Quality Analyst
Quality Analyst Date Posted: Apr 9, 2024 Requisition ID: 441525 Location: Indianapolis, IN, US, 46204 Work for IndianaBegin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. At the State of Indiana, we don’t just talk about diversity and inclusion—we make it our goal to create a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's 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. 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 18 percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 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. Role Overview: Indiana Medicaid currently provides health coverage for over 2-million Hoosiers. Assuring that children and adults on Medicaid get services, however, is not enough. We must also make sure that those services improve lives. That is why we are seeking a leader to help us develop high quality programs with meaningful outcomes. By monitoring their quality requirements, this role will assure the access, quality, and cost-effectiveness of Medicaid programs and services. You will work closely with the quality, clinical, and contract compliance staff in monitoring the quality requirements developed specific to the Hoosier Healthwise, Healthy Indiana Plan, and Hoosier Care Connect programs administered by the five Managed Care Entities (MCEs). You will also play a key role in transforming how we care for older Hoosiers through analysis of long-term services and supports performance measures, value-based purchasing and pay for outcomes incentives. The ideal candidate will have a bachelor's degree plus experience in medical quality assessment and will be dedicated to effecting meaningful change in the service of our most vulnerable neighbors. A master's degree in Public Health or closely related field is preferred. Salary: This position traditionally starts at an annual salary of $59,800.00. The Salary for this position may be commensurate with education and job experience. A Day in the Life: The essential functions of this role are as follows:
Establish and monitor program objectives, KPIs, and actions to achieve them.
Direct, plan, or implement policies, objectives, or activities of organizations or businesses to ensure continuing operations, or to increase productivity.
Interpret and explain policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals.
Recommend and implement corrective action plans to solve program problems.
Prepare reports for approval, including those for funding or implementation of services.
Direct or coordinate the financial or budget activities to fund operations, maximize investments, or increase efficiency in the specified program.
Ensure program requirements meet federal and state policies and grants compliance.
Develop, train employees or agency consultants on program requirements and usage.
Coordinate and deliver communication plans and communications.
Serve on boards of directors and management committees.
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: The ideal candidate in this role should minimally have either
a Master’s Degree with 3+ years of experience, or
a Bachelor’s Degree with 5+ years of experience, or
a Associate’s Degree with 7+ years of experience, or
at least 9+ years of experience applying the below, outlined knowledge, skills, and abilities in a similar role.
You must meet the following requirements to be considered for employment:
Specialized knowledge in program subject matter obtained through experience and/or education.
Extensive knowledge of provider agencies and their programs and services.
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 present to both internal and external customers, the public, government officials, and other stakeholders.
Analyzing information and evaluating results to choose the best solution and solve problems.
Ability to work effectively with a wide variety of stakeholders.
Ability to prepare monthly finance and accounting reports to maintain program budget and grants.
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 recruiting, selecting, developing, and promoting 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 accommodations to complete 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.
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