TX-HHSC-DSHS-DFPS-posted 11 days ago
Full-time • Mid Level
Austin, TX
1,001-5,000 employees

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. The Fraud Analytics and Data Operations (FADO) division of the Office of Inspector General (OIG) is seeking a Data Project Analyst (Data Analyst III). The Data Project Analyst performs moderately complex project management work, along with consultative and technical system and data support work related to the development and implementation of Data Operations data projects and strategic initiatives. This position will assist OIG business areas by supporting projects and operations for OIG use of the Provider Enrollment Management System (PEMS) and the Medicaid Fraud and Abuse Detection System (MFADS). Support includes analyzing and documenting business and system operation needs and limitations. The position will also support operations of the utilization review systems and coordinating system enhancements and issue management with the contracted vendor and HHSC IT. The position reports to the Director of Data Research and Support and works under limited supervision, with considerable latitude for the use of initiative and independent judgment. The work involves coordinating the planning and initiation of complex data support and operational projects and strategic initiatives throughout the project lifecycle; monitoring the progress and schedule of projects; and communicating with project stakeholders, management, and other relevant parties. In consultation with management, this position directs, assigns, and monitors the work of project and vendor staff, and will provide guidance to others during the project lifecycle.

  • Coordinates, plans, supports and evaluates the operation of Medicaid Fraud and Abuse Detection System (MFADS) system, and makes recommendations for system modifications and updates. Monitors and reports upon project and issue statues. Interprets historical, current, and projected data to identify problems, causes, and areas for which procedural or system changes are indicated for MFADS and other utilization review systems and processes. Provides support for OIG Sharepoint sites.
  • Engages in external-facing collaboration and communication both inside and outside of the agency and across OIG units, including but not limited to: OIG program area customers, OIG executive team, contractors/vendors, IT resources and other stakeholders. Will be the primary support for system operations and training related to MFADS and other utilization review systems and processes.
  • Manages and supports project management activities. Establishes project goals and objectives, exercises sound judgment in making critical decisions; analyzes complex information and develops plans to address identified issues. Identifies project risks and gaps and directs, assigns, and evaluates the work of project staff.
  • Provides technical and operational support to OIG staff for the Medicaid Fraud and Abuse Detection System (MFADS) and assists in training related to business processes and utilization review systems used by OIG staff.
  • Researches, reviews, and performs case-specific analytical work on large datasets involving cases of suspected fraud, waste, and abuse to support active reviews and investigations.
  • Effectively communicates verbally and in writing data analysis and findings to internal customers by way of reports, visualizations, trainings, and presentations
  • Performs other duties necessary to achieve the mission of the Office of Inspector General. Keeps manager informed as required or as necessary. Statewide travel of about 5% may be required.
  • Knowledge of project management theories and practices applicable to IT projects that are highly complex in scope.
  • Knowledge of Agile project management practices.
  • Skill in project management monitoring, addressing changes in scope and budget, and the use of a computer and applicable software, including Word, Excel, and PowerPoint.
  • Knowledge of statistics and analyzing data sets, running queries, report writing, and presenting findings, data mining, and segmentation techniques; and of record keeping, including security procedures for handling, protecting, and distributing confidential data.
  • Skill in using formulas and manipulating large databases in EXCEL, Access or other spreadsheet software.
  • Skill in critical thinking, analyzing problems, and devising effective solutions.
  • Knowledge of state health and human services programs and related data.
  • Skill in verbal and written communication skills essential to effectively interacting with OIG customers, leadership, and stakeholders.
  • Ability to manage project activities; to establish project goals and objectives; to exercise sound judgment in making critical decisions; to analyze complex information and develop plans to address identified issues; to demonstrate negotiation and facilitation skills; to identify project risks and gaps; to prepare reports; to communicate effectively; and to direct, assign, and evaluate the work of project staff.
  • Skill utilizing Business Objects or similar software to complete research and to develop reports.
  • Ability to work in teams that may cross functions, departments and/or agencies.
  • Ability to work independently, exercise independent judgment, prioritize tasks, and manage multiple projects/assignments/responsibilities in a fast-paced environment under time constraints.
  • Graduation from a four-year college or university with major course work in a related field. Education and experience can be substituted on a year for year basis.
  • Minimum of 2 years experience working on Texas Medicaid and/or OIG system development.
  • Minimum of 2 years of experience as a project manager, project coordinator, or program specialist working on large, complex systems related projects.
  • Experience in managing technical, data-intensive projects and cross-functional project teams.
  • Experience querying and analyzing healthcare data.
  • Certified Associate in Project Management (CAPM) or Project Management Professional (PMP) preferred but not required.
  • 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.
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