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Quality Reporting Analyst Full-time

at State of Indiana Indiana in Indiana (Published at 21-07-2022)

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.

The annual minimum starting salary for this position is $ 41,574.00. 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 be responsible for administering a program within a state agency and serve as the specialist in a specific area. In this position, you will utilize education, consultation, cooperative programming, and coordination to accomplish goals. This role is responsible for the development and completion of multiple support tools provided to state staff and key stakeholders. In collaboration with management staff, this role assesses approximately 300 monthly, quarterly, and annual reports submitted by the four Managed Care Entities (MCEs) contracted with the state to provide healthcare services through the Healthy Indiana Plan (HIP), Hoosier Care Connect (HCC) and Hoosier Healthwise programs.

A Day in the Life:

The essential functions of this role are as follows:

  • Verify that required weekly, monthly, quarterly, and annual reports from the MCEs are submitted via SharePoint and analyzed for compliance with documented submission timeframes and data specifications.
  • Retrieve weekly, monthly, quarterly, and annual reporting submitted by the MCEs from the secure FTP site, format data, and post to the shared drive for use by all OMPP Quality and Outcomes staff. .Develop a schedule to ensure regular receipt and review of ad hoc, weekly, monthly, quarterly, and annual performance reports submitted by the MCEs.
  • Distribute reports to other sections/departments within OMPP including pharmacy, program integrity, and reimbursement.
  • Develop the necessary tools to be used by OMPP Quality and Outcomes staff to evaluate access, quality, and the cost-effectiveness of the Hoosier Care Connect, Hoosier Healthwise, and Healthy Indiana Programs.
  • Monitor performance, activities and plans for the MCEs through the development of ten quarterly dashboards for identification of trend analysis and contract compliance.
  • Analyze performance and quality outcomes data, make recommendations as needed, and monitor process improvements and corrective action plans based on results.
  • Responsible for scheduling and coordinating quarterly meetings with various sections of OMPP to gather input regarding data quality and identified anomalies .
  • Responsible for providing written feedback to the MCEs specific to data submitted, requesting review and feedback, and providing MCE responses to the appropriate MCE sections.
  • Extensive working knowledge of MCE managed care contracts with emphasis on the priority reports and pay for outcomes sections.
  • Extensive working knowledge of the MCE reporting manuals including the report templates and specifications. Participates in the revision of current reporting manual and development of new reports.
  • Provides technical assistance as needed for the MCEs specific to reporting specifications.
  • Responsible for the annual Adult Core Quality measures submission to CMS. Selects the measures to be reported, submits appropriate data request to FSSA, develops a complete measure table using audited MCE HEDIS tables, weights the results appropriately, and submits all data and information accurately via the CMS portal.
  • Responsible for maintaining updated Quality and Outcomes Reporting, contract amendments, and the annual EQR and Quality Strategy reports as part of the Medicaid Policy Home site on the FSSA Transparency portal

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:

You must meet the following requirements to be considered for employment:

  • A Bachelor?s degree required, a Master of Public Health degree or closely related field preferred
  • Working knowledge of rules, regulations and procedures related to the managed care plans, contracts, and reporting requirements;
  • Understanding of Indiana Health Coverage Programs (IHCP) and managed care environment in Indiana;
  • Ability to organize work and meet timelines with little direct supervision; must be self-motivated;
  • Ability to establish and maintain effective working relationships with staff and Managed Care Organizations;
  • Proficient with Windows, Microsoft Office suite, and SharePoint; advanced Excel expertise desired;
  • Ability to construct appropriate and rational recommendations for program enhancement/improvement from analysis of program data, including implementation strategies; and,
  • Ability to facilitate productive communication and collaboration with internal and external stakeholders in writing and verbally;

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

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