HCBS Quality Specialist
About The Position
The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) division is seeking a highly qualified candidate to fill the position of Project Management Specialist II. The Project Management Specialist II reports to the Manager of the Quality Reporting Unit and works within the Quality Data Analytics and Reporting Department, leading special projects that support Home and Community-Based Services (HCBS) quality goals. The Program Management Specialist II supports complex Medicaid and long-term services and supports programs by coordinating quality related program activities, monitoring performance, and supporting compliance with the Centers for Medicare and Medicaid Services (CMS) reporting requirements. This role works closely with internal teams and external partners to evaluate program outcomes, identify improvement opportunities, and support required reporting. The position operates with moderate independence and judgment and plays a key role in ensuring program effectiveness, accountability, and continuous improvement. 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 using data-driven evidence-based approaches to hold Medicaid and CHIP MCOs accountable, ensure access to high-quality care, and drive quality-based innovation. 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.
Requirements
- Graduation from an accredited four-year college or university.
- At least five years of experience with Medicaid, long-term services and supports programs, or health and human services programs required.
- At least two years of health care quality measurement experience required.
- Experience analyzing data, tracking program performance, or evaluating program outcomes required.
- Knowledge of relevant state and federal laws and regulations relevant to the administration of Medicaid waiver programs, HCBS, or long-term services and supports.
- Knowledge of Program compliance monitoring and reporting.
- Knowledge of Healthcare quality measurement and quality improvement methods and techniques.
- Knowledge of Project/program management theories and practices.
- Skill in conducting data searches and evaluating large amounts of data.
- Skill in operating data visualization software to communicate compliance summaries and corresponding recommendations.
- Skill in preparing and presenting concise and accurate reports for staff and leadership.
- Skill in Microsoft 365 applications, including Word, Visio, Excel, PowerPoint, Outlook, OneDrive, Power BI, and Teams.
- Skill in analyzing state and federal policies.
- Skill in Project management.
- Skill in leading teams.
- Skill in creative problem solving.
- Ability to identify problems, evaluate alternatives, and implement effective solutions.
- Ability to maintain effective working relationships and communicate effectively with other teams, departments, and stakeholders.
- Ability to work independently under minimal supervision and exercise sound judgment.
- Ability to communicate effectively, both verbally and in writing.
- Ability to analyze data using approved analysis and visualization tools.
- Ability to oversee and/or supervise the work of others.
- Ability to develop productive and collaborative relationships with colleagues.
Nice To Haves
- Experience preparing reports for federal submission preferred.
Responsibilities
- Oversee quarterly and annual performance data collection and reporting for 1915(c) Medicaid waivers and other long-term care programs for individuals with disabilities. Key duties include preparing accurate and timely reports for internal review and CMS submission, maintaining program documentation and tracking tools, and ensuring consistent monitoring of performance measures, timelines, and deliverables.
- Support implementation of CMS-2442-F reporting requirements for Medicaid access. Key responsibilities are adapting to updated data collection, coordinating with CMS for guidance, and informing internal stakeholders about changes.
- Facilitate the coordination of program activities among internal divisions, policy and program staff, data providers, and external stakeholders to ensure efficient program operations and comprehensive reporting.
- Create data dashboards to spot risks, gaps, and trends, suggest solutions, and improve program effectiveness and compliance by monitoring data.
- Implement and track quality improvement for assigned programs.
- Performs related work 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
- Excellent health benefits
- Lifetime monthly retirement annuity
- Generous time off benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
