Director for Medicaid Technology Modernization

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Brief Job Description

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) Division seeks a highly qualified and experienced candidate to fill the position of Director of Medicaid Technology Modernization (MTM). This Deputy Associate Commissioner (DAC) level position is responsible for leadership and oversight of Medicaid Enterprise Systems (MES) in coordination with HHSC Information Technology (IT) and for implementing critical technology modernization initiatives in Texas Medicaid systems.  The selected candidate will be the primary driver for change and improvements to MES modernization efforts for the Texas Medicaid program, one of the largest in the country with responsibility to deliver services to over 4 million recipients.  This position will afford the selected applicant an unprecedented opportunity to further the MCS mission of delivering quality, cost-effective services to Texans by optimizing resources to ensure a sustainable Medicaid program, and by creating value using innovation in service delivery and oversight. 

Key responsibilities include but are not limited to:

• Creating a project management organization for MES Modernization that includes intake, governance, and project/program management delivery.

• Creating, planning and executing current and long-range strategies to ensure MCS business processes are efficiently and effectively integrated with appropriate and innovative technology solutions;

• Overseeing and serving as the business lead for information technology activities in the Texas Medicaid Program, to include providing direction for IT system planning, development, and implementation; and

• Strategic and operational oversight for large-scale systems and applications, including but not limited to Texas Medicaid fee-for-service Claims Management, Electronic Visit Verification, Pharmacy Vendor Drug Program, Programs for All-Inclusive Care for the Elderly, Contract Administration and Provider Monitoring, Intellectual and Developmental Disability Program Eligibility and Support, and Medicaid Technology Modernization.

In partnership with the Deputy Executive Commissioner for MCS Operations and other members of the leadership team, the Director of Medicaid Technology Modernization will develop and drive the vision for how technology can most effectively support program priorities for the benefit of the Texans served by HHSC. This includes bridging the gap between contractors, internal leadership, HHSC IT, and other stakeholders.  The Director will lead the implementation of a technology roadmap that cohesively supports the future modernization and modularization of the key systems supporting the Texas Medicaid program. The focus will be related to progressing current capabilities through innovation, while balancing cost effectiveness and investment.

As a business leader with technology acumen, this role will be the lead subject matter expert within Medicaid and CHIP Services for all Medicaid-related technology projects to ensure strategic alignment with the priorities of the organization and overall technology roadmap.  The top applicant will plan, assign, and supervise the work of others while working under limited supervision with extensive latitude for use of initiative and independent judgment.

Essential Job Functions

• Attends work on a regular and predictable schedule in accordance with agency leave policy.

• (25%) Oversees planning and implementation of technically complex projects designed to address goals and objectives related to leveraging data and IT to support Texas Medicaid programs.

• (20%) Acts as an advisor by providing strategic intent and directional guidance to cross-functional teams for all Medicaid technology projects to ensure they are achieving desired business value - including any interrelated technology outside of MCS.

• (15%) Participates in strategic assessments of IT proposed technology solutions to ensure alignment with both current and future needs of the programs.

• (15%) Manages and monitors vendor activity related to the modernization and modularization of the systems that support Texas Medicaid.

• (10%) Serve as the business subject matter expert for all procurements related to Medicaid technology.

• (5%) Plans and coordinates budget expenditures relating to modernization activities.

• (5%) Participates in the development of procurement documents (RFP’s, RFI’s, SOW’s, etc.) and QAT Framework documents (particularly the Execution Capability Assessments and Technical Architecture Assessments).

• (5%) Participates as an evaluator and negotiator for procurements and completes other duties as assigned.

Registrations, Licensure Requirements or Certifications:

• PMP Certification required.
• PMI-ACP, SCM or SAFe Certification or equivalent required

Knowledge, Skills, and Abilities

Knowledge of:

• Medicaid and Medicaid Management Information System (MMIS) or Medicaid Enterprise Systems Modularity;
• Technology architecture, coupled with high technical acumen and knowledge of integration principles, techniques, and application.
• Project management principles; and
• Key technology domains, including:
  • Support;
  • Development;
  • Delivery;
  • Software development life cycle methodologies;
  • Computing environments;
  • Networks; and
  • Servers.

Skill with:

• Procurement, contracting, contract administration, budgeting, and financial analysis;
• Customer service with a high degree of responsiveness;
• Communicating and presenting written and verbal information; and
• Identifying, developing, and conveying information and ideas.

Ability to:

• Collaborate, vision, influence, and drive new solutions;
• Mitigate cultural and change risks by building alignment with business leaders and incorporating inputs to solution delivery methodologies;
• Lead and manage teams to successful solutions involving multiple interfaces with legacy systems, business process changes, and multiple groups contributing to projects;
• Serve as a key advisor and partner with agency business and technology executives around business strategy and IT solutions.
• Manage and direct both technical and non-technical experts.

Initial Screening Criteria

Required

• A 4-year degree from an accredited college or university;
• At least 10 years of senior leadership responsibilities in a field related to complex IT planning, implementation, and oversight;
• At least 7 years of managerial and supervision responsibilities; and
• Strong written communication skills as demonstrated by the wording, grammar, and frequency of typos in the initial application materials.

Preferred

• A Master’s degree or higher from an a accredited college or university with a focus on IT systems, information science, information technology or other related IT focused domain;
• At least 15 years of senior leadership responsibilities in a field related to complex IT planning, implementation, and oversight.
• At least 10 years of managerial and supervision responsibilities.

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Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.