Manager V

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.

Brief Job Description:

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Provider Fiscal Compliance (PFC), Manager V. 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 administering the daily operations and activities of the PFC team for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) waiver programs, and the Community First Choice (CFC) service. This position is responsible for the development and implementation of quality controls and processes while fostering a collaborative environment among both internal and external stakeholders.

This position is responsible for providing leadership and direction to the PFC team. Work involves: coordinating activities to address issues and establish priorities in a timely manner; reviewing and approving monitoring findings and appropriate actions; establishing team goals and objectives; developing policies and procedures; conducting quality assurance reviews; ensuring efficiencies within the team; performing internal and external reporting, communications, trainings, and presentations; conducting personnel actions such as recruiting; and supervising the work of others. May serve as a Contract Manager. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment.

The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy.

This position reports directly to the Director II for Provider Monitoring within Contract Administration and Provider Monitoring unit.

Essential Job Functions (EJFs):

Works collaboratively across MCS to identify innovative and effective solutions for clients and staff.

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

EJF 1 (40%): Manage the daily activities of staff responsible for developing and implementing systems of contract monitoring of complex, large scope, high dollar contracts. This work includes evaluating staff adherence to policy and procedure, rules, regulations; providing technical assistance to staff; managing and developing staff through development of performance standards, review of performance data, consultation, training, and performance appraisal; managing staff on adherence to requisite skills necessary to conduct contract monitoring activities; planning, assigning and supervising the work of unit staff; creating and maintain staff development plans; providing guidance for contract activities and monitoring staff compliance with established guidelines, policies and procedures and managing employee conduct, leave and work performance and recommends personnel actions.

EJF 2 (20%): Oversee the preparation and accuracy of correspondence and reports to external and internal parties regarding contract issues and activities; prepare status reports for leadership identifying progress, productivity, key milestones, results of evaluation activities, vendor compliance, and trends or anomalies that may require additional Contract oversight; ensures communication and coordination occurs with internal and external stakeholders on issues related to contract functions; and reviewing and verifying payment schedules, budget, budget  allocations/forecasts and payment are properly reflected in contract agreements.

EJF 3 (15%): Oversees developing and implementing systems of contract monitoring for complex contracts using onsite and desk reviews/monitoring activity, testing, and coordinating information from multiple sources. This includes establishing goals and objectives for the contract oversight monitoring; establishing guidelines, policies and procedures; developing and approving schedules, priorities, and standards for achieving goals; managing evaluation activities and risk assessments, identifying risks/issues and areas in need of change, making recommendations to leadership on risk mitigation strategies and suggestion for improving operations.

EJF 4 (15%): Manages the operations and activities of contract and programmatic compliance. This includes ensuring processes and systems are in place to determine if contractors are meeting their contract performance obligations by monitoring, tracking, and reporting the results of key metrics, initiating appropriate actions based on the results of contract performance, and identifying trends or anomalies that may require additional contract oversight.

EJF 5 (5%): Provides technical assistance and guidance to division or department staff; and may represent the Medicaid and CHIP Services Department at meetings, hearings, trials, conferences, and seminars.

EJF 6 (5%): Performs other duties as assigned and required to maintain operations.

Knowledge, Skills and Abilities (KSAs):

• Knowledge of Medicaid Waiver programs.
• Knowledge of principles and practices of contract administration and management.
• Skill in performing supervisory or managerial activities and responsibilities.
• Skill in working with Microsoft Office products, specifically Excel, PowerPoint, and Word at an intermediate level.
• Ability to motivate staff to obtain a standard of excellence in their work and to foster an environment of continuous improvement.
• Ability to work collaboratively across MCS to accomplish objectives.
• Ability to implement creative solutions to problems.
• Ability to balance team and individual responsibilities.
• Ability to manage an organizational unit with complex high-volume workflows.
• Ability to exercise sound judgment in making critical decisions and solving problems.
• Ability to construct, analyze, interpret, and apply complex policies/procedures, legislation, regulations, rules, data, and contract provisions.
• Ability to write sensitive documents with precise language.
• Ability to understand and utilize automated information systems including billing systems and databases.
• Ability to make presentations to customers, stakeholders, and senior management.
• Ability to attend to multiple priorities and organize work.
• Ability to make timely and effective decisions and produce results.

Registrations, Licensure Requirements or Certifications:

Certified Texas Contract Manager (CTCM) certification must be obtained within one (1) year of employment, if not already certified, unless otherwise approved by Supervisor.

Valid Driver’s License with ability to obtain Texas Driver’s License within 60 days of hire.

Initial Screening Criteria:

Bachelor's degree from an accredited college or university with a major in the human services, business, or legal fields, plus four years’ work experience in the human services field. Additional related work experience may substitute for the required education on a year for year basis with a maximum substitution of four (4) years. Minimum of (3) years’ recent experience in a supervisory or management position in a related human services field. Experience with 26 TAC Chapter 52 or Medicaid waiver programs, preferred. Experience in developing policies and conducting auditing, financial oversight, fiscal or contract compliance monitoring, or other types of relevant oversight activities, preffered. Experience with computer database systems and Microsoft Office products. Ability to travel at least 15% of the time with some travel including overnight stays.

Additional Information:

Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual. 

This position will require statewide travel including overnight as required to perform assigned duties. As an employee, it will be necessary to have a valid Texas Driver’s license and have the ability to rent vehicles to perform duties.   

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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.