Medicaid Services Manager
7 days ago
The Texas Department of Aging & Disability Services is seeking a highly skilled and experienced Program Manager V to lead a team of program specialists in the Medicaid and CHIP Services (MCS) Office of Policy. This is a senior-level managerial position that requires advanced knowledge of Medicaid and CHIP laws and regulations, as well as excellent leadership and communication skills.
Key Responsibilities- Team Leadership: Plan, assign, and provide direction to the staff in the unit, ensuring the development of complex healthcare policy and the implementation of federal and state laws and rules.
- Policy Development: Guide staff in the development of policy documents, including Texas Administrative Code rule amendments, state plan amendments, contract amendments, reports, and requests for proposals.
- Staff Management: Hire, train, and motivate staff, ensuring they have the necessary skills and knowledge to perform their duties effectively.
- Communication: Represent the agency and Medicaid and CHIP Services department at conferences, committee meetings, workgroups, panels, stakeholder meetings, and legislative hearings, presenting complex materials in understandable formats.
- Problem-Solving: Identify problems, evaluate alternatives, and devise and implement sound solutions related to complex policy issues.
- Knowledge: State and federal Medicaid and CHIP or health care-related laws and regulations, project and program management principles and practices, and principles and practices of public administration and management.
- Skills: Analyzing, evaluating, and interpreting complex written material, managing multiple priorities, effective verbal and written communication, establishing and maintaining productive working relationships, and using Microsoft Office Suite.
- Abilities: Plan, assign, prioritize, supervise, and evaluate the work of others, hire and train staff, identify problems and devise solutions, take initiative, think creatively, and perform well in a team environment.
The selected candidate will work in a collaborative and supportive environment, with opportunities for constant learning and professional growth. The position requires the ability to work independently with minimal supervision and to interact with executive staff, other HHSC staff, other state agencies, federal partners, managed care organization staff, external stakeholders, and the public.
-
Manager V
7 days ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Description:The Texas Department of Aging & Disability Services seeks two highly qualified candidates to fill two Manager V positions. The positions hired under this requisition include:Position 1: Program Policy Manager - Ancillary Medicaid Services and Behavioral HealthThis position will oversee staff responsible for developing and implementing policy...
-
Manager V
7 days ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Description:The Texas Department of Aging & Disability Services seeks two highly qualified candidates to fill two Manager V positions. The positions hired under this requisition include:Position 1: Program Policy Manager - Ancillary Medicaid Services and Behavioral HealthThis position will oversee staff responsible for developing and implementing policy...
-
Medicaid and Medicare Policy Consultant
1 week ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: The Texas Department of Aging & Disability Services is seeking exceptional candidates for two Program Specialist VI roles within the Medicaid and CHIP Services Program Policy team. These positions will report directly to the Manager of Program Policy in the Office of Policy.Available Roles:ROLE 1: Medicare-Medicaid Policy Consultant (Program...
-
Medicaid and Medicare Policy Consultant
2 weeks ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: The Texas Department of Aging & Disability Services is seeking exceptional candidates for two Program Specialist VI roles within the Medicaid and CHIP Services Program Policy team. These positions will report directly to the Manager of Program Policy in the Office of Policy.Available Roles:ROLE 1: Medicare-Medicaid Policy Consultant (Program...
-
Medicaid and Medicare Policy Consultant
2 weeks ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: The Texas Department of Aging & Disability Services is seeking exceptional candidates for two Program Specialist VI roles within the Medicaid and CHIP Services (MCS) Program Policy team. These positions will report directly to the Manager of Program Policy in the Office of Policy.Available Positions:POSITION 1: Medicare-Medicaid Policy...
-
Medicaid Policy Nurse Analyst
2 weeks ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: The Texas Department of Aging & Disability Services is seeking a skilled professional to take on the role of Nurse Policy Analyst (Nurse IV). This position plays a crucial role in enhancing the department's mission to provide high-quality, cost-effective services to the community. The Nurse Policy Analyst will engage in comprehensive analysis...
-
Reimbursement Analyst I
3 hours ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Summary:The Texas Department of Aging & Disability Services seeks a highly skilled Reimbursement Analyst I to join our team in the Chief Financial Officer Division, Provider Finance Department. As a key member of our team, you will perform advanced technical work in the development of reimbursement rates or supplemental payments and administration of...
-
Policy Analyst
7 days ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Description:The Texas Department of Aging & Disability Services is seeking a highly skilled and experienced professional to join our team as a Program Specialist V - Medicaid LTSS Policy. This is an exciting opportunity to work on critical services for Texans with intellectual and developmental disabilities (IDD) and related conditions.Key...
