IN-FSSA-Pregnancy Promise Program Project Specialist

The mission of the Family and Social Services Administration is to compassionately serve Hoosiers of all ages and connect them with social services, health care and their communities

Purpose of Position/Summary:

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 organizations

Monitor, 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 met

Ensure accurate data reaches OMPP so enrollment is reflected in CoreMMIS; work with OMPP on a CoreMMIS enrollment check box and on answering eligibility questions for 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; assist and give feedback to MCE project managers

Help develop and deliver stakeholder presentations, traveling statewide to present to all provider types, at conferences and at other events

Help 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 period

Help develop a new 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, 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 requirements

Address implementation barriers through field visits with MCE and community provider case managers, with 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; answer emails, calls and texts from enrollees, MCE care coordinators and other providers within 2 business days, providing program guidance

Help develop the public-facing website of resources for members, loved ones and providers; review it for updates and work with the communications team on changes

Manage website referrals: confirm Medicaid coverage/eligibility and route to the correct MCE

Obtain and maintain Indiana Navigator licensure (8 hours of training, provider quiz, IDOI exam)

Complete Medicaid applications for potential enrollees without coverage, with continuous outreach through 90 days postpartum

Make all program materials as equitable and inclusive as possible; collaborate with Indiana 211 for members who are not eligible for the program

Resolve disputes between MCE and community case managers; support and assist managed care case managers on 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 on developing an FSSA data app

Record thorough, accurate minutes at all meetings for FSSA colleagues, MCEs and stakeholders

Analytical, with keen attention to detail while keeping the broader picture and message in view

Ability to resolve issues with professionalism and sensitivity and work well with other agencies and divisions

Ability to use standard word processing, spreadsheet and database programs; compile, synthesize and present complex recommendations; and

Passion for public service

Job Requirements:

Bachelor's degree in social work, public health, public administration or similar; 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 in coordinating work with agency staff, advisory groups and committees to achieve desired outcomes

Ability to work effectively with diverse stakeholders, including individuals with lived experience, family members, advocates and mental health/addiction providers

Knowledge of planning, program development and evaluation methods

Flexible, creative, assertive and able to work in a multitask, multidisciplinary environment

Expertise working with culturally diverse, at-risk populations

Extensive understanding of Medicaid, waiver services and managed care, and extensive knowledge of state laws, policies and procedures pertinent to Medicaid programs

Knowledge of care coordination and case management (prior experience preferred)

Supervisory Responsibilities/Direct Reports:

None

Difficulty of Work:

Work is complex, integrating diverse programs and policies across numerous federal and state agencies and requiring thorough understanding of legal, political, social justice, child welfare, medical and behavioral health parity and equity, and organizational issues. The position involves unprecedented coordination among programs affecting maternal and infant health within FSSA and other agencies, including the Department of Health and DCS. As the grant is new, the role requires innovative thinking, initiative and creativity in designing methods to solve new, complex problems. Must balance the program's long-term goals, managed care principles, political climate, and existing policies, laws, waivers, rules and regulations. Must know evidence-based and promising practices for pregnant women with OUD and infants with neonatal abstinence syndrome; be knowledgeable of home visitation programs and case management competencies; understand implicit bias, ethics and boundaries; create individualized care plans to improve outcomes for MOM enrollees; and be willing to use an implementation science framework for plan, do, study, act quality improvement/system building. Work is both strategic and tactical, requiring flexibility and creativity to set guidelines and priorities and maintain operations. Must resolve conflicts between partners, sometimes in an adversarial environment.

Responsibility:

Working with the Project Manager, Chief Medical Officer and agency leads, the Project Specialist works with a high degree of independence under general guidance; new situations are discussed as needed. Work is reviewed for attainment of project and agency goals and compliance with federal and state requirements. Must formulate solutions and confer with the supervisor on highly complex and sensitive projects. Faulty recommendations could harm Medicaid members, the program or agency credibility, or cause loss of federal funding.

Personal Work Relationships:

Relationships are with the supervisor, quality and contract compliance staff, FSSA and State Department of Health staff, contractors, federal and state officials, health organizations and the public, to coordinate the program, share information and resolve program issues; also closely with insurance and community care coordinators and grant enrollees.

Physical Effort:

No unusual physical effort required; may occasionally lift up to 10 lbs. Extended computer use is required. Must attend meetings at various locations throughout the Government Center and off-site locations statewide.

Working Conditions:

Standard office environment. Some in-state travel required for meetings or public speaking engagements. May require extended time beyond the standard workday during high-volume seasons/operations.

Required/Desired Skills

Skill	Required /Desired	Amount	of Experience
Bachelor's Degree in social work, public health, public administration or similar (consider 4-5 yrs. exp. in lieu of degree)	Required	0
Prior experience with Medicaid or Medicare care coordination and case management	Required	3	Years
Extensive understanding of Medicaid, waiver services and managed care, plus state laws, policies and procedures for Medicaid programs	Required	3	Years
Knowledge of state and federal laws, regulations and policies on addiction treatment	Required	3	Years
Experience managing federal or state grants, including budget oversight	Required	3	Years
Exp. working with a wide range of stakeholders, including people with lived experience, families, advocates and mental health or addiction providers	Required	3	Years
Exp. with planning, program development and program evaluation.	Required	3	Years
Exp. working with standard word processing, spreadsheet and database programs	Required	0
Indiana Navigator License	Highly desired	0

Questions

No.	Question
Question1	Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement?
Question2	What is your candidate s email address?
Question3	Where does your candidate currently reside (City & State)?
Question4	If selected for engagement, your candidate s hourly Pay Rate must be -. The Provider Markup for this position is 24%. Do you agree to these requirements?
Question5	Position is anticipated to last through 9/30/2027 with the possibility to extend longer. Does candidate accept this requirement?
Question6	Position is hybrid with field travel, 2 days in office, 3 days remote/travel. Does candidate accept this requirement?
Question7	Local travel is approximately 40-50% with occasional overnight travel required, expenses reimbursed for field travel. Does candidate accept this requirement?
Question8	Travel to the Indianapolis office for meetings, trainings, etc. is not reimbursed. Does candidate accept this requirement?