PFD Hospital Rates Manager
About The Position
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our 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. Explore more details on the Benefits of Working at HHS webpage. Under the direct supervision of the Director of Hospital Services, the Manager V oversees and provides leadership and guidance in the design, development, implementation, modification and maintenance of methods and procedures used in the analyses of cost and statistical data in the development and implementation of reimbursement methodologies and payment rates. Maintains complex applications, spreadsheets, and databases used in the determination of payment rates; and strategic operations and planning. Performs highly advanced management and oversight staff, and directs daily operations; establishing short-, mid-, and long-term goals and objectives. Develops policies and procedures; schedules, priorities, and standards for achieving established goals. Coordinates and evaluates program activities; and supports legislative inquiries and analyses. Completes performance evaluations and handles human resource matters for staff. Reviews, develops and implements policies, regulations, guidelines, agency rules, and state plan amendments as needed. Identifies needed areas of change, and oversees the development of alternative strategies and recommendations. Directs, assigns, and supervises the work of professional staff and provides oversight. This position works closely with key internal and external decision-makers providing timely, accurate, and well communicated budget and program management information that is needed to effectively plan, allocate, implement, and control programs, services, and staffing levels to achieve the goals and objectives consistent with the agency strategic plan.
Requirements
- Bachelor's Degree Required.
- At least 1 year of experience as a supervisor or 5 years of experience in provider finance.
- Knowledge of state government and health and human services financial processes and procedures.
- Knowledge of the State of Texas legislative processes and procedures.
- Knowledge of State of Texas strategic planning process and principles.
- Skill in the development of reimbursement methods and payment rates, formulas, and procedures or complex cost analysis.
- Skill in the design, development and maintenance of complex computer applications, spreadsheets, and/or large databases.
- Skill in interpersonal relationships, establishing and maintaining, effective working relationships.
- Skills in computer software including Excel, Word, Access, HHSAS, CAPPS, and other state/governmental financial or human resources applications.
- Ability to manage projects effectively, including setting priorities and planning, organizing and coordinating the work of others.
- Ability to develop, evaluates, implement and interpret policies, procedures and rules.
- Ability to identify problems, evaluates alternatives, and implements creative solutions.
- Ability to exercise independent judgment, set priorities, meets deadlines and adapt to shifting technical and political developments.
Nice To Haves
- Experience in Provider Finance may be substituted for education on a one-to-one basis.
- Preference to candidate who has experience as a supervisor with teams of 5+ staff members.
Responsibilities
- Oversees development and implementation of, and compliance with, policy guidelines, agency rules, state plan amendments and other associated documents pertaining to reimbursement methodologies and payment rates.
- Directs staff; develops and manages workplans and workflows.
- Sets priorities, goals and accountability for reporting.
- Develops processes, procedures, workpapers, and tools to ensures compliance with agency and department standards.
- Monitors workflow to ensure processing timeframes are met.
- Interfaces with various PFD staff, provider industry representatives, HHS Enterprise staff, legal staff, advisory committees, workgroups and other interested parties concerning payment rate policy issues affecting program delivery and payment rate determination.
- Communicates complex information to internal and external parties to provide, exchange or verify information, answer inquiries, address issues or resolve problems or complaints.
- Interfaces with external entities including but not limited to: contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys and other interested parties concerning payment rate policy issues affecting program delivery and payment rate determination.
- Provides guidance and management to PFD staff on complex, technical and analytical methods used in rate determination.
- Represents PFD at meetings with external and internal stakeholders concerning rate issues and managing major projects.
- Hires and conducts staff training, including participation in interview and selection teams, training new hires on various technical aspects of their positions.
- Prepares/reviews/approves written briefing documents and other documents related to the results of research and data analysis for decision making by executive staff.
- Makes presentations of research or data analysis to a variety of audiences and HHSC executive staff.
- Performs other duties as assigned.
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
Manager
