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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 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 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.
The focus will also be on improving the integration of Medicare and Medicaid services for individuals who qualify for both programs.ROLE 2:
Medicaid Policy Consultant (Program Specialist VI).
This position will lead a team on specialized areas concerning Medicaid and CHIP managed care policy.
The role encompasses advanced consultative and technical work related to the planning, development, execution, and upkeep of these policies.
Additionally, the Policy Consultant will provide expertise to agency personnel, governmental bodies, community organizations, provider groups, and the public.
The selected candidate may also take the lead in implementing ongoing management of complex program initiatives.Both roles will collaborate closely with internal and external stakeholders and engage with staff responsible for other Medicaid and Medicare programs and services.
The positions are expected to analyze Medicaid and/or Medicare laws and regulations as they pertain to program issues and produce high-quality, well-crafted documentation.
Ideal Candidates Will:
- Excel in a fast-paced, dynamic work environment;
- Be committed to enhancing healthcare services for Texans;
- Possess the ability to work collaboratively with diverse stakeholders;
- Demonstrate capability to work both independently and as part of a team;
- Exhibit strong critical thinking abilities;
- Showcase excellent communication skills;
- Be organized and adept at managing multiple tasks/projects simultaneously;
- Be highly motivated self-starters, capable of planning and initiating 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 guidance 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 various workgroups and committees. May provide 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 in:
- Creating and implementing innovative solutions to complex challenges;
- Exercising sound judgment with limited information;
- Working independently in a leadership capacity with minimal direction;
- Written communication, including the ability to synthesize complex and technical information into clear, concise documents;
- Verbal communication, with the skill to present intricate information in an understandable manner for a general audience.
Abilities to:
- Engage in critical thinking;
- Collaborate effectively in a team environment;
- Negotiate the competing interests of 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.
