Medicaid Policy Advisor (Program Specialist VI)

TX-HHSC-DSHS-DFPS•Austin, TX

4d•Onsite

About The Position

The Program Policy team within Medicaid and CHIP Services (MCS) Office of Policy is seeking a Medicaid Policy Advisor (Program Specialist VI) to serve as a policy analyst and subject matter expert on a variety of program policy topics related to Medicaid and CHIP managed care. This position is part of the managed care generalist team. It performs highly advanced consultative and technical work related to the planning, development, implementation, and maintenance of health policy within managed care. The Medicaid Policy Advisor provides subject-matter expertise to agency staff, government agencies, community organizations, managed care organizations, provider organizations, and the public. The position may serve as the lead in the implementation and ongoing management of complex program initiatives. The position is non-supervisory but may assign, oversee, and prioritize others' work. The position will operate under limited supervision, with considerable latitude to exercise initiative and independent judgment.

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 women and CHIP-Perinatal
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 and program policy
Skills in Synthesizing, analyzing, and evaluating highly complicated policy and technical information
Skills in Developing and implementing creative and workable solutions to complex problems and policy issues
Skills in Researching, gathering, assembling, correlating, and analyzing facts and devising solutions based on the information available
Skills in Communicate effectively orally and in writing, including the ability to adjust communications to fit the intended audience
Skills in Working with internal and external stakeholders
Skills in Project management
Skills in Exercising sound judgment with limited information
Skills in Working independently with limited direction
Ability to Analyze complex federal and state legislation, rules, and program policy and use the analysis to develop or revise Medicaid and CHIP program policy
Ability to Work cooperatively as a team member in a fast-paced, deadline-oriented environment
Ability to Lead or contribute to complex projects that require critical thinking, persistence, and problem solving
Ability to Negotiate among multiple parties and resolve conflicts
Ability to Navigate complex and dynamic systems and organizations
Ability to Establish and maintain effective working relationships
Ability to Manage multiple, sometimes conflicting, tasks and projects at a time
Ability to Use Microsoft Office Suite applications such as Outlook, Teams, Word, and Excel
Bachelor’s degree from an accredited four-year college or university and at least two years' full-time work experience in health and human services
Master’s degree in public affairs, social work, public health, or related field and at least one year of full-time work experience in health and human services
High school diploma and at least five years of full-time work experience in a health and human services field

Nice To Haves

Master’s degree in public health, social work, public affairs, or public administration
One or more years of full-time work experience in the health and human services field
Work experience in Medicaid or CHIP Services

Responsibilities

Takes initiative to use subject matter expertise to identify and propose solutions to program needs
Coordinates and collaborates with internal and external stakeholders to create and update policies, procedures, contract requirements, administrative rules, business rules, and communications to external stakeholders and contractors
Develops project timelines for assigned projects, monitors and reports on progress, and updates timelines as necessary
Assists in ensuring managed care organizations’ compliance with program policies and procedures, statutes, and rules; oversees and participates in the resolution of issues
Leads, participates in, and facilitates meetings with stakeholders, including managed care organizations, provider associations, people receiving services, and advisory committee members
Serves as agency liaison to pertinent advisory committees or workgroups
Prepares high-quality written reports, correspondence, and other documents
Drafts legislative reports
Develops and provides training
Analyzes program policies and legislation
Collaborates with other areas of MCS and HHSC to plan, develop, implement, monitor, interpret, and evaluate Medicaid programs, policies, MCO contract requirements, business rules, administrative rules, waivers, and state plan. Evaluates MCO compliance with program policies and procedures, contract requirements, statutes, rules, and takes corrective action if needed.
Plans, monitors, and/or oversees the development and implementation of federal and state legislation and regulations impacting HHSC agencies, including policy analysis, option development, timelines, project structures, financial analyses, and detailed work plans.
Establishes, facilitates, and participates in multiple workgroups and committees, including inter-agency workgroups and committees. Sets goals and objectives, makes assignments, reviews and approves work products. Develops and provides training to internal staff and external entities.
Prepares and approves high quality written documents, including program and project updates, memos, summaries, legislative reports, rules, waivers, state plan amendments, and other documents.
Works with and presents to community and professional groups to coordinate, improve, and secure support for programs. Consults with public and private agencies to resolve problems, identify training needs, and discuss effectiveness.
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
HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments.
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.