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Indiana Medicaid Jobs (NOW HIRING)

Spark Recovery

Therapist

Indianapolis, IN

$60K - $75K/yr

Your expertise in substance abuse counseling and knowledge of Indiana Medicaid guidelines will contribute to the overall success of our program. Responsibilities: - Conduct initial assessments and ...

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How much do indiana medicaid jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for indiana medicaid in the United States is $27.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.69 per hour, depending on experience, location, and employer.

What is Indiana Medicaid?

Indiana Medicaid is a state and federally funded program that provides health coverage to eligible low-income individuals and families in Indiana. It helps cover costs for medical care such as doctor visits, hospital stays, prescription drugs, and long-term care. Eligibility is based on factors like income, household size, age, disability status, and pregnancy. The program includes several coverage categories, such as Hoosier Healthwise for children and pregnant women, and the Healthy Indiana Plan (HIP) for adults. Applying for Indiana Medicaid can be done online, by mail, or in person at local Division of Family Resources offices.

What is the difference between Indiana Medicaid vs Indiana Medicaid Eligibility Specialist?

AspectIndiana MedicaidIndiana Medicaid Eligibility Specialist
Primary RoleProvides healthcare coverage to eligible individuals and familiesAssesses and determines eligibility for Medicaid benefits
Required CredentialsVaries; often includes healthcare or social service backgroundHigh school diploma or equivalent; training in eligibility determination
Work EnvironmentHealthcare facilities, community clinics, online portalsGovernment offices, social service agencies
Employer & IndustryState government, healthcare industryState government, social services

Indiana Medicaid is a healthcare program providing coverage, while Indiana Medicaid Eligibility Specialists focus on evaluating applicants' eligibility for the program. Both roles are essential in ensuring access to healthcare services for eligible residents, with the eligibility specialist serving as the gatekeeper for benefits.

What are some common challenges faced by professionals working in Indiana Medicaid roles?

Professionals working in Indiana Medicaid roles often navigate complex regulations and frequent policy updates, which can be challenging to keep up with. Additionally, they may handle sensitive information and work with individuals experiencing financial or health-related hardships, requiring strong interpersonal and problem-solving skills. Collaboration with healthcare providers, government agencies, and clients is frequent, so effective communication and adaptability are essential for success in this role.

What are the key skills and qualifications needed to thrive as an Indiana Medicaid Specialist, and why are they important?

To thrive as an Indiana Medicaid Specialist, you need a solid understanding of Medicaid policies, eligibility requirements, and case management, usually supported by a degree in social work or a related field. Familiarity with Medicaid management information systems (MMIS), state databases, and electronic case documentation tools is typically required. Strong communication, problem-solving, and attention to detail are crucial soft skills for effectively assisting clients and managing complex cases. These skills ensure accurate eligibility determination, compliance with regulations, and improved access to healthcare services for vulnerable populations.
More about Indiana Medicaid jobs
What cities are hiring for Indiana Medicaid jobs? Cities with the most Indiana Medicaid job openings:
What states have the most Indiana Medicaid jobs? States with the most job openings for Indiana Medicaid jobs include:
What job categories do people searching Indiana Medicaid jobs look for? The top searched job categories for Indiana Medicaid jobs are:
Indiana Medicaid jobs near you
Infographic showing various Indiana Medicaid job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 15% Part Time, and 10% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $57,922 per year, or $27.8 per hour.

Subject Matter Expert - Credentialing (State of Indiana)

Calpion/Plutus Health

Addison, TX • On-site

Full-time

Posted 4 days ago

Job description

Salary:

Role Summary

The Subject Matter Expert (SME) Provider Credentialing (Indiana) serves as the authoritative resource for all credentialing, re-credentialing, and enrollment activities within the state of Indiana. This role provides strategic guidance, issue resolution, and subject expertise across Medicare, Indiana Medicaid, and commercial payers, ensuring regulatory compliance, payer alignment, and timely provider onboarding. The SME works closely with clients, internal teams, and offshore credentialing partners to address complex credentialing scenarios and optimize operational outcomes specific to Indiana.


Core Responsibilities

  • Act as the primary Subject Matter Expert for Indiana provider credentialing, including state-specific rules, timelines, and payer nuances
  • Provide expert guidance on initial credentialing, re-credentialing, and enrollment for Medicare, Indiana Medicaid (IHCP / Hoosier Healthwise, HIP, MCOs), and commercial payers
  • Serve as the escalation point for complex Indiana credentialing cases, denials, and payer delays
  • Interpret and apply Indiana-specific regulatory and payer requirements to ensure compliance and accuracy
  • Guide offshore and internal teams on Indiana Medicaid enrollment processes, including MCO credentialing workflows
  • Review provider applications and documentation for state-specific completeness and accuracy
  • Engage directly with Indiana payer enrollment departments to resolve issues and accelerate approvals
  • Ensure provider data accuracy across CAQH, PECOS, NPPES, and payer portals relevant to Indiana
  • Maintain oversight of credentialing trackers and dashboards with a focus on Indiana-based providers
  • Support internal and external audits, ensuring adherence to HIPAA and Indiana payer guidelines
  • Collaborate with sales and client success teams to provide Indiana credentialing expertise during onboarding and expansion
  • Contribute to process improvements, SOP development, and training materials related to Indiana credentialing


Indiana-Specific Expertise

  • In-depth knowledge of Indiana Health Coverage Programs (IHCP)
  • Experience with Hoosier Healthwise, Healthy Indiana Plan (HIP), CareSource, Anthem Indiana, Managed Health Services (MHS), UnitedHealthcare Community Plan Indiana
  • Familiarity with Indiana Family and Social Services Administration (FSSA) credentialing requirements
  • Understanding of Indiana Medicaid revalidation and enrollment timelines
  • Expertise in Indiana-specific payer escalation paths and common enrollment bottlenecks


Required Qualifications

  • 10+ years of U.S. provider credentialing experience, with deep hands-on expertise in Indiana credentialing
  • Strong working knowledge of Indiana Medicaid, Medicare, and commercial payer enrollment
  • Extensive experience using CAQH, PECOS, NPPES, and Indiana-relevant payer portals
  • Proven ability to resolve complex credentialing issues and guide teams through escalations
  • Excellent communication, documentation, and stakeholder management skills


Tools & Systems

  • CAQH, PECOS, NPPES
  • OIG, SAM, Indiana Medicaid Exclusion Lists
  • Medicare Opt-Out List
  • Social Security Death Master File (SSDMF)
  • Payer portals: Anthem Indiana, UHC Indiana, Cigna, Humana, Indiana Medicaid MCO portals
  • Credentialing dashboards and Excel-based trackers