PE Policy Analyst

Location: Austin, TX

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.

About the Role

The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Program Specialist VI (Provider Enrollment Policy Analyst) in the Provider Enrollment (PE) unit. Healthcare providers who want to participate in Texas Medicaid must enroll in the program and periodically revalidate their enrollment. The PE unit oversees the policies, operations, and systems that support the provider enrollment process.

The PE Policy Analyst reports to the Provider Enrollment Manager and performs highly advanced consultative and programmatic support related to PE policy and rule development, operations projects, and training activities in a dynamic and fast-paced environment. The ideal candidate thrives in an environment that emphasizes teamwork, excellence through high professional standards, personal accountability, curiosity, critical thinking, and integrity.

Responsibilities

• Policy and Rules Development (25%) – Develops and maintains PE operational policy and Texas Administrative Code (TAC) rules. Plans, conducts research, and coordinates program policies and rules with other HHSC program areas. Solicits and analyzes stakeholder feedback on proposed policies; adjusts policies based on feedback, as appropriate. Serves as the primary PE subject matter expert on PE policy and rules.
• Technical Support (20%) – Provides consultation to other program areas in the implementation of PE policies (monitoring tools, contracts, handbooks, and other documentation). Coordinates with other HHSC programs on policies and procedures that affect PE. Performs consultative and programmatic support related to training activities. Works with technical and operational staff to develop and align PE processes and policies.
• Research and Analysis (20%) – Conducts research and analyzes state PE operational policies, state and federal legislative mandates, rules, and regulations for impact on PE process and procedures and develops recommendations for policy changes as needed. Monitors for changes in state and federal requirements that impact PE and assesses impacts. Interprets policies, procedures, rules, regulations, and standards related to PE. Performs research on other HHSC program area processes and policies for impacts to PE. Analyzes proposed system changes for compliance with PE policy requirements. Performs legislative bill analysis.
• Communications (15%) – Identifies, communicates, and directs resolution of complex PE policy issues. Responds to inquiries and requests from internal and external stakeholders regarding PE policy. Prepares executive presentations and reports. Responds to legislative inquiries. Leads and participates in public stakeholder workgroups. Communicates with industry stakeholder groups such as provider associations and advocacy organizations.
• Special Projects (10%) – Leads and participates in operational projects affecting the unit. Coordinates with other program areas with minimal oversight. Leads and directs team members in areas of responsibility. May train other staff.
• Complaints and Escalations (10%) – Assists the HHSC Agency with provider enrollment-related complaints, escalations, and requests for information. Provides accurate, comprehensive, and timely responses to escalations and complaints.
• Performs other duties as assigned by the PE Manager and MCS leadership.

Requirements

• Graduation from an accredited four-year college or university with major course work in information technology, business administration, or a related field. Experience and education may be substituted on a year-for-year basis.
• Experience developing, interpreting, researching, and analyzing policy.
• Experience developing healthcare, organizational, or government policies.
• Experience leading workgroups or special projects.
• Experience communicating complex ideas to stakeholders.
• Experience leading operational projects or coordinating with other departments to implement policies or processes.

Skills

• Knowledge or experience with Medicaid provider enrollment preferred.
• Knowledge of Medicaid or other HHSC programs preferred.
• Knowledge of the Texas rule-making process preferred.
• Skill in leading workgroups and making presentations.
• Skill in developing accurate, clear, and succinct program policies.
• Skill in interpreting, researching, and evaluating program policy, rules, procedures, and operations.
• Skill with verbal and written communication.
• Ability to lead large groups and coordinate with other departments.
• Ability to establish and maintain strong working relationships with stakeholders.
• Ability to work in a dynamic and fast-paced environment.
• Ability to prepare complex written reports.

Benefits

Our comprehensive benefits package includes:

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

Explore more details on the Benefits of Working at HHS webpage.

Pay

Salary Range: $5,098.66 - $6,701.75 per month

Schedule

• Shift: Day
• Full-time
• Eligible for telework (includes in-office attendance three days a week; telework policies are subject to change).
• Travel: Up to 5%