HCS/TxHmL Advisor

Texas Health & Human Services Commission•Austin, TX

4d•$4,020 - $5,178

About The Position

The Texas Health and Human Services Commission (HHSC), Medicaid and CHIP Services (MCS), is seeking a Program Specialist III for the Intellectual and Developmental Disabilities Program Eligibility and Support (IDD PES) unit. The position provides moderately complex consultative and technical assistance supporting program eligibility and enrollment for Texans with intellectual and/or developmental disabilities. The role reports to the Unit Manager within IDD PES. The position reviews and processes HCS and TxHmL enrollments, transfers, terminations, and suspensions, and monitors enrollment activities including Individual Plans of Care (IPC) and Level of Care/Level of Need (LOC/LON) determinations. It coordinates with local IDD authorities (LIDDAs) regarding individuals with suspended services and liaises with Medicaid for the Elderly and Persons with Disabilities (MEPD) to verify Medicaid financial eligibility. The role monitors provider and LIDDA inquiries and ensures timely resolution; analyzes data and prepares reports and materials for program-information requests and fair hearings; and assists with presentations and communications about program rules, policies, and procedures. The position works under general supervision with moderate latitude to use initiative and independent judgment. The role is based at 701 W 51st St, Austin, Texas. It is a regular, full-time, nonexempt position with a day shift and travel of up to 5%. The stated salary range is $4,020.33–$5,178.00 per month. The position may be eligible for telework, subject to agency policy, supervisor discretion, and business needs.

Requirements

Work experience within a Medicaid program, such as HCS, TxHmL, or ICF/IID.
Experience using Microsoft Office products.
Knowledge of Medicaid waiver programs such as HCS, TxHmL, or ICF/IID.
Knowledge of federal and state laws relating to long-term care and/or other Medicaid and non-Medicaid services and programs.
Knowledge of program planning, evaluation, and implementation.
Skill in organization and prioritization.
Ability to communicate effectively orally and in writing.
Ability to understand and follow policies and procedures.
Ability to maintain accurate files, records, and databases.
Ability to gather, assemble, correlate, and analyze information.
Ability to operate computers.
Ability to attend work on a regular and predictable schedule.

Nice To Haves

Experience working with the Long Term Care Online Portal (LTCOP) and/or Texas Integrated Eligibility Redesign (TIERS) systems.

Responsibilities

Attend work on a regular and predictable schedule and perform other duties as assigned.
Review and process HCS and TxHmL enrollments, transfers, terminations, and suspensions using electronic database systems.
Provide consultative and technical assistance, including research, assessment, and planning, to management, HHSC staff, LIDDA staff, program providers, participants, and families.
Monitor provider and LIDDA inquiries by managing spreadsheets and using electronic database systems.
Develop recurring reports and conduct data analysis in accordance with program objectives and goals.
Assist with presentation materials and document organization, and may present program rules, policies, and procedures to internal or external stakeholders.
Represent the agency in fair hearings.
Monitor enrollment activities, including Individual Plans of Care and Level of Care/Level of Need determinations.
Coordinate with LIDDAs to monitor individuals whose services have been suspended.
Liaise with MEPD to verify Medicaid financial eligibility.
Collect, organize, analyze, and prepare materials in response to requests for program information or fair hearings.