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Director IV
4 months ago
Deputy Associate Commissioner (Director IV) of Program Enrollment and Support (PES)
The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Deputy Associate Commissioner (DAC) of Program Enrollment and Support (PES). MCS is driven by its mission to deliver quality, cost-effective services to Texans. The DAC of PES is a key position with a range of broad responsibilities related to the operational program enrollment and oversight of managed care. With over 97% of services being delivered via managed care, this position has significant accountability for the achievement of key goals of the Texas Medicaid program, thus making a significant contribution to MCS’s mission. This unit performs multiple functions, including managing the interest lists for Medicaid programs, overseeing enrollment broker operations, resolving issues related to program enrollment, and monitoring and validating Managed Care Organization capitation payments and system capabilities.
Reporting to the Deputy Executive Commissioner for Managed Care, the DAC of PES provides leadership, management, and oversight of daily operations of the PES unit; provides strategic planning and operational direction related to systems activities; sets priorities and oversees department responsibilities; and serves as the department liaison for eligibility program and systems changes, fiscal and budget item related to caseload and program enrollment, and all external inquires related to member program enrollment.
The functions under the DAC of PES rely on seamless coordination between eligibility, IT system changes, enrollment policies and systems, payment systems, client communications, program policy, and managed care practices. This role participates in strategic planning related to Medicaid/CHIP managed care goals, strategies, and initiatives that align Medicaid and CHIP with the HHSC strategic plan including evaluation of progress in meeting goals. This role utilizes critical thinking to analyze impacts of federal and state regulations/legislation and develops guidelines and policies to ensure compliance for managed care, program enrollment, and payment systems. This role requires strong communication skills in developing briefing documents, legislative briefings, presentations, and one-pages, as well as the ability respond to legislative inquiries, stakeholders, consumer advocacy groups, other state agencies, auditors, agency executives, and program members.
The DAC represents the agency at business meetings, hearings, trials, legislative sessions, conferences, and seminars or on boards, panels, and committees.
The ideal candidate for this role is a self-directed leader with a proven track record of working in partnership with other team members to drive strategy and results, embracing and solving specific challenges the organization faces, bringing fresh ideas to the managed care model, integrating mission and values into management practices, and leading in a fast-paced environment. The DAC of PES is a critical thinker, adept at asking the necessary questions to obtain key information and impacts for leadership decision making.
Works under minimal supervision with extensive latitude for the use of initiative and independent judgment.
Essential Job Functions:
(30%) Develops program goals, strategies, and initiatives to align with MCS and HHSC strategic plan and agency goals and initiatives. Works closely with staff from other MCS program areas and agencies that manage daily operations of Medicaid and CHIP programs and financing to effectively manage division activities. Plans, develops, implements, coordinates, monitors, and evaluates policies.
(25%) Directs program area(s) and activities. Develops and implements techniques for evaluating program activities. Provides leadership and oversight for areas of responsibility. Plans, develops, and approves schedules, priorities, and standards for achieving goals; and directs evaluation activities.
(15%) Reviews and approves management, productivity, and financial reports and studies. Reviews guidelines, procedures, rules, and regulations; and monitors compliance. Reviews results of special investigations, internal audits, research studies, forecasts, and modeling exercises to provide direction and guidance.
(10%) Develops and reviews budgets and provides final approval. Develops HHSC legislative appropriations requests to ensure adequate and appropriate support and funding for program services.
(10%) Represents the agency at business meetings, hearings, trials, legislative sessions, conferences, and seminars or on boards, panels, and committees, often with short notice.
(10%) Identifies the need to revise program area(s). Provides direction, guidance, and assistance in program area(s). Plans, assigns, and supervises the work of others. Performs related work as assigned.
Knowledge Skills Abilities:
Knowledge of local, state, and federal laws and regulations relevant to program areas and of the principles and practices of public administration and management.
Knowledge of Medicaid and CHIP Programs, including extensive knowledge of managed care programs.
Skill in working collaboratively and cooperatively with diverse groups.
Skill in public speaking.
Ability to communicate effectively.
Ability to develop and evaluate policies and procedures.
Ability to lead diverse teams to achieve desired results.
Ability to serve as agency spokesperson in matters related to program management and operations.
Ability to exercise creative problem-solving techniques in a highly complex environment.
Ability to analyze and solve problems, to make decisions affecting overall operations, and to comprehensively and accurately prepare and evaluate reports.
Ability to set and manage priorities judiciously.
Ability to plan, assign and supervise the work of others.
