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: Managed Care Contracts and Oversight PSVI
Job Title: Program Specialist VI
Agency: Health & Human Services Comm
Department: MC Contracts and Oversight
Posting Number: 12288
Closing Date: 01/30/2026
Posting Audience: Internal and External
Occupational Category: Community and Social Services
Salary Group: TEXAS-B-23
Salary Range: $5,098.66 - $8,304.83
Pay Frequency: Monthly
Shift: Day
Additional Shift: Days (First)
Telework: Eligible for Telework
Travel: Up to 25%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 701 W 51ST ST
Other Locations: Austin
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS
Brief Job Description:
The HHSC Medicaid CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of Program Specialist VI. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS's mission by ensuring that MCCO meets statutory requirements and implements audit recommendations within prescribed timeframes. The position reports to the director of Managed Care Compliance and Operations. This position performs highly advanced (senior-level) consultative services and technical assistance work. Work involves planning, developing, and implementing major agency program(s) and providing consultative services and technical assistance to program staff, governmental agencies, community organizations, or the general public. This position may train, assign, and/or prioritize the work of others. This position works under minimal supervision, with considerable latitude for the use of initiative and independent judgment.
Essential Job Functions (EJFs):
Oversees the performance of a variety of technical, training, research, planning, policy, program assessment, and administrative activities for the Managed Care Compliance & Operations unit.
Oversee the analysis, implementation, and documentation of program policies, procedures, manuals, and standards, including the analysis and redesign of business processes, and provide training and technical assistance to staff. Serves as a subject matter expert and resource for the unit.
Organizes and prepares materials in response to requests for program information.
Prepares administrative reports and studies, and performs specialized research projects
Explains and oversees compliance with program and agency statutes, rules, and contracts, and takes corrective action(s) as needed. Consults with internal and external stakeholders to resolve problems, discuss program effectiveness, and identify training needs. Determines trends and resolves operational problems.
Performs other duties as assigned, timely and accurately.
Demonstrates commitment to the goals of the Medicaid/CHIP services, shows initiative to take on new projects, is team-oriented and committed to outstanding customer service, and focuses on promoting efficiencies and accountability.
Attends work on a regular, predictable schedule in accordance with agency leave policy.
Knowledge, Skills, and Abilities (KSAs):
Knowledge of federal laws, regulations, and processes regarding Medicaid and CHIP.
Knowledge of public administration and management techniques and program management processes.
Experience in organizational development and/or business process improvement.
Ability to work under minimal supervision, with considerable latitude for the use of initiative and independent judgment.
Ability to gather, assemble, correlate, and analyze facts; to devise solutions to problems; to conduct sophisticated research; to prepare reports; to develop, evaluate, and interpret policies and procedures; to communicate effectively; and to train, lead, assign, and prioritize staff workloads.
Skill in using personal computer application software such as Visio, MS Word, PowerPoint, Excel, or similar programs.
Skill in written and oral communication, including the ability to make public presentations and write technical information in an understandable format.
Ability to work cooperatively as a team member in a fast-paced, deadline-oriented environment.
Ability to communicate effectively.
Registrations, Licensure Requirements, or Certifications:
Certified Texas Contract Manager Certification (CTCM) must be obtained within 12 months of hire. Must maintain CTCM certification.
Initial Screening Criteria:
Graduation from an accredited four-year college or university with major coursework in Health Care Management, Health Care Information Technology, or Health Care Administration is generally preferred. Minimum of one year of experience with Medicaid/CHIP, Medicaid/CHIP dental, and managed care programs, policies, procedures, contracts, and service delivery mechanisms is required. A minimum of one year of experience in contracts, contract management, or contract principles is required. A minimum of one year of experience in using a PC and Microsoft Office is required.
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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.
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