Kimberly Gruzinsky

Experienced and detail-oriented professional with over 20 years of expertise in quality assurance, federal program compliance, and system integration within child welfare systems. Proven track record of leading teams, managing projects, and ensuring adherence to federal and state regulations. Adept at analyzing complex data, training personnel, and maintaining system integrity to support accurate financial reporting, auditing and program implementation.

Regulatory Manager - STATE OF INDIANA - Office of Medicaid Policy and Planning, Indianapolis, IN

(2025-01)

• Oversee staff workloads, delegate assignments, and track progress to ensure all project deadlines are met.
• Lead meetings with subject matter experts to review and discuss State Plan Amendments and rule changes.
• Analyze and prepare State Plan Amendment submissions for review by the Centers for Medicare & Medicaid Services (CMS).
• Monitor legislative bills throughout the session to assess potential impact and required agency action.
• Coordinate and track legislative task assignments to ensure timely completion of all deliverables.
• Review the State Plan, Indiana Code, and Indiana Administrative Code to ensure alignment and compliance.
• Maintain and update the State Plan to reflect approved amendments in a timely and accurate manner.

Programs Manager - Department of Child Services - Indianapolis, IN

(2015-01 - 2025-01)

• Conduct Quality Assurance on Title IV-E foster care, Probation, and Family Preservation cases to ensure compliance with federal regulations. Review case files to determine compliance with eligibility documentation for state and federal requirements.
• Manage staff workloads, delegate tasks, and monitor progress to ensure timely completion of all project deliverables.
• Develop and deliver training programs for new employees on Federal IV-E eligibility requirements and state system functionality.
• Prepare and present monthly reports summarizing quality assurance findings, performance trends, and staff productivity metrics.
• Collaborate with Probation Service Consultants and officers to troubleshoot and resolve case‑related issues.
• Support federal and state child welfare audit preparation by verifying documentation accuracy, completeness, and compliance with regulatory standards.
• Contribute to system integration efforts between the DCS Probation application and MaGIK to improve data consistency, reliability, and workflow efficiency.

Federal IV-E Specialist and Team Lead, Cost Allocation Specialist - MAXIMUS - Indianapolis, IN

(2005-01 - 2015-01)

• Led a team in conducting Quality Assurance reviews for Probation, Foster Care, and Emergency Assistance cases, ensuring compliance with Federal IV-E regulations.
• Developed and presented cost allocation plans, facilitating accurate federal claims and budget projections.
• Played a key role in the development and implementation of MaGIK and Centralized Eligibility Unit (CEU) systems, providing ongoing technical support and training.
• Assisted in automating the claiming process for juvenile justice cases in Illinois, improving efficiency and accuracy.
• Prepared quarterly federal reimbursement claims and conducted financial analysis to assess the impact of policy changes on budget allocations.
• Conducted training sessions for supervisors and case managers on federal policies and system updates.

Federal IV-E Quality Assurance Specialist - MAXIMUS (Mentor4 Service) - Indianapolis, IN

(2002-01 - 2005-01)

• Participated in revenue maximization case reviews for Title IV-E in multiple states, ensuring compliance and accuracy.
• Supervised a team of 20 eligibility specialists, overseeing foster care and adoption assistance case reviews.
• Implemented Quality Assurance procedures, improving the accuracy of eligibility determinations.
• Maintained communication with clients and stakeholders, addressing concerns and providing updates on case reviews.
• Adapted to changing procedures and policies across different states, ensuring consistent application of federal guidelines.

Bachelor of Science - Computer Information Systems, Operations Management, Business Process Management; Minor: Psychology - Indiana University, Bloomington, IN (2002-05)