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Medicaid Reviewer Date Posted: Jan 23, 2024 Requisition ID: 436439 Location: Kokomo, IN, US, 46902 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’s communities every day. At the State of Indiana, we don’t 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 Division of Family Resources (DFR) within the Family and Social Services Administration (FSSA) is responsible for establishing eligibility for Medicaid, Supplemental Nutrition Assistance Program and Temporary Assistance for Needy Families benefits. The division also manages the timely and accurate delivery of SNAP and TANF benefits. DFR also provides employment and training services to some SNAP and TANF recipients. The division’s overarching focus is the support and preservation of families by emphasizing self-sufficiency and personal responsibility. Salary: This position traditionally starts at an annual salary of $39,000.00. Salary for this position may be commensurate with education and job experience. Role Overview: This role examines and analyzes individual Medicaid eligibility reviews to determine if state and federal policies and procedures are being correctly followed. Your role will report on these findings and will cover all categories of Medicaid cases. The ideal candidate will have experience in using the Indiana Eligibility Determination Services System (IEDDS), a high degree of proficiency in Medicaid case processing and thorough policy knowledge. A Day in the Life: The essential functions of this role are as follows:
Research and interpret federal regulation changes and/or requirements.
Research and develop service innovations and issues for presentation to the Human Services staff and appropriate committees.
Research and establish database for specific human services areas.
Develop program service descriptions.
Collect and analyze social services data for planning purposes.
Solicit, incorporate, and maintain citizen participation in the planning process, which involves public meeting on local level.
Act as a consultant to, and specialist in, specified program areas such as child abuse and neglect, development disabilities, mental illnesses, physical disabilities, family services, etc.
Review state legislative proposals and actions.
Maintain coordination and communication with other administrative units in the programs.
Research and make recommendations needed in the development and consequent publication of the Annual Comprehensive Services Plan.
Conduct on-going needs assessment for services.
The job description 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 requirement to be considered for employment:
Specialized knowledge of the Federal Program Statutes and ability to interpret applicable rules and regulations.
Specialized knowledge of planning within social service program areas such as child abuse and neglect, developmental disabilities, mental illness, physical disabilities, family services, etc., of all state agencies, local agencies and organizations and planning groups.
Specialized knowledge of research procedures and activities.
Ability to relate to agency personnel on a local, state, interstate, and regional level.
Ability to write clear and concise program descriptions, research papers, correspondence, and procedures.
Ability to travel on a limited basis to various regions of the state to gather research, hold planning meetings and public hearings with other planning agencies.
Effective communication skills.
Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs.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 [emailprotected].
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.
Current Employee? Click here (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bpltecompany=indianaoff) to apply.
