Medicaid and Medicare Policy Consultant
1 week 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 acts 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 Dual-eligible Special Needs Plans, along with Medicaid wrap-around services for beneficiaries eligible for both programs.
This position will also emphasize the enhancement of integration between Medicare and Medicaid for individuals who qualify for both services.ROLE 2:
Medicaid Policy Specialist (Program Specialist VI).
This role will lead a team focusing on specialized areas concerning Medicaid and CHIP managed care policy.
Responsibilities include conducting advanced consultative and technical work related to the planning, development, implementation, and maintenance of these policies.
Additionally, the Policy Specialist will provide expert guidance to agency personnel, governmental bodies, community organizations, provider groups, and the public.
The selected candidate may also take charge of the ongoing management of complex program initiatives.Both roles will collaborate closely with internal and external stakeholders and will engage with staff responsible for other Medicaid and Medicare programs and services.
The positions are expected to evaluate Medicaid and/or Medicare laws and regulations as they pertain to program matters and produce high-quality, well-articulated documentation.
Ideal Candidates Will:
- Excel in a fast-paced, dynamic work environment;
- Demonstrate a commitment to enhancing healthcare services for Texans;
- Exhibit the ability to work collaboratively with various stakeholders;
- Be capable of functioning both as part of a team and independently;
- Possess strong analytical skills;
- Have outstanding communication abilities;
- Be organized and adept at managing multiple tasks/projects simultaneously;
- Be self-motivated and able to initiate 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 multiple 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:
- Developing and implementing innovative and effective solutions to complex challenges;
- Exercising sound judgment with limited information;
- Working independently 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 to:
- Think critically;
- 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.
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