Compliance Reviewer Job Listing at Texas Health and Human Services in Austin, TX (Job ID 9620-en_US)

Description

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Compliance Reviewer 
Job Title: Compliance Reviewer 
Agency: Health & Human Services Comm 
Department: Compliance & Oversight 
Posting Number: 9620 
Closing Date: 10/10/2025 
Posting Audience: Internal and External 
Occupational Category: Community and Social Services 
Salary Group: TEXAS-B-22 
Salary Range: $4,801.16 - $7,761.50 
Pay Frequency: Monthly
Shift: Day 
Additional Shift: Days (First) 
Telework: Eligible for Telework 
Travel: Up to 45% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Nonexempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 7701 METROPOLIS DR 100 
Other Locations:  
MOS Codes: 6016,6017,8012,8056,1S0X1,2A7X2,2F0X1,43HX,4E0X1,640A,68R,86M0,87G0,87I0,87Q0,8I000,8I100,8S000,AD 
LS,ME,MSSD,MSSE,MSSR,MST,OAP11,OAP14 
 
 

This position can be filled STATEWIDE

Market Rate for this position is $5736.20 monthly.

Brief Job Description:

Under the supervision of the Quality Assurance Regional Programs (QARP) Manager, the QARP Compliance Reviewer (CR) reviews certification and licensure forms that resulted in a deficient practice for Licensed only Facilities to include Assisted Living Facilities (ALF), Day Activity and Health Services (DAHS), Individualized Skills and Socialization (ISS) and Prescribed Pediatric Extended Care Centers (PPECC).  The QARP CR participates in review committees, prepares data for review, and assists in identifying regional trends and patterns.

The QARP CR Performs advanced technical and professional reviews of certification surveys, licensure inspections, and investigations conducted in long term care facilities to determine compliance with state/federal requirements and protocols, and Long-Term Care-Regulatory (LTCR) policies and procedures. The QARP CR logs, facilitates and participates in IJ/IT vetting calls.  This position also transforms qualitative data into quantitative data and assists with in-depth analysis of qualitative and quantitative program-specific data. This position also interprets statistical evidence and develops work plans, reports, and documentary support for program development and assessment. This position may be required to cross train in other provider types, and performs other duties as assigned.

Essential Job Functions (EJFs):

Performs advanced technical and professional reviews of survey forms to ensure appropriateness and completeness based on the Principles of Documentation (PoD), The Centers for Medicaid and Medicare Services (CMS) State Operations Manual (SOM), compliance with state/federal regulations, and Long-term Care-Regulatory policies and procedures.

Provides ongoing education, both onsite and virtually, to surveyors and regional management.

Assists in compiling of data to show trends resulting from the QA review.

Maintains professional and technical knowledge for LTCR programs.

Excellent communication skills including the ability to manage self remotely.

Maintains a regular and predictable work schedule. 

Consults with regional surveyors, program managers, and other regional staff to clarify any discrepancies and works with the regional staff to recommend appropriate corrections.

Performs related work as assigned.

Knowledge, Skills and Abilities (KSAs):

Knowledge and experience in HHSC Long Term Care Regulatory Programs.

Knowledge of federal and state laws, rules, program, and policies applicable to Long Term Care Regulatory.

Skill in managing multiple and competing priorities.

Skill in critical thinking to identify problems, evaluate alternatives, and recommend effective solutions.

Skill in use of personal computer and various software programs to include Word, Excel, PowerPoint, Teams, and Outlook.

Ability to accurately research, interpret, and apply pertinent statutes, rules, policies and procedures.

Ability to communicate effectively both orally and in writing.

Ability to present to large groups.

Ability to build, establish and maintain effective working relationships with diverse individuals and groups.

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

Current employee of Long-Term Care Regulatory with 12 months minimum survey experience in Licensed Only Facilities (LOF), Assisted Living Facilities (ALF), Day Activity and Health Services (DAHS), Individualized Skills and Socialization (ISS) and Prescribed Pediatric Extended Care Centers (PPECC) with 18 months preferred.

Experience in interpreting state rules and regulations for LOF programs.

Graduation from a four-year accredited college or university.

Additional Information:

Ability to travel up to 45% (i.e., monthly) for activities such as out of town meetings, trainings sessions or to conduct survey activities as needed.

Position can be housed statewide.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.