Job ID: IN-776637 (94691008)
Onsite/Local Healthcare PM with Medicaid/juvenile/behavioral/public system reform, EPSDT/TCM, CMS experience
Location: Indianapolis IN (Indiana Dept of Transportation – DOT – PQ Engineer)
Duration: 12 Months
Skills:
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
Description:
PM will assist in the statewide implementation and coordination of EPSDT and Targeted Case Management (TCM) services for Medicaid-eligible youth transitioning into and out of carceral or juvenile justice settings under the direction of the Government Affairs Director. This role ensures compliance with Section 5121 of the Consolidated Appropriations Act (CAA) of 2023 and aligns services with Indiana Medicaid’s whole-person, community-based care goals.
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.