MCCO Manager II

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

Functional Title: MCCO Manager II 
Job Title: Manager II 
Agency: Health & Human Services Comm 
Department: MC Contracts and Oversight 
Posting Number: 10197 
Closing Date: 10/30/2025 
Posting Audience: Internal and External 
Occupational Category: Healthcare Support 
Salary Group: TEXAS-B-23 
Salary Range: $5,098.66 - $6,701.75 
Pay Frequency: Monthly
Shift: Day 
Additional Shift:  
Telework:  
Travel: Up to 25% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 701 W 51ST ST 
Other Locations:  
MOS Codes: 0203,0207,0302,0520,0602,0802,1802,5502,6302,6502,7202,7208,7210,7220,111X,112X,113X,114X,16GX,41AX 
611X,612X,631X,632X,641X,648X,86M0,86P0,8U000,9G100,SEI15 
 
 

Brief Job Description:

The HHSC Medicaid CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of the Manager II. 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 ensuring that to MCCO meets statutory requirements and implements audit recommendations within prescribed timeframes. The Manager II is selected by and reports to the Senior Manager located in the Health Plan Management Division of the Medicaid/CHIP Services Department. This position is responsible for performing highly complex monitoring, analysis, oversight, and management activities for daily operations of a Health Plan Management team. Work involves planning, developing, and implementing major agency program(s) and providing consultative services and technical assistance to program staff, governmental agencies, community organizations, or the public. This position hires, trains, assigns, prioritizes, and evaluates the work of the team. This position works with all aspects of the Medicaid/CHIP programs, including Medicaid Managed Care, DMOs, MCOs, contracts, policies and/or procedures. Staff in this position works under minimal supervision, with considerable latitude for the use of initiative and independent judgment.

Demonstrates commitment to the goals of the Medicaid/CHIP services, shows initiative to take on new projects, is team-oriented and committed to outstanding customer service, and focuses on promoting efficiencies and accountability. 

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

Essential Job Functions (EJFs):

1) Manages the team to monitor MCO contract compliance and the development, implementation, and monitoring of corrective action. 

a.) Evaluates data on MCO compliance with the contract(s) through review of deliverables, reports from other MCO regulatory entities, reports from HHS/contractors, and data obtained from other sources. 

b.) Evaluates the performance of each assigned MCO and makes recommendations for improvements in MCO operations.

c.) Oversees the identification and resolution of contract issues by working with MCOs to improve the performance of contract requirements. 

d.) Coordinates with internal and external stakeholders on MCO contract-related processes, contract monitoring issues and improvements to promote more efficient, innovative, or effective outcomes and processes. 

2) Oversees and leads functions related to operational on-sites, desk reviews, implementations, readiness reviews, information sessions, or other activities as required. 

a.) Review’s materials and prepares reports based on findings from readiness reviews. 

3) Works with program staff to determine trends and resolve technical problems. 

4) Develops internal policies and procedures for HPM program operations. Facilitates teams and manages assigned projects. 

5) Assists and provides guidance in the development of managed care contracts, Requests for Proposals (RFPs) and evaluation tools. Participates in the development of RFPs and the evaluation of RFP responses within assigned timeframes. 

a.) Reviews, analyzes, and evaluates rules, bills, and federal/state laws with implications for the Medicaid and CHIP programs as required. 

6) Performs supervisory functions in accordance with agency policy. Approves leave through CAPPS within established timeframes. Completes assignments in timeframes established by supervisor and quality of the completed assignments in acceptable according to supervisor’s expectations. 

7) Establishes and maintains effective working relationships and communication with staff from other agencies and organizations, appropriately interacts with others, and provides timely responses to requests and inquiries. Represents the HPM Department in a positive manner. 

8) Apprises supervisor of work-related incidents as situations that could be problematic to staff, the department, or the agency.

Knowledge, Skills and Abilities (KSAs):

1. Knowledge of subsidized health insurance, including Medicaid, Medicaid Managed Care, and/or CHIP.
2. Knowledge of contract management and compliance principles.
3. Ability to work under limited direction and to use initiative and independent judgment.
4. Analytical and organizational skills and the ability to conduct investigations or audits; gather, assemble, correlate, and analyze facts and data; and devise solutions to problems.
5. Knowledge of state and federal laws, regulations and processes regarding Medicaid Managed Care and CHIP.
6. Skill in using personal computer application software such as Microsoft Word, Excel, Power Point, or other similar programs.
7. Skill in written and oral communication, including the ability to make public presentations, write technical information in an understandable format, produce sophisticated research and analytical reports.
8. Ability to research and evaluate policies and procedures.
9. Skill in establishing and maintaining effective working relationships with managers, co-workers, other agency personnel and the public.

10.Ability to effectively supervise work of staff, ensure accountability, and motivate to build morale.  

Registrations, Licensure Requirements or Certifications:

Certified Texas Contract Manager (CTCM) certification within 12 months of hire date.  Must maintain CTCM certification.

Initial Screening Criteria:

Minimum of three years of experience with Medicaid and CHIP managed care programs required. Experience with contract management and contract monitoring principles is preferred. A minimum of 120 semester hours from an accredited college or university with major coursework in healthcare administration or health information technology is generally preferred. Minimum of three years of experience in using a PC and Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook. Supervisory experience preferred. 

Additional Information:

NA

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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.