Quality Report Specialist

Texas Health & Human Services Commission•Austin, TX

6d•$5,099 - $6,702•Hybrid

About The Position

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) division seek a highly qualified candidate to fill the position of Program Specialist VI to serve as the Quality Report Specialist within the Quality Reporting Unit in the Quality Data Analytics and Reporting Department. The Quality Report Specialist reports to the Quality Reporting Unit Manager (or designee) and performs advanced (senior-level) consultative and technical work supporting the planning, development, coordination, and submission of Centers for Medicare & Medicaid Services (CMS) required reports. This position works under minimal supervision, with considerable latitude for the use of initiative and independent judgment, and is not supervisory but may assign, oversee, and prioritize the work of others. The Quality Report Specialist plays a critical role in supporting compliance with CMS requirements related to Section 1115 Demonstration Waivers including the Healthy Texas Women (HTW) program, Texas Healthcare Transformation and Quality Improvement Program (THTQIP) and STAR+PLUS Home and Community-based Services (HCBS) authorized under THTQIP authority. This position also supports future implementation efforts for federal reporting under the CMS Ensuring Access to Medicaid Services Final Rule (CMS-2442-F). Responsibilities include coordinating, developing, and completing high-quality, timely reports, interpreting federal guidance, and ensuring accuracy and completeness of reported data. The role requires cross-functional coordination, project management, trend identification and analysis, and the ability to manage multiple reporting priorities. 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 supporting quality reporting activities. 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

Bachelor’s degree from an accredited four-year college or university.
At least three years’ full-time work experience with Medicaid, long-term services and supports programs, or health and human services programs required.
Experience with health care quality measurement, federal or state reporting, compliance reporting, or performance monitoring required.
Knowledge of Federal and Texas Medicaid laws, rules, and regulations.
Knowledge of Project management theories, practices, and tools.
Knowledge of Performance measure development, analysis, and evaluation.
Knowledge of Statistical concepts, sampling methods, and models.
Knowledge of Healthcare quality metrics, reporting methodologies, and data systems.
Skill in Using Microsoft Office 365 applications and data visualization tools to prepare reports and analysis data.
Skill in Project management to ensure timely completion of required reports.
Skill in Analyzing, interpreting, and evaluating federal and state legislation, rules, guidance, and program policy to prepare reports and recommendations.
Skill in Synthesizing and effectively communicating complex information both verbally and in writing, to non-technical audiences ensuring completeness and accuracy.
Ability to Use Microsoft Office 365 applications and data visualization tools such as Outlook, Teams, Word, Excel, OneNote, SharePoint, PowerPoint.
Ability to Analyze and interpret complex data and federal and Texas legislation, rules, laws, and regulations.
Ability to Work cooperatively as a team member in a fast-paced, deadline-oriented environment.
Ability to Lead or contribute to complex projects that require critical thinking and problem solving.
Ability to Establish and maintain effective working relationships.
Ability to Manage multiple, sometimes conflicting, tasks and projects, and meet strict deadlines.
Ability to Work independently with minimal supervision and exercise of sound judgment in decision making.
Ability to Translate federal reporting requirements into operational processes.
Ability to Prepare high-quality written documents such as project updates, dashboards, reports, presentations, and communications to stakeholders.

Nice To Haves

Experience preparing reports for federal submission preferred.

Responsibilities

Coordinates and leads the development, review, and submission of assigned federally required reports.
Interprets CMS guidance, special terms and conditions, and related regulations to ensure accurate and compliant reporting.
Ensure reports are complete and submitted in accordance with established federal timelines and requirements.
Prepares implementation updates, performance narratives, metrics context descriptions, and responses to report inquiries.
Identifies reporting risks, discrepancies, or compliance concerns and develops and recommends corrective actions.
Maintains knowledge of evolving federal reporting requirements related to assigned reports to support ongoing compliance.
Analyzes quantitative and qualitative data from multiple sources to identify trends, variances, and performance indicators.
Reviews data outputs for accuracy, completeness, and alignment with federal specifications.
Validates data accuracy across reporting cycles.
Develop reports, summaries, and dashboards.
Supports performance monitoring and reporting efforts by translating data into actionable insights.
Evaluates reporting methodologies and data integrity.
Supports the development of new performance metrics.
Coordinates with internal divisions and external partners to gather, validate, and finalize reporting inputs.
Facilitate meetings, workgroups, and communications to ensure alignment of reporting requirements, timelines, and deliverables.
Provides technical guidance and clarification regarding reporting expectations and federal requirements.
Build and maintain effective working relationships to support cross-functional reporting efforts.
Supports the development and implementation of standardized reporting processes, tools, and documentation.
Reviews and validates reports to ensure quality, accuracy, and compliance with federal standards.
Identifies opportunities to improve reporting efficiency, consistency, and workflow coordination.
Documents processes, procedures, and reporting requirements to support continuity and knowledge sharing.
Apply quality improvement methodologies (e.g., Plan-Do-Check-Act, Lean) to enhance reporting processes and implement improvements to enhance reporting reliability.
Complete 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
Excellent health benefits
Lifetime monthly retirement annuity
Generous time off benefits
Leadership commitment to invest in and foster your professional growth or knowledge of the Texas Medicaid program and your career advancement.
Having a profound impact on the lives of thousands of Medicaid clients that depend on Medicaid services throughout Texas.
Being on the ground level of healthcare quality implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, managed care organizations, and other healthcare contractors.
Being part of a team at the forefront of interpreting, implementing, and developing quality initiatives that have a statewide impact.
The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal/state Medicaid partnerships and other activities related to the administration of the Medicaid program.