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Medicaid and Medicare Policy Consultant
2 months ago
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 Consultant (Program Specialist VI).
This role will act as the primary staff member for significant Medicaid managed care initiatives, including the Texas Dual Eligible Integrated Care Program, state-contracted Medicare Advantage Plans, and Medicaid wrap-around services for beneficiaries eligible for both programs.
This position will also concentrate on improving the integration of Medicare and Medicaid for individuals who qualify for both services.POSITION 2:
Medicaid Policy Specialist (Program Specialist VI).
This role will lead a team focusing on specialized areas concerning Medicaid and CHIP managed care policy.
The responsibilities include conducting advanced consultative and technical work related to the planning, development, implementation, and ongoing management of these policies.
Additionally, the Policy Specialist will provide expert guidance to agency personnel, governmental bodies, community organizations, provider entities, and the public.
The selected candidate may also take charge of the implementation of complex program initiatives.Both roles require close collaboration with internal and external stakeholders and engagement with staff overseeing other Medicaid and Medicare programs and services.
The positions necessitate the analysis of Medicaid and/or Medicare laws and regulations concerning program issues, along with the preparation of high-quality, well-articulated documents.
Ideal Candidates Will:
- Excel in a fast-paced, dynamic work setting;
- Demonstrate a commitment to enhancing healthcare services for Texans;
- Exhibit the ability to collaborate effectively with various stakeholders;
- Work well both independently and as part of a team;
- Possess strong critical thinking abilities;
- Communicate effectively;
- Be organized and capable of managing multiple tasks/projects simultaneously;
- Be highly motivated self-starters, able to initiate and plan projects with minimal guidance; and
- Maintain high professional standards and a desire for continuous learning.
(25%) Oversee the analysis, development, implementation, and documentation of federal and state legislation and regulations. Provide oversight in the creation of policy development, legislative analyses, research papers, reports, and responses to stakeholder inquiries.
(25%) Collaborate with internal and external stakeholders to develop, implement, and manage projects or special initiatives related to programs and services for individuals enrolled in Medicaid and CHIP services.
(20%) Establish, facilitate, and participate in multiple workgroups and committees. May develop and deliver training to internal staff and external entities.
(20%) Prepare and approve high-quality written materials, including program and project updates, executive memos, presentations, legislative reports, rules, waivers, and state plan amendments.
(7%) Lead coordination efforts and consult with internal and external stakeholders, keeping supervisors informed of relevant issues.
(3%) Perform other duties as assigned.
Required Knowledge, Skills, and Abilities:
Knowledge of Medicaid, Medicare, or long-term services and supports (LTSS).
Skills:
- Developing and implementing innovative solutions to complex challenges;
- Exercising sound judgment with limited information;
- Working independently with minimal direction in a leadership capacity;
- Written communication, including the ability to synthesize complex and technical information into clear and concise documents;
- Verbal communication, including the ability to present intricate information in an understandable manner for a general audience.
Abilities:
- Think critically;
- Collaborate effectively in a team environment;
- Negotiate competing interests among multiple parties;
- Resolve conflicts;
- Establish and maintain effective working relationships;
- Plan and initiate projects with limited guidance; and
- Manage multiple, sometimes conflicting, tasks and projects simultaneously.