Project Manager (Medicaid)

Key Responsibilities:

Strategic Program Oversight

• Lead the development and implementation of statewide policy and operational models for EPSDT and TCM delivery to justice-involved youth.
• Oversee design and execution of a Medicaid delivery model ensuring care continuity 30 days before and after facility discharge.
• Collaborate with Indiana Department of Correction (IDOC), Department of Child Services (DCS), courts, providers, and Managed Care Entities (MCEs).

Policy & Compliance

• Partner with state stakeholders on Medicaid policy to implement Section 5121 (CAA 2023).
• Assist in preparation of the 1115 waiver and other CMS deliverables.
• Ensure adherence to CMS EPSDT and TCM requirements and audit readiness.

Care Coordination & Systems Integration

• Develop workflows integrating juvenile facilities, managed care, behavioral health, and primary care services.
• Establish mechanisms for referrals, enrollment, and follow-up during pre- and post-release.
• Promote trauma-informed, culturally competent care models.

Data, Quality, & Evaluation

• Oversee creation of KPIs, dashboards, and evaluation strategies.
• Track service access, care continuity, and health outcomes.
• Coordinate with FSSA to integrate eligibility, claims, and transition data.

Stakeholder Engagement & Technical Assistance

• Facilitate statewide stakeholder groups, task forces, and cross-sector trainings.
• Provide technical assistance to MCEs, juvenile justice staff, and local partners.
• Support Government Affairs Director in CMS discussions.

Required Skills & Qualifications:

• 5+ years of Project Management experience (preferably in Medicaid, juvenile justice, behavioral health, or public systems reform).
• Strong knowledge of project management methodologies, tools, and best practices.
• Bachelor s degree in Social Work, Criminal Justice, Psychology, or related field.
• Experience developing and implementing policies and operational models.
• Expertise in KPIs, dashboards, and evaluation strategies.
• Strong communication skills (written & verbal) for both technical and non-technical stakeholders.
• Excellent organizational and time management skills to manage multiple priorities.

Desired Skills:

• Knowledge of EPSDT, TCM, Medicaid managed care, or juvenile justice systems.
• Project Management certification (PMP or equivalent) or large-scale implementation experience.
• Familiarity with Indiana s healthcare delivery system and Medicaid waiver/SPAs.
• Experience implementing CMS policy changes or new Medicaid benefits.
• Background working with justice-involved individuals.
• Public-sector or government project experience.

Additional Requirements:

• Must be currently located in Indiana.
• Must pass FSSA fingerprint check prior to engagement.
• Must attend in-person interview.
• Must accept onsite work schedule and 30% in-state travel.
• Must agree to absence approval policies and maintain contact information during any extended leave.