Director of Provider Relations

TX-HHSC-DSHS-DFPS•Austin, TX

6d•$7,717 - $13,051•Onsite

About The Position

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of Director of Provider Relations. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This director is a key leadership position with a broad range of strategic responsibilities related to MCS’ goal to encourage providers to participate in the Medicaid program, thus making a significant contribution to the division’s mission. Reporting to the Deputy State Medicaid Director (DSMD), a major focus of responsibility will be strengthening relationships and business operations through proactive engagement with provider associations and individual providers. This role will support providers through the implementation of significant program changes and develop solutions to systemic issues. The Director of Provider Relations will lead projects to address systematic issues identified through provider engagement, and data analysis. Additionally, the Director will collaborate with provider stakeholders to evaluate policy, process, and technology changes for potential impacts, provide leadership on effectively managing the identified impacts, and monitor implementation of key initiatives. The Director of Provider Relations will also work with the DSMD on strategic, cross-divisional initiatives that impact providers. The ideal candidate will be an innovative thinker with demonstrated leadership experience, knowledge of managed care best practices, experience driving strategic partnerships and improvements, and excellent communication skills. The individual in this position must be an expert collaborator adept at maintaining and fostering relationships with providers, key stakeholders, HHSC staff, and other agencies. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment.

Requirements

Graduation from an accredited university with a bachelor’s degree (required) or master’s degree (preferred), with a minimum of 7 years of relevant government, consulting or health industry experience.
Experience related to health care provider relationship management or direct experience with Medicaid and CHIP is preferred.
Knowledge of Texas Medicaid and CHIP services, provider priorities and concerns, public and private health care systems, state and federal laws, program requirements and financing.
Knowledge of state and federal legislative process.
Ability to establish effective internal controls that promote adherence to applicable state/federal laws and HHSC Medicaid/CHIP program requirements.
Ability to understand and effectively interpret agency and program rules, policies, and the ability to navigate agency procedures and processes to reach desired outcomes.
Ability to communicate effectively orally and in writing.
Ability to coordinate activities among public, private, and professional groups; express ideas clearly and concisely; address audiences effectively; and exercise judgment in evaluating situations, making decisions, and negotiating solutions.
Ability to direct the work of others.
Skill in gathering, synthesizing and evaluating highly complicated and technical information and translating it into easily understandable and concise documents and oral presentations for agency executives, elected officials, and the public.
Skill in complex problem solving and analysis.
Ability to work independently with minimal supervision.

Nice To Haves

Master's degree
Experience related to health care provider relationship management
Direct experience with Medicaid and CHIP

Responsibilities

Drives the vision for engaging providers to strengthen collaboration on the overall goals of the Texas Medicaid program.
Oversees the development and deployment of solutions to systemic provider issues and ensures effective feedback or problem resolution is provided.
Coordinates and participates in relevant provider forums and meetings to ensure discussions facilitate improved relationships between providers, HHSC and managed care organizations.
Directs and serves as a key internal advisor to other MCS units regarding provider perspectives and supports ensuring providers have accurate and timely information.
Liaisons with HHSC Information Technology (IT) and contracted state vendors to ensure provider-related technology system changes prioritize the user experience and consider innovative approaches to reduce administrative burden.
Researches and stays abreast of emerging provider issues within the Medicaid program in Texas and nationally.
Develops and implements procedures necessary to support effective and efficient provider relations across HHSC departments and within MCS.
Conducts regular assessments of provider communication methods and recommends improvements that support clear, concise, and timely information.
Performs other related duties as assigned.
Attends work on a regular and predictable schedule in accordance with agency leave policy.