Nurse IV HTW Policy Analyst
About The Position
The Healthy Texas Women (HTW) Nurse Policy Analyst - Nurse IV position reports to one of the Medical and Dental Benefits Policy Managers in the Medicaid and CHIP Services division of the Health and Human Services Commission. The position performs highly advanced and/or supervisory (senior-level) medical benefit policy analysis for the Healthy Texas Women (HTW) benefit program. Work involves planning, developing, coordinating, and evaluating HTW medical benefit policy updates. The position requires excellent writing skills and strong research skills, including experience conducting comprehensive literature reviews using PubMed/Medline, Hayes, and other health literature electronic databases; must be able to synthesize findings for clinical and political audiences, and apply findings to medical benefits for policy development in the HTW program. These findings must be interpreted correctly in accordance with the HTW's program requirements for application to and development of HTW medical benefits. The Nurse Policy Analyst in this position must be proactive in seeking input from other staff in the Medicaid and CHIP Services Division and demonstrate the ability to work independently, and as an effective team member with peers, other divisions within HHSC, and other HHS agencies. This position works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.
Requirements
- Bachelor’s degree from an accredited 4-year college or university.
- Experience analyzing clinical research and applying findings to work.
- Experience or familiarity with literature reviews of medical research topics.
Nice To Haves
- Bachelor’s of Nursing degree preferred.
- Master’s degree in public health, health policy, biology, or other social/behavioral health field or 4 years' experience in an area that provided equivalent experience.
- Master’s degree in nursing preferred.
Responsibilities
- Researches, analyzes, and synthesizes peer reviewed literature and evidence-based practices and applies it to program medical and behavioral health benefit policy.
- Provides complex technical medical information verbally or in writing to nonclinical audiences.
- Consults with stakeholders to address HTW program benefit policy issues.
- Reviews and updates current benefits and develops new benefits for HTW medical policy.
- Identifies eligibility standards and authorization requirements for benefit policy.
- Collaborates, as needed, with Medical Benefits staff as well as HHSC staff in other programs and other State agencies for program benefit policy development, planning, and implementation.
- Serves as clinical subject matter expert in the development and review of program benefit policy.
- Develops, reviews, and provides comments on HTW materials intended for use by vendors, providers, managed care organizations, and other partners.
- Leads or participates in workgroups and public meetings engaged in research, analysis, and evaluation of policy issues or initiatives.
- Leads or participates in special projects as requested by management.
- Positively represents department, agency, and State in conferences and meetings, including public presentation delivery, and, as an ongoing representative on various committees and teams, as directed.
- Prepares project updates, summaries, reports, or other documents and keeps management informed on pertinent issues.
- Functions as a resource to other State staff providing guidance, advice, or direction.
- Responds to internal and external communications and requests for information in a timely manner.
- Identifies the need to, and communicates and consults with external stakeholders, as necessary.
- Identifies methods for effectively managing benefit changes that have varying effective dates.
- Researches provider or manufacturer questions or concerns.
- Maintains organized electronic files of activities and shares with staff and partners, as appropriate.
- Reviews, analyzes, and comments on regulations affecting program benefit policy.
- Actively participating in or serving in a supporting role to meet the agency's obligations.
Benefits
- 100% paid employee health insurance for full-time eligible employees
- A defined benefit pension plan
- Generous time off benefits
- Numerous opportunities for career advancement
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What This Job Offers
Job Type
Full-time
Career Level
Senior
