MCS Program Policy Analyst (Program Specailist V)

TX-HHSC-DSHS-DFPS • Austin, TX

20h • Onsite

About The Position

The Program Policy team within Medicaid and CHIP Services (MCS) Office of Policy is seeking a highly qualified candidate to fill the position of MCS Policy Analyst (Program Specialist V). This position serves as a subject matter expert for MCS program policy related to Texas Health Steps, the name for Texas' Early Periodic Screening, Diagnostic, and Treatment (EPSDT) program. This position is responsible for contract oversight, policy analysis and development, data analysis, responding to inquiries, implementing program requirements, developing reports, working with stakeholders, and completing work during legislative session.

The MCS Policy Analyst:

Performs highly advanced, consultative and technical work related to the planning, development, implementation, and maintenance of Texas Health Steps program;
Collaborates with and provides technical assistance and oversight to Department of State Health Services (DSHS);
Analyzes, develops, and revises program policy, including contract requirements, administrative rules, manuals, and procedures;
Works with internal and external stakeholders, including other governmental agencies, managed care organizations, provider associations, people receiving services, and advisory committee members;
Identifies and resolves problems to address program needs;
Assists in ensuring compliance with program policies and procedures, statutes, and rules;
Implements complex program initiatives;
Serves as agency liaison to committees or workgroups;
Prepares high quality written reports, correspondence, and other documents;
Oversees contractual requirements;
Drafts agency reports;
Leads meetings;
Responds to inquiries;
Develops and provides training; and
Analyzes legislation.

Requirements

• Knowledge of: Federal and state Medicaid and CHIP laws and regulations;
• Knowledge of: Government organization and administration;
• Knowledge of: Program issues related to Medicaid services for children with disabilities;
• Knowledge of: Principles of health and human services policy and planning;
• Knowledge of: State of Texas legislative processes.
• Skills in: Analyzing, evaluating, and interpreting complex federal and state legislation, program, policy, and operations issues;
• Skills in: Project management policy analysis, and performing policy research;
• Skills in: Synthesizing, analyzing, and evaluating highly complicated and technical information;
• Skills in: Translating policy and technical information into easily understandable and concise documents and oral presentations;
• Skills in: Developing creative and workable solutions to complex problems and policy issues; and
• Skills in: Facilitating stakeholder and different workgroup meetings.
• Ability to: Develop, amend, and interpret program policies, rules, and contract requirements related to Medicaid and CHIP Services;
• Ability to: Research, gather, assemble, correlate, and analyze facts and devise solutions based on the information available;
• Ability to: Work with a team under pressure, negotiate among multiple parties, resolve conflicts;
• Ability to: Exercise judgment and work independently with minimum supervision;
• Ability to: Work cooperatively as a team member in a fast-paced, deadline-oriented environment;
• Ability to: Establish and maintain effective working relationship with various levels of personnel in government entities;
• Ability to: Use Microsoft Office Suite applications such as Outlook, Teams, Word, and Excel;
• Ability to: Communicate effectively orally and in writing, including the ability to adjust communications to fit the intended audience;
• Ability to: Work with diverse groups of people, including stakeholders, that have a variety of opinions.
• Candidate must meet one of the following: High school diploma and at least five years of full-time work experience in a health and human services field;
• Candidate must meet one of the following: Bachelor’s degree from an accredited four-year college or university and at least one year of full-time work experience in a health and human services field; or
• Candidate must meet one of the following: Master’s degree from an accredited college or university in public health, public administration, public affairs, social work, or closely related field.

Nice To Haves

• Work experience researching and analyzing complex policy issues and communicating the analysis in clear and concise policy documents.
• Work experience in Medicaid or CHIP Services, Texas Health Steps, or Local Intellectual and Developmental Disability Authorities (LIDDAs).

Responsibilities

• Collaborates with other areas of MCS and HHSC to plan, develop, implement, monitor, interpret and evaluate Medicaid programs, policies, initiatives, MCO contract requirements, business rules, administrative rules, waivers, and state plan. Evaluates MCO and provider compliance with program policies and procedures, contract requirements, statutes, and rules.
• Plans, monitors, and evaluates MCS implementation of state legislation, federal legislation, and federal rules. Analyzes data, state legislation, federal legislation, and federal rules to evaluate its impact to MCS and stakeholders, including MCOs, service providers, and members.
• Establishes, facilitates, and participates in relevant workgroups and committees, including inter-agency workgroups and committees. Coordinates and provides requested training to internal staff and external entities.
• Coordinates with and speaks to internal and external stakeholders. Arranges and facilitates meetings. Responds to internal and external inquiries.
• Prepares high quality written documents such as project updates, reports, PowerPoint presentations, communications to stakeholders and contractors, executive memos, policy and project summaries, legislative reports, administrative rules, waivers, and state plan amendments.
• Other duties as assigned.

Benefits

• comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees
• defined benefit pension plan
• generous time off benefits
• numerous opportunities for career advancement
• Leadership commitment to invest in and foster your professional growth and career advancement.
• Being part of a team that impacts the lives of millions of Texans that depend on Texas Medicaid throughout Texas.
• Being on the ground level of healthcare policy development and implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, managed care organizations, and other healthcare contractors.
• Engagement with the Texas legislative process, including the opportunity to analyze and inform legislators of potential impact of proposed bills.
• The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal-state Medicaid partnerships and other activities related to the administration of the Medicaid program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level