ICF Program Advisor

Texas Health & Human Services Commission•Austin, TX

3d•$4,263 - $5,521•Hybrid

About The Position

The Texas Health and Human Services Commission’s Medicaid CHIP Services division is hiring a Program Specialist IV to provide highly complex consultative and technical assistance to the Intellectual and Developmental Disabilities Program Eligibility and Support unit. The position supports the unit’s work to ensure eligible Texans are enrolled in programs for people with intellectual and/or developmental disabilities, including HCS, TxHmL, ICF/IID, and related programs. The role reports to the Unit Manager and works as a team member supporting unit functions. The position reviews and processes HCS and TxHmL enrollments, transfers, terminations, and suspensions; monitors enrollment activity, including Individual Plans of Care and Level of Care/Level of Need determinations; and reviews program data to assess the need for oversight. It monitors provider and LIDDA inquiries and supports timely resolution. The role analyzes enrollment, eligibility, and program trends to resolve technical problems, recommend process improvements, and prepare reports and other requested program information. It also develops and revises review tools, conducts staff training, and collaborates with program staff and cross-agency workgroups on program initiatives. The Program Specialist IV may represent the agency in fair hearings and, when the HCS/TxHmL/ICF Unit Manager is absent, leads work prioritization by assigning provider deliverables to designated unit staff. The position works under limited supervision, with moderate latitude to use initiative and independent judgment. It is full-time, day shift, based in Austin, and eligible for telework, subject to agency policy, supervisor discretion, and business needs. Travel is up to 5%.

Requirements

Knowledge of intellectual disabilities and other developmental disabilities, including related conditions.
Knowledge of HCS, TxHmL, and/or ICF/ID program rules, service arrays and billing guidelines, LIDDA functions, and/or waiver service systems.
Awareness of federal and state laws relating to long-term care and other Medicaid and non-Medicaid services and programs.
Knowledge of program planning, implementation, and evaluation, and continuous quality improvement.
Skill in developing and maintaining interpersonal relationships and in public speaking.
Ability to communicate effectively orally and in writing.
Ability to gather, assemble, correlate, and analyze information.
Ability to train, lead, and/or prioritize the work of others.
Ability to operate computers and experience using Microsoft Office products.
Ability to collaborate across MCS, balance team and individual responsibilities, and implement creative solutions to problems with attention to detail.
Work experience with HCS, TxHmL, or ICF/ID program rules, service arrays and billing guidelines, LIDDA functions, or the Texas waiver service system.

Nice To Haves

Qualification as a Qualified Intellectual Disability Professional (QIDP), as defined in 42 CFR 483.430(a).
Experience working with the Long Term Care Online Portal (LTCOP).
Experience conducting staff training.

Responsibilities

Provide highly complex consultative and technical assistance, including research, assessment, and planning, to management, HHSC staff, contract management staff, LIDDA staff, providers, advocacy groups, stakeholders, program participants, and their families.
Review and process HCS and TxHmL enrollments, transfers, terminations, and suspensions.
Monitor enrollment activities, including Individual Plans of Care and Level of Care/Level of Need determinations.
Review and analyze HCS and TxHmL program activity data to assess the need for additional oversight.
Monitor provider and LIDDA inquiries and ensure timely resolution.
Analyze enrollment, IPC, eligibility, and program trends to resolve technical problems and recommend improvements to review processes.
Collect, organize, analyze, and prepare materials in response to requests for program information and special project reports.
Develop and revise review tools, such as review protocols and evaluation forms, in accordance with program objectives and goals.
Coordinate and collaborate with program staff through unit and cross-agency workgroups to analyze, develop, and implement program initiatives.
Conduct training and provide guidance to staff on developing or integrating new or revised operational procedures.
Represent the agency in fair hearings.
In the Unit Manager’s absence, prioritize colleagues’ work by assigning provider deliverables to designated unit staff.
Attend work on a regular and predictable schedule and perform other duties as assigned.