Quality Assurance MEPD Specialist II Job Listing at Texas Health and Human Services in Bryan, TX (Job ID 12271-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: Quality Assurance MEPD Specialist II 
Job Title: Quality Assurance Spc II -OPSM 
Agency: Health & Human Services Comm 
Department: Quality Assurance-Field Serv 
Posting Number: 12271 
Closing Date: 01/06/2026 
Posting Audience: Internal and External 
Occupational Category: Community and Social Services 
Salary Group: TEXAS-B-18 
Salary Range: $3,793.41 - $5,921.25 
Pay Frequency: Monthly
Shift: Day 
Additional Shift: Days (First) 
Telework: Eligible for Telework 
Travel: Up to 20% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Nonexempt 
Facility Location:  
Job Location City: BRYAN 
Job Location Address: 3000 E VILLA MARIA 
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MOS Codes: No military equivalent 
 
 
 

Brief Job Description:

Quality Assurance MEPD Spc II 

**Open to Current HHSC Quality Assurance Field Services (QAFS) Employees Only**

The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Quality Assurance Specialist II OPSM position within the Access and Eligibility Services. The Access and Eligibility Services section is driven by its mission to connect Texans to services by helping individuals and families in need of food, medical care, cash assistance and other social services.

This position involves the use of analysis, wisdom, experience and judgment to determine the accuracy of case actions. The ideal candidate will thrive in an environment that emphasizes: innovation through new ideas, striving for excellence by taking pride in your work, embracing our differences as a source of strength, accomplishing more through partnership, leading by example, and learning for continuous improvement.

The candidate will report to a Field Manager in Quality Assurance Field Services (QAFS), within the Quality Management section of the Eligibility Services: Support Division. Quality Management is responsible for ensuring casework completed is of acceptable quality, and benefits provided to clients are accurate. Quality Assurance Field Services is comprised of one Area Manager, one Area Lead, and one Section Lead and eleven Field Managers, each managing a unit consisting of one Quality Assurance Specialist II and up to ten Quality Assurance Specialists I. The candidate will work with the Field Manager as part of a team to ensure unit objectives are achieved.

The position involves performing and monitoring complex social services case analysis and auditing functions to assess the accuracy relating to the program policies and procedures, specifically the Medicaid for the Elderly and People with Disabilities (MEPD) and the Supplemental Nutritional Assistance Program (SNAP) programs. This includes reviewing and analyzing service delivery methods, information systems, and case information to ensure compliance with state statutes and internal regulations and recommend improvements. These results will be reported in an organized method.

This position will assist in analyzing the findings to develop an action plan for improvement. Individual is responsible for assisting the Unit Field Manager as needed in relation to coordinating and scheduling the process to review system information and eligibility determination. Provides technical and consultative work in the planning, developing, and implementation of agency programs, policies, and procedures. May train others. The Quality Assurance Specialist II – OPSM will work under general supervision, with limited latitude for the use of initiative and independent judgement.

Essential Job Functions (EJFs):

Evaluates completeness, accuracy, and required documentation for Quality Assurance Field Services activities and projects via auditing of reviews conducted by QAFS staff (40%). Collects, organizes and analyzes error data as identified through case review in order to identify trends (20%). Documents, prepares, and provides reports as assigned to management staff.  (20%). Assists Unit Supervisor in preparing and distributing statistical reports summarizing unit findings to Office of Program Support and Monitoring and Office of Eligibility Services management staff, coordinating unit assignments, monitoring unit completion of assignments, and training unit staff as needed (10%). Performs related work as assigned (10%). 

Knowledge, Skills and Abilities (KSAs):

• Knowledge of Medicaid Eligibility for the Elderly and People with Disabilities policies and procedures.
• Knowledge of SNAP policies and procedures.
• Knowledge of agency policies, operating methods, and procedures.
• Knowledge or organizational operations.
• Knowledge of public administrations and management techniques.
• Knowledge of program planning and implementation.
• Skill in attention to detail and discerning accuracy of information.
• Skill in data analysis and report production.
• Skill in organization, analysis, and problem solving.
• Ability to organize assigned work and develop effective work methods.
• Ability to evaluate procedures and policies and identify areas for improvement.
• Ability to produce accurate work and meet deadlines.
• Ability to work independently and make independent judgments.
• Ability to gather, assemble, correlate, and analyze findings.
• Ability to prepare correspondence and reports.
• Ability to select and evaluate information in relating to business processes and eligibility determination.
• Ability to communicate orally and in writing.
• Ability to develop and maintain effective working relationships with others.
• Ability to provide leadership and organizational advice.
  
  

Registrations, Licensure Requirements or Certifications:

Not applicable

Initial Screening Criteria:

• Must be a current HHSC AES employee.
• Must be able to travel a minimum of 20%.
• Must have completed MEPD BST Part I and Part II.
• Must have a minimum of three years' experience interpreting and applying Medicaid Eligibility for the Elderly and People with Disabilities (MEPD) policy (including community, facility, and waiver programs) in the past four years.
• Must have current TIERS and EWMS experience related to eligibility determinations or review.
• Experience applying and/or interpreting SNAP policy preferred.
• Experience case reading in PIMS is preferred.

Additional Information:

Applicants selected for hire will be required to pass background and other due diligence checks.

AES is built on its core values of integrity, community, accountability, respect, and excellence.

This position is telework eligible. Per HHS agency policy, individuals hired for this position that live within 50 miles of their Austin headquarters may be required to be in office three days a week.

Multiple position numbers may be filled statewide with this requisition. All applicants who meet initial selection criteria will be notified that they are scheduled for an initial assessment. All applicants will have 30 minutes to complete the assessment. The assessment will be sent to the HHSC e-mail address in the Global Address List (GAL). The applicant is responsible for notifying the hiring authority of an alternate e-mail address in the event that they will not have access to HHSC e-mail at the designated time/date of the scheduled assessment. Applicants who are unavailable for this portion of the interview will not advance in the selection process.

Applicants may not have a history of substantiated fraudulent activity against HHSC or any programs it administers. Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the overpayment balance as a condition of employment.

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.