resources for members, loved ones, and providers, coordinating changes 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 required training, provider quiz, and IDOI exam.
Complete Medicaid applications for potential enrollees without coverage and maintain 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 app.
Record thorough and accurate minutes at meetings for FSSA colleagues, MCEs, and stakeholders.
Formulate solutions and consult with the supervisor on highly complex and sensitive projects.