Manager

TX-HHSC-DSHS-DFPS-posted 10 days ago

Full-time • Manager

Hybrid • Houston, TX

1,001-5,000 employees

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The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Long Term Care Facility Fiscal Monitoring (LTC-FFM), Contract Administration Manager I (Manager). MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by administering the daily operations and activities of the LTC-FFM team Nursing Facilities, Hospice providers, and Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID). This position is responsible for the development and implementation of quality controls and processes while fostering a collaborative environment among both internal and external stakeholders. This position plays a critical role in designing and operationalizing fiscal monitoring processes to ensure provider compliance with contract and program requirements. During the first year, the position will focus on building the program’s foundation, which includes developing procedures, monitoring tools, and performance measures; coordinating with internal and external stakeholders; and establishing the operational framework for ongoing fiscal monitoring activities. After implementation, the position will transition to managing day-to-day fiscal monitoring operations, supervising staff, analyzing data and trends, ensuring efficiencies within the team; performing internal and external reporting, communications, training and presentations; supervising the work of others; and ensuring consistent, high-quality monitoring practices. May serve as a Contract Manager. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment. The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy. This position reports directly to the Director II for Provider Monitoring within Contract Administration and Provider Monitoring unit.

Leads the design and implementation of a new fiscal monitoring program for Nursing Facilities, Hospice providers, and ICF/IIDs. Develops program plans, policies, procedures, and monitoring tools. Coordinates with internal HHSC divisions, including Regulatory Services, Medicaid and CHIP Services, and Financial Services, to ensure alignment with agency objectives and compliance requirements. Engage external stakeholders to inform program development and build collaborative relationships that support transparency and accountability.
Manage the daily activities of staff responsible for developing and implementing systems of contract monitoring of complex, large scope, high dollar contracts. This work includes evaluating staff adherence to policy and procedure, rules, regulations; providing technical assistance to staff; managing and developing staff through development of performance standards, review of performance data, consultation, training, and performance appraisal; managing staff on adherence to requisite skills necessary to conduct contract monitoring activities; planning, assigning and supervising the work of unit staff; creating and maintain staff development plans; providing guidance for contract activities and monitoring staff compliance with established guidelines, policies and procedures and managing employee conduct, leave and work performance and recommends personnel actions.
Oversee the preparation and accuracy of correspondence and reports to external and internal parties regarding contract issues and activities; prepare status reports for leadership identifying progress, productivity, key milestones, results of evaluation activities, vendor compliance, and trends or anomalies that may require additional Contract oversight; ensures communication and coordination occurs with internal and external stakeholders on issues related to contract functions; and reviewing and verifying payment schedules, budget, budget allocations/forecasts and payment are properly reflected in contract agreements
Oversees developing and implementing systems of contract monitoring for complex contracts using onsite and desk reviews/monitoring activity, testing, and coordinating information from multiple sources. This includes establishing goals and objectives for contract oversight monitoring; establishing guidelines, policies and procedures; developing and approving schedules, priorities, and standards for achieving goals; managing evaluation activities and risk assessments, identifying risks/issues and areas in need of change, making recommendations to leadership on risk mitigation strategies and suggestion for improving operations.
Develops and manages reporting tools, dashboards, and performance measures to evaluate program effectiveness. Analyzes data to identify trends, systemic issues, and potential areas for process improvement. Prepares detailed reports, summaries, and presentations for executive leadership and other stakeholders to support data-driven decision-making.
Provides technical assistance and guidance to division or department staff; and may represent the Medicaid and CHIP Services Department at meetings, hearings, trials, conferences and seminars. Maintains strong communication channels with internal and external partners, including provider associations, state and federal oversight entities, and HHSC leadership. Represents the program in meetings, workgroups, and stakeholder sessions. Responds to inquiries and provides subject matter expertise on fiscal monitoring activities and outcomes.
Performs other duties as assigned and required to maintain operations.

Knowledge of: the principals and practices of contract administration and management.
state and federal laws and regulations related to Medicaid, long-term care services, and provider fiscal compliance.
Skill in: program planning, development, and implementation.
leadership, supervision, and team development.
data analysis, report development, and use of performance metrics to drive outcomes.
Ability to: establish and maintain collaborative relationships with internal and external stakeholders.
interpret complex policies and communicate requirements effectively.
manage multiple priorities and meet deadlines with minimal supervision.
motivate staff to obtain a standard of excellence in their work and to foster an environment of continuous improvement.
manage an organizational unit with complex high-volume workflows.
exercise sound judgment in making critical decisions and solving problems.
construct, analyze, interpret, and apply complex policies/procedures, legislation, regulations, rules, data, and contract provisions.
Ability to write sensitive documents with precise language.
Ability to make presentations to customers, stakeholders, and senior management.
Bachelor's degree from an accredited college or university with a major in the human services, business, or legal fields, plus four years’ work experience in the human services field. Additional related work experience may substitute for the required education on a year for year basis with a maximum substitution of four (4) years.
Minimum of (3) years’ recent experience in a supervisory or management position in a related human services field.
Experience with computer database systems and Microsoft Office products.
Experience in conducting auditing, financial oversight, fiscal or contract compliance monitoring, or other types of relevant oversight activities, required.
Experience developing and implementing policies and procedures, required.
Ability to travel at least 20% of the time with some travel including overnight stays, required.
Certified Texas Contract Manager (CTCM) certification must be obtained within one (1) year of employment, if not already certified, unless otherwise approved by Supervisor.
Valid Driver’s License with ability to obtain Texas Driver’s License within 60 days of hire.

Experience with 26 TAC Chapter 52 Community Services programs, and interpretation of an organization’s policies and procedures, guidelines, handbooks, laws, rules or statutes, preferred

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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