OPEN POSITIONS
Medicaid Waiver Specialist
REQUIREMENTS
Location: Indianapolis, Indiana – this position is a hybrid position but needs to be located in central Indiana to be onsite with partners as needed.
Summit Managed Solutions partners with healthcare organizations to help them solve their most complex problems. Part strategy consulting, part tech-enabled professional services, our team is a diverse mix of experienced problem solvers who work with partners to create innovative solutions with enduring value.
JOB SUMMARY
The Medicaid Waiver Modification Specialist supports the execution of the Medicaid Waiver Home and Vehicle Modification Program Team to meet the needs of members receiving the Home and Community Based Services (HCBS) PathWays Waiver. This waiver service is intended to allow members to age in place by removing barriers to habitability and create accommodation such as ADA and/or safety accommodations. This will require detailed coordination with the State of Indiana, members and caregivers, service coordinators, and providers completing the home modification for members. We are seeking an individual who exhibits a high-level of professionalism, a passion for innovation, and a business style that is scrappy, strategic, creative, team-oriented, hands-on, and collaborative.
What You'll Do:
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Gather information from members and external providers regarding home and vehicle modification projects under the Medicaid HCBS Waiver and supports care and service coordination teams in moving the project forward to completion.
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Provides information regarding network providers or general program information when requested.
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Acts as a liaison between coordinators and external providers ensuring the coordination and completion of home and vehicle modifications. May also act as a liaison between other internal departments and external entities.
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Maintains and updates tracking databases to show an up to date, detailed status of new and ongoing home and vehicle modifications.
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Keeps stakeholders updated about progress or barriers to progress regarding home and vehicle modifications.
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Prepares reports and documents all actions to submit to compliance, internal stakeholders, and ad hoc leadership needs.
What You'll Need:
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1-3 years of experience as an administrative or executive assistant; preferably in a healthcare industry or similar setting.
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Manage multiple responsibilities or projects with competing deadlines.
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Comfortable maintaining clear, detailed, and accurate records.
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Strong customer services skills with multiple stakeholders and serve as a communication liaison among parties.
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Handling sensitive and confidential information with discretion and compliance with HIPAA regulation.
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Self-starter who can thrive in an unstructured and collaborative team environment.
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Ability to be onsite with partners in Indianapolis as needed.
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Will be required to travel to community partner locations in Indiana.
What we offer:
We offer a competitive salary and benefits package, including unlimited PTO to encourage a healthy work-life balance, a company-funded Personal Giving Account for philanthropy at your discretion, and opportunities for professional development and growth.
If you are passionate about making a positive impact in healthcare, we encourage you to apply and become part of our dedicated team.
EQUAL OPPORTUNITY EMPLOYER
Summit Managed Solutions is an equal opportunity employer, and we value diversity at our company. We do not just accept diverse backgrounds, we celebrate them. Our company, the work we do, and our partners benefit from the value of a diverse team. No team member's value lies alone in their diversity, and because we value diversity so highly, we reiterate that all hiring and employment decisions are made on merit, performance, competence, and business needs. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
WHAT WE OFFER
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Competitive salary plus bonus plan
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Medical, dental & vision Insurance with employer HSA contribution
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Company paid STD/LTD and Life Insurance
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Unlimited PTO plan to encourage a healthy work - life balance
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Paid company holidays
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401k with company contribution
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Company funded Personal Giving Account for philanthropy at your discretion
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Monthly technology stipend to help cover additional working expenses
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A fun, collaborative, entrepreneurial environment with support from empathetic leaders
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The opportunity to create, build and grow innovative solutions with world class partners
WHAT WE VALUE
WE TAKE INITIATIVE
We have a bias for action. We make decisions with imperfect information and quickly move forward. We are comfortable with discomfort. We learn, we iterate, and we progress.
WE IMPACT
We have exceptionally high standards and strive to add value through all interactions. We seek, uncover, and speak truth. We measure our success in terms of what we build for partners.
WE INNOVATE
We dream big and we lead through vision. We challenge the status quo and push boundaries. We’re optimists who ignite positive transformations.
ABOUT INDIANA MEDICAID
Medicaid is a health program that provides insurance and benefits for specific populations in the US. The Federal government establishes general guidelines for the administration of Medicaid benefits. Individual states are charged with administering Medicaid so eligibility requirements and the type and scope of services provided can vary by state.
In Indiana, there are 4 main Medicaid programs: Healthy Indiana Plan (HIP), Hoosier Healthwise (HHW), Hoosier Care Connect (HCC), and PathWays. HIP covers Indiana residents ages 19 to 64 who meet specific income levels. HHW covers children up to age 19 and pregnant women. HCC covers individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. PathWays will launch in 2024 and covers Hoosiers aged 60 and over who receive Medicaid (or Medicaid and Medicare) benefits.
The state of Indiana contracts the administration of its Medicaid programs (a term known as Managed Care) to insurance companies like Elevance Health (formerly known as Anthem), Humana, CareSource, MDwise, UnitedHealthcare, and others. These insurance companies are responsible for ensuring the care of their members and do way more than just process claims and provide a network of doctors and hospitals. These companies also ensure members have reliable transportation to appointments, have access to healthy food, educate youth on the importance of annual physicals, provide nurse case managers to members with chronic illnesses, provide member resources for stable housing, convene events and celebrations in communities, collaborate with professional sports teams to raise awareness of health issues, coordinate in-home care, deliver dental hygiene kits to churches, implement telemedicine solutions to help those living in rural areas, guide first-time-mothers through their pregnancy journey, and the list goes on!