Program Manager 2, Medicaid

Houston Independent School District•Houston, TX

23h•$65,000 - $85,000•Hybrid

About The Position

The Program Manager 2 – Medicaid Services serves as the subject matter expert for the School Health and Related Services (SHARS) and eSHARS systems, providing expert guidance and support to Houston ISD and client district staff. This position facilitates training for Houston ISD and client school districts on Medicaid program policies, implementation procedures, and service delivery reimbursement processes. The Program Manager also certifies Medicaid compliance requirements for HISD and each client district’s Medicaid revenue programs and oversees account management (aging of accounts) by monitoring, analyzing, and coordinating ongoing operations to maximize Medicaid revenue while ensuring full compliance with state and federal regulations.

Requirements

Bachelor's degree
Proven experience 1-3 years
Strong understanding of account management principles, methodologies, and tools.
Excellent organizational and time management skills, with the ability to manage multiple projects simultaneously.
Demonstrated ability to lead and motivate cross-functional teams towards achieving project goals and deliverables.
Excellent communication and interpersonal skills, with the ability to effectively collaborate with stakeholders at all levels.
Strong problem-solving and decision-making abilities, with a proactive and solutions-oriented mindset.
Proficient in account management, eSHARS software and tools for planning, tracking, and reporting.
Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Strong attention to detail and quality, ensuring high standards of project deliverables.
Flexibility and adaptability to changing project requirements and priorities.
Strong analytical and critical thinking skills, with the ability to identify and mitigate project risks.
Ability to travel as required.

Responsibilities

Coordinates, monitors and ensures medical claiming and SHARS policy guidelines are followed. Analyzes daily operations, resolves issues, and prioritizes assignments. Provides training to client district administrators, clinicians, and health and related service providers on the eSHARS system, as well as Medicaid regulatory and audit compliance requirements.
Routinely travels with in HISD and/or across Texas to facilitate training, coordinate and provide support on Medicaid program policies, regulations, and the eSHARS system. Meets with assigned campuses or districts to review infrastructure, ongoing operations, cloud-based data systems, and other support services to ensure maximum Medicaid revenue and program compliance.
Coordinates and actively supports the resolution of client district customer concerns and issues by serving as a primary point of contact. Investigates and assesses reported problems, collaborates with relevant teams or stakeholders to identify effective solutions, and ensures timely follow-up to address and resolve issues. Provides guidance, resources, and training as needed to prevent recurring challenges and enhance overall client satisfaction. Maintains detailed records of concerns, resolutions, and best practices to inform process improvements and support continuous service quality.
Acquires, compiles, and maintains current program operations data and criteria to ensure infrastructure operations effectiveness to applicable policies and performs HISD and client district program audits to meet state/federal compliance.
Facilitates effective communication with the technology team regarding reported issues and system bugs to support timely resolution. This includes reproducing errors, assisting with system testing, and participating in quality assurance activities prior to software production releases.
Prepares and files required reports to ensure client districts compliance with state and federal Medicaid requirements, including mission-critical Medicaid, SHARS Cost Reports, Certification of Expended Funds (COEF) and Maintenance of Effort (MOE) compliance to USHHS Office of Inspector General (OIG) disclosures.
Conducts regular Medicaid compliance status meetings, providing updates to key stakeholders while addressing any concerns, risks, or issues to ensure ongoing adherence to program requirements.
Fosters strong relationships with Houston ISD and client district stakeholders, promoting engagement, collaboration, and effective partnership to support program success.
Stay informed about industry trends, emerging technologies, and account management practices to enhance knowledge and skills.
Perform other duties as assigned