Quality Improvement Manager

Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About The Family & Social Services Administration (FSSA) The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 18 percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 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. Role Overview The Quality Improvement Manager is a key regulatory oversight role responsible for evaluating, monitoring, and improving the quality and performance of Indiana’s Medicaid programs. In this role, you will oversee quality improvement activities across all Medicaid managed care organizations (MCOs), fee‑for‑service programs, Duals, and home‑ and community‑based services (HCBS) to ensure compliance with federal and state requirements. You will serve as a subject matter expert on Medicaid quality standards - overseeing program performance metrics, quality reporting requirements, and statewide quality improvement initiatives. This role focuses on interpreting federal regulations, analyzing program data, monitoring MCO adherence to contractual and regulatory obligations, and identifying opportunities for improvement across the Medicaid delivery system. As a part of the state’s quality oversight team, you will collaborate with internal teams, MCO quality departments, and federal partners to ensure Medicaid programs operate in alignment with CMS, NCQA, AHRQ, and state guidelines. You will coordinate quality interventions, guide improvement strategies, and support internal staff in applying quality improvement methodologies. T his position also represents the Office of Medicaid Policy and Planning (OMPP) in workgroups and interagency initiatives. The ideal candidate holds a degree in nursing, public health, or a related field that supports quality oversight work. At least three years of experience in public health or long-term care is required, and one year of clinical and supervisory experience is preferred. Experience with managed care quality requirements, NCQA accreditation standards, and Medicare quality regulations is highly desirable. A current, nursing license is preferred but not required. Salary The salary for this position traditionally starts at $75,010.00 but may be commensurate with education and work experience. Use our Compensation Calculator to view the total compensation package. A Day In The Life The essential functions of this role are as follows: Plan, organize, direct, monitor, and participate in ongoing comprehensive development and implementation of specialized programs and development within the agency. Determine, analyze, identify and implement long-range objectives and specifying the strategies, KPIs, and actions to achieve them. Analyze operations to evaluate performance of the specific program or its staff in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy change. Interpret and explain in-depth and complex policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals. Develop and implement corrective action plans to solve organizational or departmental problems. Prepare and present reports for approval, including those for funding or implementation of services to executive leadership. Develop and oversee program financial or budget activities to fund operations, maximize investments, or increase efficiency. Develop and monitor program requirements to ensure it meets federal and state policies and grants compliance. Develop and supervise training of employees and consultants on program requirements and usage. Develop, coordinator, and deliver communication plans and communications. Preside over, or serve on, boards of directors, management committees, or other governing boards. Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development. Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. Ensure work adheres to quality standards, deadlines, and proper procedures. What Youll Need For Success Individuals in this role should minimally be able to articulate or demonstrate the following: Extensive knowledge of the principles, practices, and techniques of a broad area of training and education, including texts and materials developed in the field. Thorough knowledge of the agency or institution’s functions, operations, and purpose. Considerable knowledge of experiential learning techniques. Practical knowledge of laws, rules, and regulations governing mandated training within the agency. Ability to develop, monitor and evaluate broad training programs. Ability to plan and conduct seminars, workshops, and training sessions. Ability to assemble training materials, including writing comprehensive manuals and assembling texts, films, slides, and characters. Ability to establish effective and cooperative working relationships with trainees, other instructors, and the entire agency staff. Effective communication skills. Ability to keep current on new trends, philosophies, and available materials regarding adult education. Ability to delegate work, set clear direction, and manage workflow. Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skill sets. A degree is not required. However, at least 12 + years of experience applying the outlined knowledge, skills, and abilities in a similar role may be considered. Completion of relevant education degree(s) may substitute for equivalent years of experience. Individuals should have the ability to perform essential functions with or without Supervisory Responsibilities/Direct Reports This role may provide direct supervision for one or more staff members. 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 Rewards Program: Complete wellness activities to earn gift card rewards Health savings account, which includes bi-weekly state contribution Deferred compensation 457(b) account (similar to 401(k) 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 and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers 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 and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at View email address on click.appcast.io . #J-18808-Ljbffr