[Hiring] Program Specialist IV @Texas Health & Human Services Commission

Role Description

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. This position makes a significant contribution to MCS’s mission by providing oversight and monitoring of provider requirements with Individual Plans of Care (IPC) and Level of Care/Level of Need (LOC/LON) determinations.

The Program Specialist IV position completes highly complex consultative and technical assistance, including:

• Research, assessment, and planning directly to management, HHSC program staff, and local authority (LIDDA) staff.
• Oversight and monitoring of provider requirements.
• Conducting desk reviews to determine compliance with HHSC rules, policies, and procedures.
• Conducting utilization review and evaluation of proposed IPCs.
• Evaluating IPC and eligibility activities and trends.
• Developing and revising utilization review tools.
• Serving as agency representative in Medicaid fair hearings.
• Conducting training and providing guidance to staff.
• Coordinating and collaborating with program staff.

This position reports to the CLASS/DBMD Program Director in the IDD Waivers Unit of Utilization Review.

Qualifications

• Qualification as a Qualified Intellectual Disability Professional (QIDP) as defined in 42 Code of Federal Regulations 483.430(a) required.

Requirements

• Ability to work collaboratively across MCS to accomplish objectives.
• Able to balance team and individual responsibilities.
• Knowledge of ID and other developmental disability related conditions.
• Skill in the development and maintenance of interpersonal relationships and public speaking.
• Ability to communicate effectively, both orally and in writing.
• Ability to multi-task, handle stress, and meet deadlines.
• Ability to operate computers and experience using Microsoft Office products.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• A defined benefit pension plan.
• Generous time off benefits.
• Numerous opportunities for career advancement.