Texas Health and Human Services · 8 hours ago
Policy Analyst (Program Specialist V)
Texas Health and Human Services is committed to creating a positive impact in the lives of fellow Texans. The Program Specialist V will serve as a policy analyst and subject matter expert on Medicaid and CHIP program policy topics, collaborating with various stakeholders to develop and implement policies and procedures.
Health Care
Responsibilities
Coordinates and collaborates with internal and external stakeholders to create and update policies, procedures, contract requirements, administrative rules, business rules, and communications to external stakeholders and contractors
Develops project timelines for assigned projects, monitors and reports on progress, and updates timelines as necessary
Coordinates and collaborates with the internal and external stakeholders to schedule standing meetings, respond to policy inquiries, draft reports, update content in public documents and websites, and manage shared mailboxes
Assists in researching managed care organizations’ compliance with program policy contractual requirements
Participates in and helps to facilitate meetings with stakeholders, including managed care organizations, provider associations, people receiving services, and subject matter experts
Collaborates with other areas of MCS and HHSC to plan, develop, implement, monitor, interpret, and evaluate Medicaid programs, policies, MCO contract requirements, business rules, administrative rules, waivers, and state plan. Evaluates MCO compliance with program policies and procedures, contract requirements, statutes, rules, and takes corrective action if needed
Plans, monitors, and evaluates the implementation of state and federal legislation and regulations. Analyzes state legislation, federal legislation, and federal rules to evaluate their impact on MCS and stakeholders, including MCOs, service providers, and members
Establishes, facilitates, participates in, and develops agendas for relevant workgroups and committees, including inter-agency workgroups and committees. Coordinates and provides requested training to internal staff and external entities
Prepares high quality written documents such as project updates, reports, PowerPoint presentations, communications to stakeholders and contractors, executive memos, policy and project summaries, legislative reports, administrative rules, waivers, and state plan amendments
Other duties as assigned
Qualification
Required
High school diploma and at least five years of full-time work experience in a health and human services field
Bachelor's degree from an accredited four-year college or university and at least one year of full-time work experience in a health and human services field
Master's degree from an accredited college or university in public health, public administration, public affairs, social work, or closely related field
Knowledge of federal and state Medicaid and CHIP laws and regulations
Knowledge of government organization and administration
Knowledge of program issues related to Medicaid services for children with disabilities
Knowledge of principles of health and human services policy and planning
Knowledge of State of Texas legislative processes
Skills in analyzing, evaluating, and interpreting complex federal and state legislation, program, policy, and operations issues
Skills in project management policy analysis, and performing policy research
Skills in synthesizing, analyzing, and evaluating highly complicated and technical information
Skills in translating policy and technical information into easily understandable and concise documents and oral presentations
Skills in developing creative and workable solutions to complex problems and policy issues
Skills in facilitating stakeholder and different workgroup meetings
Ability to develop, amend, and interpret program policies, rules, and contract requirements related to Medicaid and CHIP Services
Ability to research, gather, assemble, correlate, and analyze facts and devise solutions based on the information available
Ability to work with a team under pressure, negotiate among multiple parties, resolve conflicts
Ability to exercise judgment and work independently with minimum supervision
Ability to work cooperatively as a team member in a fast-paced, deadline-oriented environment
Ability to establish and maintain effective working relationships with various levels of personnel in government entities
Ability to use Microsoft Office Suite applications such as Outlook, Teams, Word, and Excel
Ability to communicate effectively orally and in writing, including the ability to adjust communications to fit the intended audience
Ability to work with diverse groups of people, including stakeholders, who have a variety of opinions
Benefits
100% paid employee health insurance for full-time eligible employees
Defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement
Engagement with the Texas legislative process, including the opportunity to analyze and inform legislators of potential impact of proposed bills
The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal-state Medicaid partnerships and other activities related to the administration of the Medicaid program
Federal Public Service Loan Forgiveness Program
Company
Texas Health and Human Services
Texas Health and Human Services is an agency that focuses on improving health, safety and well-being.
Funding
Current Stage
Late StageLeadership Team
Recent News
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2025-04-09
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2024-04-01
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