Overview
On Site
Depends on Experience
Accepts corp to corp applications
Contract - W2
Contract - Independent
Contract - 12 Month(s)
Skills
Health Care
Medicaid Managed Care
Regulatory Compliance
Project Management
Medicaid
juvenile justice
behavioral health
Job Details
Job Description:
Key Responsibilities
Strategic Program Oversight
Coordinate the development and implementation of statewide policy and operational models for EPSDT and TCM service delivery to juvenile justice-involved youth.
Coordinate the internal collaborations for design and oversee a Medicaid delivery model that ensures care continuity 30 days before and after discharge from carceral settings.
Ensure Collaboration with Indiana Department of Correction (IDOC), Department of Child Services (DCS), courts, providers, and Managed Care Entities (MCEs).
Policy & Compliance
Ensure Collaboration on Medicaid Policy for implementation of Section 5121 (CAA 2023).
Assist state with the 1115 waiver preparation, or other CMS deliverables as needed.
Ensure all activities comply with CMS EPSDT and TCM requirements and are audit-ready.
Care Coordination & Systems Integration
Develop workflows that connect juvenile facilities, managed care, behavioral health, and primary care services.
Establish mechanisms for referral, enrollment, and follow-up during the pre- and post-release periods.
Ensure implementation of trauma-informed, culturally competent care planning models.
Data, Quality, & Evaluation
Oversee development of key performance indicators (KPIs), dashboards, and evaluation strategies.
Monitor metrics related to service access, care continuity, and health outcomes.
Work within FSSA to ensure eligibility, claims, and transition data are integrated.
Stakeholder Engagement & Technical Assistance
Facilitate statewide stakeholder groups, task forces, and training for cross-sector teams.
Provide technical assistance to MCEs, juvenile justice staff, and local partners.
Assist Government Affairs Director as needed with CMS discussions.
Skill | Required / Desired | Amount | of Experience |
Strong PM experience preferably with Medicaid, juvenile justice, behavioral health, or public systems reform projects | Required | 5 | Years |
Strong understanding of project management methodologies, tools, and best practices | Required |
Bachelor's degree in social work, criminal justice, psychology or related field | Required |
Experience developing and implementing policies and operational models | Required |
Experience with KPIs, dashboards, and evaluation strategies | Required |
Experience facilitating stakeholder groups, task forces, and training | Required |
Exceptional communication skills (written and verbal) to effectively convey technical information to both technical and non-technical stakeholders | Required |
Strong organizational and time management skills to handle multiple projects simultaneously and meet tight deadlines | Required |
Knowledge of EPSDT, TCM, Medicaid managed care, or juvenile justice systems | Highly desired |
Project management certification or equivalent large-scale implementation experience | Highly desired |
Familiarity with Indiana s health care delivery system and Medicaid waiver/SPAs | Highly desired |
Experience implementing CMS policy changes or new Medicaid benefits | Highly desired |
Experience working with justice-involved individuals. | Highly desired |
Experience working in a government or public-sector environment is advantageous, as it provides insight into the unique challenges and requirements | Highly desired |
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