QAFS MEPD Unit Lead

Texas Health & Human Services Commission•Marshall, TX

6d•$3,793 - $5,921•Hybrid

About The Position

The Texas Health and Human Services Commission (HHSC) is hiring a Quality Assurance Specialist II – OPSM within Access and Eligibility Services. The position supports the agency’s mission to connect Texans with food, medical care, cash assistance, and other social services by assessing the accuracy and quality of eligibility casework, particularly for Medicaid for the Elderly and People with Disabilities (MEPD) and Supplemental Nutrition Assistance Program (SNAP) programs. The position is part of Quality Assurance Field Services (QAFS), within the Quality Management section of the Eligibility Services: Support Division. It works with a MEPD Field Manager to achieve unit objectives and reports to that manager. Duties include complex case analysis and auditing, reviewing program procedures and case information for compliance with statutes and regulations, reporting findings, and helping develop improvement plans. The position also assists with coordinating and scheduling reviews of system information and eligibility determinations, and provides technical and consultative support for agency program planning and implementation. It works under general supervision, with limited latitude for initiative and independent judgment, and may train others. The role is full-time, regular, nonexempt, and day shift. It is telework-eligible, with travel of up to 20%. Staff who live within 50 miles of the Austin headquarters may be required to work in the office three days per week. The posting lists Marshall as the job location and notes that multiple positions may be filled statewide.

Requirements

Must be a current HHSC Access and Eligibility Services (AES) employee.
Must be able to travel a minimum of 20%.
Must have completed MEPD BST Part I and Part II.
Must have at least three years of experience in the past four years interpreting and applying MEPD policy, including community, facility, and waiver programs.
Must have current TIERS and EWMS experience related to eligibility determinations or review.
Must have completed SNAP BST.
Knowledge of MEPD policies and procedures.
Knowledge of SNAP policies and procedures.
Knowledge of agency policies, operating methods, and procedures; organizational operations; public administration and management techniques; and program planning and implementation.
Attention to detail and ability to discern information accuracy.
Skill in data analysis, report production, organization, analysis, and problem solving.
Ability to organize assigned work and develop effective work methods; evaluate procedures and policies and identify areas for improvement; produce accurate work and meet deadlines; and work independently and make independent judgments.
Ability to gather, assemble, correlate, and analyze findings; prepare correspondence and reports; and select and evaluate information related to business processes and eligibility determination.
Ability to communicate orally and in writing, develop and maintain effective working relationships, and provide leadership and organizational advice.
Must pass applicable background and other due diligence checks if selected for hire.

Nice To Haves

Experience reading cases in PIMS is preferred.

Responsibilities

Audit reviews conducted by QAFS staff to evaluate completeness, accuracy, and required documentation for QAFS activities and projects.
Collect, organize, and analyze error data from case reviews to identify trends.
Prepare and provide reports to management staff as assigned.
Assist the Unit Supervisor with preparing and distributing statistical reports summarizing unit findings to Office of Program Support and Monitoring and Office of Eligibility Services management staff.
Coordinate unit assignments and monitor completion of assignments.
Train unit staff as needed.
Assist with coordinating and scheduling reviews of system information and eligibility determinations.
Review service delivery methods, information systems, and case information for compliance with state statutes and internal regulations, and recommend improvements.
Assist in analyzing findings to develop action plans for improvement.
Provide technical and consultative work in planning, developing, and implementing agency programs, policies, and procedures.
Perform related work as assigned.