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.

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JOB SUMMARY

We are seeking a Program Director of Provider Integration to serve as the primary liaison between the health plan and provider-facing teams, ensuring alignment, transparency, and collaboration across strategic and operational priorities. This position plays a critical role in translating enterprise strategy into actionable execution at the network level, facilitating clear communication, partnership engagement, and shared accountability. The Director functions as both a connector and advisor, representing network perspectives to health plan leadership while ensuring network teams are supported, informed, and equipped to achieve health plan objectives.

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We are seeking an individual with experience in healthcare operations 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.

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What You'll Do:

• Serve as the primary liaison between health plan leadership and provider-facing teams, fostering open communication and partnership alignment

• Represent the health plan in strategic network discussions, ensuring consistent and coordinated messaging across departments and initiatives

• Coordinate and disseminate health plan initiatives, ensuring network readiness, engagement, and successful implementation

• Promote cross-functional collaboration to synchronize efforts and deliver unified direction to network partners

• Support integration and alignment efforts for new programs, partnerships, or delivery models across the network

• Develop and maintain relationship management frameworks to enhance partner engagement, accountability, and performance outcomes

• Champion a culture of transparency and partnership, ensuring that both health plan and network objectives are aligned toward shared success

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What You'll Need:

• Requires a Bachelor’s degree (BA/BS) and a minimum of 3 years of related business analysis experience, specifically in Medicaid, or any combination of education and experience which provides an equivalent background.

• Experience in large complex healthcare organizations or consulting firms preferred

• Strong knowledge of systems capabilities and Medicaid business operations is highly preferred.

• Excellent oral, written, and interpersonal communication skills

• Strong problem-solving, facilitation, and analytical skills

• Experience in Medicaid network regulatory reporting and use of geo-access software is preferred.

• Strong Microsoft Excel skills and the ability to manipulate large data sets

• Ability to solve complex Medicaid data issues and conduct provider directory auditing

• Demonstrated ability to manage through change and willingness to take on work, at times, outside of defined role to support small business team dynamic 

• Skilled communicator who is comfortable, effective, and influential in meetings with senior management teams

• Self-starter who can thrive in an unstructured and collaborative team environment

• Ability to be onsite with partners in Indianapolis as needed

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Additional Requirements:

• If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a ‘sensitive position’ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions

• Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role-specific training, monitoring of daily job functions, and sensitive data handling instructions

• Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed

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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. 

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If you are passionate about making a positive impact in healthcare, we encourage you to apply and become part of our dedicated team.

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EQUAL OPPORTUNITY EMPLOYER​​

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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

• Competitive salary plus bonus plan

• Medical, dental & vision Insurance with employer HSA contribution

• Company paid STD/LTD and Life Insurance

• Unlimited PTO plan to encourage a healthy work - life balance

• Paid company holidays

• 401k with company contribution

• Company funded Personal Giving Account for philanthropy at your discretion

• Monthly technology stipend to help cover additional working expenses

• A fun, collaborative, entrepreneurial environment with support from empathetic leaders

• The opportunity to create, build and grow innovative solutions with world class partners

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WHAT WE VALUE

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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.

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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.  

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ABOUT INDIANA MEDICAID

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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, 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!​​