Provider Enrollment Manager

About the role

The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a Provider Enrollment Manager to lead the Provider Enrollment (PE) unit. The manager oversees policies, operations, and systems that support the provider enrollment process, reports to the Director of Provider Enrollment, and represents the agency at conferences, panels, and stakeholder meetings.

Responsibilities

• Personnel Management (25%) – Interview, hire, train, and manage staff; assign work, set performance expectations, provide feedback, conduct performance evaluations, monitor attendance, approve leave, and coordinate with human resources on personnel actions.
• Operational Management (25%) – Oversee day‑to‑day activities of direct reports; implement evaluation tools; review fiscal, compliance, and productivity reports; develop training plans; ensure compliance with guidelines, procedures, rules, and regulations; act on internal audit findings.
• Strategic Planning and Development (20%) – Analyze and improve organizational performance; implement new federal and state mandates; drive automation and compliance initiatives; monitor program metrics and strategic alignment.
• Project Management (15%) – Lead or contribute to project implementation, manage deliverables, resources, and status reports; assign resources while balancing priorities; track external projects affecting PE.
• Technical/Communication Support (15%) – Present program information; collaborate with consumer and provider advocacy groups, managed care organizations, HHSC contractors, and other agencies; respond to legislators, auditors, attorneys, and officials; ensure policies conform to federal and state requirements; demonstrate excellent verbal and written communication.

Requirements

• Graduation from an accredited four‑year college or university with major coursework in public administration, public policy, business administration, health care administration, social work, communications, or a related field (or equivalent experience).
• At least 3 years of management experience that includes supervising staff.
• At least 3 years of experience working in Medicaid or related health services programs.
• Experience delivering technical and non‑technical presentations to various audiences and stakeholders.
• Experience responding to formal inquiries such as legislative requests, audits, government open records requests, and executive correspondence.

Skills

• Knowledge of state and federal Medicaid program rules, policies, and provider enrollment processes.
• Contract administration, oversight, and compliance.
• Information technology systems, standards, and practices.
• Running day‑to‑day operations of a team to meet business objectives.
• Strong analytical, tactical, conceptual thinking, planning, and execution.
• Excellent verbal and written communication; ability to explain complex information to diverse stakeholders.
• Conflict resolution, problem‑solving, and sound judgment under pressure.
• Leadership and team management, including staff selection, development, and performance management.
• Collaboration across diverse teams and stakeholders; building and maintaining strong partnerships.

Benefits

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

Pay

Salary range: $6,377.50 – $10,785.83 per month (pay frequency: monthly). Salary group: TEXAS‑B‑26.

Schedule

• Shift: Day.
• Telework eligible.
• Travel up to 5%.