-
Medicaid Program Analyst
1 week ago
Austin, Texas, United States Hire IT People, Inc Full timeJob Title: Business Analyst 2Job Location: Remote/HybridDuration: 12 MonthsJob Description:The services to be provided include, but are not limited to the following:Business Analysis: Analyzes program policies, procedures, and processes to determine the impact on business systems and functional areas.Requirements Gathering: Analyzes and reviews system, data,...
-
Program Policy Manager
7 days ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Description:The Texas Department of Aging & Disability Services seeks two highly qualified candidates to fill two Manager V positions. The positions hired under this requisition include:Position 1: Program Policy Manager - Ancillary Medicaid Services and Behavioral HealthThis position will oversee staff responsible for developing and implementing policy...
-
Program Specialist II
5 days ago
Austin, Texas, United States CAPPS, Inc. Full timeJob SummaryCAPPS, Inc. is seeking a highly skilled Program Specialist to perform moderately complex investigative work by researching and analyzing data-intensive information, reports, and records to identify evidence to support investigation and prosecution of Medicaid fraud violations and physical and financial abuse in Medicaid-funded facilities.Key...
-
Austin, Texas, United States CAPPS, Inc. Full timeJob Overview GENERAL SUMMARY The Medicaid Fraud Control Unit within the Office of the Attorney General (OAG) is in search of a Program Specialist who will engage in moderately complex investigative tasks primarily conducted in-house. This role involves the thorough research and analysis of data-rich information, reports, and records to uncover evidence that...
-
Austin, Texas, United States CAPPS, Inc. Full timeJob Overview GENERAL SUMMARY The Medicaid Fraud Control Unit within the Office of the Attorney General (OAG) is in search of a Program Specialist to engage in moderately complex investigative tasks primarily conducted in-house. This role involves thorough research and analysis of data-rich information, reports, and records to uncover evidence supporting the...
-
Austin, Texas, United States CAPPS, Inc. Full timeJob Overview GENERAL SUMMARY The Medicaid Fraud Control Unit within the Office of the Attorney General (OAG) is on the lookout for a Program Specialist who will engage in moderately complex investigative tasks primarily conducted in-house. This role involves the research and analysis of data-rich information, reports, and records to uncover evidence that...
-
Nurse III
1 week ago
Austin, Texas, United States Texas Health & Human Services Commission Full timeJob SummaryThe Texas Health & Human Services Commission is seeking a highly skilled Nurse III - Managed Care Clinical Review Specialist to join our team. As a key member of our Acute Care Utilization Review Unit, you will play a critical role in ensuring compliance with Texas Medicaid contracts and state and federal regulations.Key ResponsibilitiesConduct...
-
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: The Long-Term Services and Supports (LTSS) division within the Texas Department of Aging & Disability Services is looking for dedicated professionals committed to enhancing essential services for individuals in need. This division plays a pivotal role in formulating and executing program policy standards while ensuring the effective management...
-
Advanced Nurse Analyst for Managed Care
2 weeks ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: Position: Nurse III Telework: Flexible work arrangements are available for this role. The Nurse III, serving as a Managed Care Nurse Analyst, holds a pivotal senior position reporting to the Managed Care Clinical Review Manager within the Acute Care Utilization Review Unit (ACUR). This role is tailored for a registered nurse eager to...
-
Nurse III
1 week ago
Austin, Texas, United States Texas Health & Human Services Commission Full timeJob SummaryThe Texas Health & Human Services Commission is seeking a highly skilled and experienced Nurse III to join our team as a Managed Care Clinical Review Specialist. This is a senior-level position that requires a strong clinical background, excellent analytical and communication skills, and the ability to work effectively in a fast-paced...
-
Senior Managed Care Nurse Analyst
1 week ago
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: Position: Nurse III Telecommuting options are available for this role, allowing for flexible work arrangements. The Nurse III, specializing as a Managed Care Nurse Analyst, is a senior-level role reporting to the Managed Care Clinical Review Manager within the Acute Care Utilization Review Unit. This position is tailored for a registered...
-
Austin, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: The Long-Term Services and Supports (LTSS) division within the Medicaid and CHIP Services (MCS) Office of Policy is on the lookout for dedicated professionals committed to enhancing essential services for individuals in Texas. This division plays a pivotal role in formulating and executing program policy requirements while ensuring the...
