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Vendor Manager

Date Posted:  Dec 1, 2021
Requisition ID:  226168
Location: 

Indianapolis, IN, US, 46202

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. We are proud to be an equal opportunity employer.

 

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 $ 47,720.00.   

About the Job:

The Program Director administers a program within a State Agency and serves as a specialist in this area.  Utilizes education, consultation, cooperative programming and coordination to accomplish goals.  The purpose of this position is to be responsible for overseeing and managing multiple state contracts that assist Medicaid members and the provider community in the continuum of care. 

A Day in the Life:

The essential functions of this role are as follows: 

  • Establish and maintain an extensive knowledge of all assigned contracts; serve as a subject matter expert on related programs and contract compliance within the Indiana Health Coverage Programs (IHCP); enforce compliance provisions as permitted by the contract
  • Represent the agency as the  primary contract compliance liaison with the executive staff of the assigned contract vendors; act on behalf of FSSA and OMPP leadership
  • Manage and coordinate all vendor operations performance in a consistent manner based on contract requirements, performance metrics, established IHCP manual policy and procedures and the applicable policy and procedures manuals; coordinate with appropriate OMPP program areas to ensure review and approval of changes.
  • Oversee vendor employee’s technology access and security approvals to ensure proper access to CoreMMIS and other data systems in compliance with agency, state and federal access guidelines. This includes screening for access needs, ensure proper training is completed and closing accounts timely to protect personal health information and data integrity.
  • Complete an in-depth analysis of ad hoc, monthly, quarterly, and annual reports to ensure compliance with contract requirements of reporting requirements and performance metrics; recommend improvements or changes as needed to align with FSSA objectives
  • Manage and coordinate, as assigned, with procurements, contract negotiation, and subsequent implementations, readiness reviews, and related activities
  • Conduct on-site and virtual compliance reviews, participate in vendor readiness reviews and support other activities including but not limited to corrective action in an effort to ensure high-quality service deliver.
  • Coordinate and respond to issues identified through assessment of reports and constituent inquiries; consult with FSSA legal counsel and work with legislators, the Office of the Governor and other state agency partners as needed to respond to constituent issues
  • Manage with the development of an annual schedule and topics for periodic onsite visits with contractors based on contract requirements and performance metrics; lead the development of periodic onsite tool with in depth questions of the onsite topic in advance; analyze the contractor responses in the onsite tool, reports, constituent inquiries, member/provider complaints and other resources; ensure appropriate items are escalated to the attention of relevant OMPP program areas.
  • Review contractor reporting, onsite presentations, provider and member documents, provider network, grievance and complaints to ensure members are receiving quality care and access services for state approval.
  • Develop agenda and facilitate meetings for on-sites with vendors to ensure in depth discussion of non-compliant issues, performance expectations, and action items for follow up to ensure compliance
  • Review contractor-generated communication and marketing materials on an ongoing basis to ensure compliance with program guidelines and State and Federal regulations; ensure review and approval is granted by appropriate OMPP program area
  • Take the lead and own other projects in support of the agency’s mission as assigned by supervisor, division executives, and agency leadership in collaboration with the Division Director

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:

A Bachelor’s degree in public health, public administration, business, or similar plus six plus years of experience required, a master’s degree preferred plus 2 years in related field.  

  • Working knowledge of rules, regulations and procedures related to Medicaid, public procurements, contracts, compliance and enforcement, and reporting requirements;
  • Extensive knowledge of state and federal laws, policies and procedures concerning the Medicaid Programs
  • Broad knowledge of divisional and agency objectives, programs, operations and procedures
  • Working knowledge of reporting systems and ability to accurately interpret complex statistical data and reports 
  • Ability to anticipate and evaluate problems that would create barriers to achieving goals and initiate corrective action measures
  • Ability to establish priorities, set deadlines and carry out periodic reviews; high degree of self-motivation and independent working
  • 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.  This includes ability to develop and conduct presentations to diverse groups of people including Chief Executive Officers of contractors
  • Ability to establish and maintain meaningful work relationships with professional groups, legislators, media and the public
  • Proficient with Microsoft Office suite, including SharePoint; advanced experience with Excel preferred
  • Incumbent must be innovative and persuasive, and be cognizant of the need to improve or initiate new policies/procedures that will allow service to Medicaid members to be delivered effectively and efficiently while managing fiscal responsibility.

Supervisory Responsibilities/Direct Reports:

This role may serve as a team lead for an assigned work group.

What You’ll Get in Return:  

The State of Indiana offers a comprehensive benefit package for full-time employees which includes: 

  • Three (3) medical plan options (including RX coverage) and vision/dental coverages 
  • Wellness program (offers premiums discount for the medical plan) 
  • Health savings account (includes bi-weekly state contribution) 
  • Deferred compensation account (similar to 401k plan) with employer match 
  • Two (2) fully-funded pension plan options 
  • Group life insurance 
  • Employee assistance program that allows for covered behavioral health visits 
  • Paid vacation, personal and sick time off 
  • Competitive leave policies covering a variety of employee needs 
  • 12 company paid holidays, 14 on election years 
  • Qualified employer for the Public Service Loan Forgiveness Program 
  • New Parent Leave 
  • Free Parking 
  • Free LinkedIn Learning 

 

Equal Employment Opportunity:

The State of Indiana is an Equal Opportunity Employer.

 

Current Employee? Click here to apply.


Nearest Major Market: Indianapolis