Pregnancy Promise Program Project Specialist

SH-1082- Pregnancy Promise Program Project Specialist, Indiana.

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)

Syra Health Corp is an Equal Opportunity Employer and does not discriminate on the basis of race or ethnicity, religion, sex, national origin, age, veteran disability or genetic information or any other reason prohibited by law in employment.