Manager Value Based Initiatives
AUSTIN, TX
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: Manager Value Based Initiatives
Job Title: Manager V
Agency: Health & Human Services Comm
Department: Quality Oversight
Posting Number: 10399
Closing Date: 10/31/2025
Posting Audience: Internal and External
Occupational Category: Management
Salary Group: TEXAS-B-26
Salary Range: $7,000.00 - $8,600.00
Pay Frequency: Monthly
Shift: Day
Additional Shift:
Telework: Eligible for Telework
Travel: Up to 5%
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 Quality Data Analytics and Reporting (QDAR) team within the Medicaid and CHIP Services (MCS) Office of Quality and Program Improvement is seeking a manager who is passionate about improving value-based care for fellow Texans.
The Value Based Initiatives Manager (Manager V) reports to the Director of Quality Data Analytics & Reporting and performs highly advanced (senior-level) managerial work, leadership, direction, and guidance for the Value Based Initiatives (VBI) team, overseeing and administering the daily operations of the unit.
This unit leads and supports agency efforts to transition Medicaid to a value-based system offering better care, smarter spending, and healthier people and communities. This position manages the implementation and completion of cross-agency multi-stakeholder projects, legislative reports, and other deliverables and serves as operational lead on assigned projects, oversees the development and implementation of complex work plans and timelines, and convenes groups and committees of internal and external stakeholders.
Work involves providing consultative, technical and administrative guidance to staff, developing schedules, monitoring tools, priorities and standards for achieving established goals; oversight of highly complex programmatic and data analytic work, developing and managing legislative reports, developing and reporting alternative payment models, quality metrics, therapy monitoring, and value-based payment initiatives related to value based enrollment and health information exchange; supervises the work of data analysts, program specialists, and research specialist staff within VBI and provides guidance to staff; and collaborates with other departments within HHSC on projects. Participates in workgroups, meetings and trainings to include presentations.
You will excel in this role if you have a deep understanding of Medicaid managed care in Texas, data analytics, quality and program improvement methodologies, value-based care, and strong leadership abilities. This position supervises the work of others and works under limited supervision with considerable latitude for the use of initiative and independent judgment.
This role requires effective communication, strategic and innovative thinking, and a commitment to improving quality through available levers.
The selected candidate will need to develop and maintain strong partnerships with other divisions across HHS, governmental agencies, academic institutions, stakeholder organizations, and healthcare quality organizations. You are an ideal candidate if you thrive 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.
Essential Job Functions (EJFs):
(40%) Performs complex managerial activities overseeing and administering the daily operations of the unit; Provides effective leadership, management, guidance and oversight of program work; Oversight and leadership functions include tracking assigned tasks, meeting deadlines, identifying available resources for new assignments, and reviewing and approving all teamwork products. Develops and implements timelines, monitoring tools and documented program processes for value-based initiatives; Identifies trends or anomalies that may require additional oversight or attention; Provides guidance to staff and develops effective resolutions; Develops work performance plans; Disseminates information and management decisions to staff regarding program work.
(30%) Oversees preparation, reviews, proofs and edits reports related to alternative payment models, value-based enrollment, potentially preventable events, pediatric therapy monitoring, and other value-based payment initiatives; Coordinates unit assignments and legislative work, including bill analysis as needed; Regularly keeps the QDAR Director appraised of project status issues, options, risks, and other information as needed for program management, direction, and administration; Ensures communication documents are accurate, timely, complete, thorough, and processed appropriately; Manages advisory committee support activities; Ensures quality and timely submission of all VBI deliverables; Assists with negotiations and problem-solving to ensure quality of work and that work is performed within time frames. Identifies areas of needed change and makes recommendations to improve operations. Informs the Director of activities and emerging issues and proposes remedies.
(20%) Manages administrative functions for VBI, including certain human resource and budget or other required or assigned administration or administrative duties, including senior leadership requests and assignments; Supports the professional development of team members through coaching and effective guidance and feedback; Collaborates and coordinates with other program areas and departments to develop accurate reports and foster collaboration; Provides oversight of data analysis related to value-based initiatives; Works with Managed Care Organizations (MCOs) and providers on quality improvement and payment reform activities;
(10%) Management of contracts necessary for the operation of the team; Participates in workgroups, meetings, and trainings to include presentations to internal and external stakeholders; Represents VBI program at conferences, presentations and meetings; Engages with national value-based payment organizations and initiatives to ensure Texas programs align with industry best practices. Other duties as assigned.
Knowledge, Skills, Abilities (KSAs):
Knowledge of:
-
-
- Implementation of quality improvement initiatives within a healthcare system or setting.
- Large healthcare data systems and data analytic methods.
- Texas Health and Human Services (HHS) programs, including Medicaid and CHIP programs, Medicaid waiver programs, and other public health service programs.
- Quality assessment and improvement techniques and tools.
- Best-practices in project management
- State and federal laws, regulations, and processes regarding Medicaid managed care and relevant program areas
- Principles and practices of public administration and management.
- Data analysis techniques and best practices
- Quality measurement
- Quality improvement concepts
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Skill in:
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- Analyzing state and federal policies
- Project management
- Creative problem solving
- Collaboration
- Leading, managing and communicating with teams
- Written and oral communication, including the ability to make public presentations and write technical information in an understandable format.
- Using Excel or other spreadsheet software to research, assemble and analyze complex data.
Ability to:
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- Communicate effectively
- Support and supervise others
- Manage complex long-term projects
- Exercise sound judgement in making critical decisions
- Analyze complex information and develop plans to address identified issues
- Develop productive collaborative relationships
- Prepare reports
- Direct, assign, and evaluate the work of others
- Analyze data to identify trends, problems, and issues
Registrations, Licensure Requirements, or Certifications:
Project Management Professional certification preferred.
Initial Screening Criteria:
Required:
- Graduation from an accredited four-year college or university.
- Experience with Medicaid, healthcare quality, managed care, or another large-scale healthcare delivery system.
- Experience leading or applying a project management framework to projects or initiatives and addressing complicated issues or problems including analyzing policies, data and other complex information.
- Experience in communicating, including making presentations and preparing technical information in an understandable format for internal management and external publication.
- Experience in data analysis, research, compilation, and/or reporting.
- Three or more years of progressive management or supervisory experience of a business function, division, or department.
Preferred:
- Master's degree is preferred.
- Experience analyzing policies and legislation.
- Experience in the evaluation of health care quality.
Additional Information
Additional benefits of joining the MCS Office of Quality and Program Improvement include:
- Leadership commitment to invest in and foster your professional growth or knowledge of the Texas Medicaid program and your career advancement.
- Having a profound impact on the lives of thousands of Medicaid clients that depend on Medicaid services throughout Texas.
- Being on the ground level of healthcare quality implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, managed care organizations, and other healthcare contractors.
- Being part of a team at the forefront of interpreting, implementing, and developing quality initiatives that have a statewide impact.
- 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.
Applicants may be required to complete a written exercise to demonstrate knowledge, skills, and abilities.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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.
Nearest Major Market: Austin