Job Description

Work for Indiana

Grow your career with the State of Indiana! With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging projects across a broad scope of career opportunities. As a State of Indiana employee, you impact the well-being of Indiana\xe2\x80\x99s communities every day.
At the State of Indiana, we don\xe2\x80\x99t just talk about diversity and inclusion - Our goal is to create a welcoming, accessible, and equitable workplace, with a workforce that is representative of the State of Indiana population. As a proud equal opportunity employer, reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process, as well as perform the essential functions of a role.
Next Level benefits at the State of Indiana are here! Be sure to review our expanded benefit package offerings below.
About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 13 percent of the state\'s budget to ensure vital health care coverage to approximately 1 in 5 Hoosiers. OMPP strives to build programs and processes that enable Hoosiers to live in fully engaged communities and reach their greatest emotional, mental, and physical well-being. Our mission is to support individual and community well-being with effective and efficient programs, remarkable collaborations, measurable impact on individuals and communities, and an energized staff that is fully engaged with this mission.
Salary: This position traditionally starts at an annual salary of $53,222.00. Salary for this position may be commensurate with education and job experience.
Role Overview: The full working title of this role is: Third Party Liability Claims Analyst. This role ensures that the Health Coverage Programs (IHCP) are consistent and compliant with federal and state regulations regarding Medicaid as the payer of last resort. You will determine if a potentially liable third party exits and ensure the provider bills the third party first before sending the claim to Medicaid. Your role will also review claim appeals for all improperly denied claims. The ideal candidate will have a minimum of two years of college, an associate degree is preferred, plus three to five years of related work experience in billing, coding, and documentation compliance as well as a working knowledge of Medicaid, Medicare, commercial insurance, and managed care.

About the Job:

As the Program Director, you will be responsible for executing program activities that require critical thinking and application of program knowledge with independence and frequent reporting. In this position, you will be responsible for possessing extensive knowledge of a program area and acts as a technical consultant when clarifying or interpreting policy or procedure. Work assignments may involve developing recommendations for new program services or products or assessment of current programmatic activities.

A Day in the Life:

The essential functions of this role are as follows:

• Establish program objectives, KPIs, and actions to achieve them.
• Develop, update, and monitor all policies and procedures related to the program area.
• Interpret and explain policies, rules, regulations, or laws to leadership or customers.
• Implement corrective action plans to solve program problems.
• Analyze, prepare, and disseminate monthly and annual program reports.
• Review budget and make budgetary recommendations to improve the program area finances.
• Ensure program requirements meet federal and state policies and grants compliance.
• Assist in the development and train employees or agency consultants on program requirements and usage.
• Coordinator and deliver communication plans and communications.
• Serve as a liaison between agency and other state and federal agencies.
• Serve on management committees or other governing boards.
• Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development.
• Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. Ensure work adheres to quality standards, deadlines, and proper procedures.

The job profile is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

What You\'ll Need for Success:

You must meet the following requirements to be considered for employment:

• Specialized knowledge in program subject matter obtained through experience and/or education.
• Specialized knowledge of program area including pertinent rules and regulations.
• Extensive knowledge of all source materials and references including federal and state laws governing the programs.
• Ability to develop and implement new principles and policies and discern any far-reaching implications.
• Ability to communicate orally and in writing.
• The ability to apply general rules to specific problems to produce answers that make sense.
• Ability to work effectively with a wide variety of stakeholders.
• Working knowledge of accounting and budget principles.
• Ability to delegate work, set clear direction, and manage workflow.
• Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skillsets.

Supervisory Responsibilities/Direct Reports:

This role may serve as a team lead for an assigned work group. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

• Three (3) medical plan options (including RX coverage) as well as vision and dental plans
• Wellness Rewards Program: Complete wellness activities to earn gift card rewards
• Health savings account, which includes bi-weekly state contribution
• Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities
• Deferred compensation 457B account (similar to 401k plan) with employer match
• Two (2) fully-funded pension plan options
• A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
  • 150 hours of paid new parent leave
  • Up to 15 hours of paid community service leave
• Combined 180 hours of paid vacation, personal, and sick leave time off
• 12 paid holidays, 14 on election years
• Education Reimbursement Program
• Group life insurance
• Referral Bonus program
• Employee assistance program that allows for covered behavioral health visits
• Qualified employer for the Public Service Loan Forgiveness Program
• Free Parking for most positions
• Free LinkedIn Learning access

Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruit, select, develop, and promote employees based on individual ability and job performance. Our policy is to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, creed, religion, sex, national origin, ancestry, age, sexual orientation, gender identity, physical or mental disability, or veteran status. We will comply with the spirit as well as the letter of all applicable state and federal laws.
If you are a qualified individual with a disability and require reasonable accommodation in completing this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.
The State of Indiana has established a culture that welcomes equity, inclusion, and opportunity for all employees and applicants. We encourage you to apply if you feel you have the transferrable skills to be successful in this position and we look forward to reviewing your application.