Management Analyst IV

About the role

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) department is seeking a highly qualified candidate for the Management Analyst IV position. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS's mission by being the key coordination point for MCS Operations by managing internal reviews of memorandum, legislative reports, and other critical deliverables. This role serves as a liaison between the Provider Finance Department and other MCS departments to support analysis, documentation and project coordination of legislative, system, contract, financial and policy implementation of agency initiatives. This position performs advanced, senior-level managerial work overseeing daily operations related to Medicaid and CHIP services. Working with limited supervision and extensive latitude for autonomy, the position ensures compliance with agency policies, unit standards, processes and procedures. This role will also lead cross-divisional coordination to promote appropriate project prioritization, ensure effective horizontal and vertical communication and optimize resource utilization.

Essential Job Functions

• Program Coordination and Implementation (45%): Coordinates with internal stakeholders responsible for managed care program administration, including the Provider Finance Department and various MCS teams, to ensure effective program operations. Leads complex cross functional projects involving multiple program areas and vendors, interpreting regulatory and legislative requirements into actionable items/plans. Coordinates analysis, implementation, and documentation of legislative, system, contract, financial, and policy changes. Build effective partnerships with impacted areas to drive action. Leads and coordinates major projects involving multiple program areas and contracted vendors to achieve successful outcomes. Provides routine status updates on assigned projects and tasks to impacted areas and leadership. Translates regulatory mandates to actionable projects and tasks, identifies appropriate task owners, and manages implementation. Conducts impact assessments to determine how stakeholders are affected by a change and develops appropriate change management plans to address those impacts.
• Process Improvement (25%): Recommend and implement process improvements for complex operational issues. Collaborate with internal and external stakeholders to resolve issues, define scope of changes, identify training needs, and evaluate program effectiveness to support cross-functional alignment to support MCS and PFD collaboration. Research policies, rules, contracts, operational data, and other relevant sources to identify root causes and develop recommendations. Presents process improvement recommendations to impacted areas and leadership for input and approval. Leads the implementation of improvements across multiple cross-functional teams.
• Vendor Oversight (25%): Oversee MCO and DMO compliance with managed care initiatives and recommend corrective actions as needed. Tracks work activities and milestones from MCOs and DMOs through project and program implementation. Identify and initiate contract changes relevant to assigned projects.
• Other Duties as Assigned (5%): The role may be asked to participate in or assist with assignments or projects that are not directly related to the role but are necessary for the agency's goals or mission.

Knowledge, Skills, and Abilities

• Knowledge Of: Local, state, and federal laws and regulations relevant to Medicaid Managed Care. Federal laws, regulations and processes regarding Health and Human Services programs with a centrifugal focus on Medicaid and Children's Health Insurance Program (CHIP). Core components of contract management and monitoring. Principles and practices of public administration and management. Audit principles/practices, including third-party audits and developing a scope of work. Bill analysis and implementation of legislative changes.
• Skill In: Prioritizing and managing projects, working collaboratively and cooperatively with diverse internal and external stakeholders including contractors/subcontractors to identify and develop program performance measures or indicators of program performance. Strong written and verbal communication skills to include the ability to publicly present information and serve as an agency spokesperson in matters related to program management and operations. Proven critical thinking and problem-solving skills with the ability to make sound decisions impacting operations and to prepare complex reports.
• Ability To: Effectively collaborate with diverse stakeholders to identify and develop program performance indicators and measures. Lead projects and cross-functional workgroups to implement changes to managed care processes and policies including across various program areas. Collect, correlate, analyze and interpret information to develop effective solutions, evaluate policies and procedures and appropriately tailor information to the reflect audience to internal and external stakeholders. Build and maintain strong partnerships with internal and external stakeholders. Continuously learn and adapt to new concepts and evolving processes and business needs.

Required Initial Screening Criteria

• Graduation from an accredited four-year college or university with major coursework in business administration, public administration, health care administration, social services, finance, policy, or a related field. Related experience may be substituted for education on a year-for-year basis.
• Experience coordinating or implementing complex projects, initiatives, or operational changes involving multiple program areas, stakeholders, or vendors.
• Experience analyzing operational issues, identifying root causes, developing recommendations, and supporting process improvements.

Preferred Experience

• Experience with Medicaid, CHIP, managed care, health and human services programs, or other public-sector health care operations.
• Experience developing change management plans, conducting impact assessments, identifying training needs, or supporting cross-functional implementation of legislative, system, contract, financial, or policy changes.

Pay

Salary Range: $5,797.66 - $7,500.00 per month (Pay Frequency: Monthly, Salary Group: TEXAS-B-25, FLSA Exempt)

Schedule

Shift: Day; Travel: Up to 5%; Full-time, Regular position. This position is located in Austin, TX and may allow a hybrid telework schedule with required on-site work at the HHS North Austin Complex. Telework is subject to change based on business needs and management directives. When telework is allowed, it requires reliable personal internet and a workspace that supports the protection of confidential information.

Benefits

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