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Eligibility Analyst

Date Posted:  Aug 5, 2022
Requisition ID:  375044

Indianapolis, IN, US, 46204


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 interview and to 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 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:  The annual minimum starting salary for this position is $ 35,568.00.  Salary may be commensurate with relevant experience/education.   


Next Level benefits at the State of Indiana are here! Be sure to review our expanded benefit package offerings below.


About the Job:

The Policy/Procedure Analyst is responsible for analyzing agency policy and procedures to facilitate efficient and effective service delivery and eliminate duplication of program services.  The role of this position is to function as an Subject Matter Expert on Medicaid eligibility policy for traditional medicaid and aged, blind, and disabled aid categories, and to provide technical assistance and policy guidance to staff in the DFR.

A Day in the Life:

The essential functions of this role are as follows:

  • Provide policy guidance to eligibility workers on case-specific questions via the Policy Answer
  • Line;
  • Analyze and interpret state and federal laws and regulations governing eligibility ;
  • Compose updates to the Program Policy Manual;
  • Monitor policies/procedures for effectiveness and recommend changes as needed ;
  • Complete second party reviews of Help Desk responses, analyzing the need for a Program
  • Change Request;
  • Respond to inquiries about eligibility in general and address specific case issues with appropriate
  • resolution;
  • Develop and maintain expert knowledge of eligibility policies and areas that affect eligibility
  • determination, particularly in the areas of treatment of resources, spousal impoverishment
  • (MCCA), disability processing, and Medicaid for various special populations such as those
  • residing in a nursing facility or receiving Home and Community Based Waiver services;
  • Participate in system enhancement projects;
  • Complete special projects and other duties, including Supplemental Assistance for Personal
  • Needs Program (SAPN) oversight;
  • Establish cooperative working relationship within other sections of OMPP and FSSA.
  • Work with state partners to research and resolve issues with the transition from managed care to traditional Medicaid.
  • Performs other duties as assigned in support of agency mission.

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.

What You'll Need for Success:

Bachelor’s Degree with one year of Medicaid eligibility experience; must have previous experience with the state eligibility system.

  • Extensive knowledge of all source materials and references, including Federal and state laws
  • governing Medicaid Eligibility;
  • Must be analytical with keen ability to focus on detail;
  • Ability to analyze and predict effects of program changes on actual work operations of a group;
  • Ability to resolve eligibility issues with professionalism;
  • Ability to prioritize, analyze, interpret technical and legal material, and make recommendations on implementation;
  • Ability to use standard computer word processing, spreadsheet and data base programs as
  • needed for research and analysis;
  • Ability to compile/present complex recommendations in areas of policy and procedure;
  • Must communicate effectively, both orally and in writing; must be able to interact with diverse populations, communicate effectively and appropriately with each and to maintain a high level of professionalism

Supervisory Responsibilities/Direct Reports:

This role does not provide direct supervision to direct reports.

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 program (offers premium discount for the medical plan and gift cards)
  • 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.


Current Employee? Click here to apply.

Nearest Major Market: Indianapolis