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Provider Relations Consultant

Date Posted:  May 11, 2022
Requisition ID:  271281
Location: 

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 (FSSA): 

The Division of Aging of the Family and Social Services Administration (FSSA) strives to foster networks that provide information, access and long-term care options that enhance choice, autonomy and quality of life for Hoosiers and is committed to helping Hoosiers find the information and resources they need. Our goal is to put knowledge in Hoosiers’ hands so they can make better decisions, not only for themselves but also for their loved ones.  

Services are coordinated and funded through Indiana’s network of Area Agencies on Aging and include the state-funded CHOICE program (Community and Home Options to Institutional Care for the Elderly and Disabled) and administration of two Medicaid waiver programs providing home- and community-based services for older adults and individuals of all ages with physical impairments; additionally, we support the development of alternatives to nursing home care and coordinates services through the statewide INconnect Alliance network. 

 

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:

​​As a Program Director, you will administer a program within a state agency and serve as the specialist in a specific area. The purpose of this position is to to ensure that high quality and person-centered services are provided to consumers by administering and monitoring oversight procedures that are in full compliance with all applicable state and federal requirements and to ensure that providers have the tools and knowledge to do so. 

A Day in the Life:

The essential functions of this role are as follows: 

  • Conduct onsite and desk reviews of providers applying for certification or recertification as Medicaid waiver providers.
  • Request and review provider documentation.
  • Review, respond, and monitor provider corrective action plans (CAPs) as needed to resolve areas of non-compliance.
  • Assist in incident report processing and review as well as preparation of education materials to address recognized trends in reports.
  • Assist in remediation activities and required report preparation for CMS compliance regarding health and safety assurances.
  • Formulate recommendations for sanctions and report all providers who are unable to correct areas of non-compliance to the Provider Relations Director. 
  • Conduct provider outreach and recruiting.
  • Develop and present training in order to effectively train and educate providers in small groups, large groups, individuals, and through webinars and other online trainings. 
  • Be accessible to all partners, including providers, to offer support, guidance, and assistance relating to the successful delivery of services to consumers. Should be accessible through the provider's preferred method, face to face, email, phone, etc.
  • Report any pertinent positive and negative operation impacts to the immediate supervisor.
  • Facilitate resolution of problems that may arise between providers or between providers and other entities.
  • Assist in preparation of reports as needed
  • Seek opportunities for continuous quality improvement and prepare recommendations for the Provider Relations Director. 
  • Other duties as assigned

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:

This person must have the following requirements to be considered for employment: 

  • Bachelor’s degree is required in any field plus a minimum of two years’ full-time direct-service experience with the elderly or disabled; or A master’s degree in a related field may substitute for the required experience.
  • Demonstrated history of accountability and initiative.
  • Demonstrated success as a self-starter capable of working effectively with minimal day-to-day direction.
  • Strong desire to impact the systems of care and supports that serve older Hoosiers and those with disabilities in order to increase their abilities to remain in their communities as long as possible
  • Desire to serve Hoosiers through effective fiscal stewardship.
  • Ability to learn complex regulatory and healthcare-related systems and terminology, and to use that information to make independent decisions and "judgement calls" in the administration of the program.
  • Demonstrated history of strong time management skills to meet deadlines in an environment with multiple priorities and complete timely, quality work.

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 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