Specialty Health Compliance Analyst

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 Compliance Analyst works under the general supervision of the Administrative Services (AS) Manager and performs compliance, quality improvement, and project coordination for Specialty Health (SH) programs. Programs include, Kidney Health Care Program, Children with Special Health Care Needs Services Program, Hemophilia Assistance Program, Epilepsy Program, Blindness Education, Screening and Treatment Program, and Navigate Life Texas. The Compliance Analyst, alongside the SH Operations team, will collaborate with program staff to assess program quality, compliance, and best practices in applicable fields, agency standards and laws, regulation, policies, and procedures to continuously improve the quality and efficacy of services. The Compliance Analyst will participate in, and may take a lead role in, SH program improvement projects. The position will collaborate in these initiatives alongside state colleagues and external program partners. The position will provide technical support and training related to compliance, quality management and identification of best practices. The Compliance Analyst also reviews processes, programs, policies, documents, and contracts to ensure compliance with relevant laws and regulations, HHSC policies, and contract provisions. The position will implement plans to bring a program or program partner into compliance. The Compliance Analyst will produce professional communications; make internal and external presentations; and respond to inquiries from stakeholders. 

Essential Job Functions (EJFs): 

(25%) Facilitates SH program workgroups, including meeting preparation and reporting, identifying compliance needs, and tracking and reporting improvement opportunities. Utilizes workgroup facilitation to monitor progress on SH strategic goals and program improvement plans. Identifies, outlines, and submits projects and initiatives to appropriate channels for support. Works closely with subject matter experts to assist in stakeholder engagement, development of program measurements, and implementation of performance improvements specific to program outcomes. 

(25%) Conducts routine compliance reviews of processes, program documents, and policies to ensure adherence to relevant policies, best practices in applicable fields, agency standards and laws. Identifies areas of non-compliance or deficiencies among SH program staff and program partners and recommends changes in policies or procedures as needed to comply with relevant federal and state laws and regulations, HHSC policies, and procedures. Maintains records of compliance activities and corresponding impact. 

(20%) Facilitates SH improvement projects throughout the project lifecycle. Assists AS Manager in keeping SH leadership informed of performance metrics, compliance issues, and improvement efforts by preparing and presenting professional communications including oral reports, letters, technical reports, executive summaries, charts, graphs, minutes, memos, e-mails, and slide show presentations. 

(20%) Coordinates with subject matter experts to document policies, processes, create process maps, standard operating procedures, and other supportive program materials. Ensures that documented materials meet the needs of SH and are compliant with division, department, and agency requirements. Verifies that all formatting and accessibility standards have been met and appropriate storage of documentation occurs. Provides consultation and technical assistance related to quality management, increasing compliance and effective monitoring, staff, and stakeholders. Provides training for SH staff in compliance, quality improvement, identification of best practices and the development of new methods and procedures. 

(10%) Other duties as assigned include, but are not limited, to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift in pattern assignment and/or location. 

Knowledge, Skills and Abilities (KSAs):  

Knowledge of creating and monitoring quality improvement activities, tools, and techniques; administration techniques, training, program planning and implementation; principles of team cohesion and respect 

Skill in interpreting complex state or federal laws, regulations, rules, policies, procedures, and/or program requirements; planning, organizing, assigning, and reporting the work of others; using computer systems, electronic mail systems, Microsoft Word, Microsoft Excel, PowerPoint, statistical programs, Internet Explorer, Access databases or equivalent; identifying problems and developing solutions; compiling, processing, and analyzing complex data; creating and monitoring corrective action plans; making verbal presentations and presenting information to stakeholders; preparing concise reports and recommendations that are accurate, timely, and based on sound judgment; and in the use of computers and applicable software 

Ability to schedule, organize, and manage multiple and diverse tasks/projects; identify problems, analyze all relevant information, evaluate alternatives, select and implement an appropriate solution; lead and work cooperatively in a team environment; communicate with varied levels of staff to develop positive effective working relationships and establish credibility, trust, and confidence; express oneself clearly and concisely verbally and in writing 

Registrations, Licensure Requirements or Certifications:  

N/A 

Initial Selection Criteria: 

• Graduation from an accredited four-year college or university with major course work in business, public administration, public health or related field or related human services field. Full-time professional experience working within health and human services programs may be substituted for education on a year-by-year basis. 
• Minimum of two (2) years' experience in leading projects or initiatives. 

Preferred Selection Criteria: 

• Certification in project management (e.g., PMP, CAPM) or quality management (e.g., Lean Six Sigma, CQM/OE).  
• Experience with collection, analyses and dissemination of large datasets in a public health field 
• Experience with research, analysis and interpretation of policy or procedures in public health or government. 

Additional Information: 

This position is eligible for telework consistent with HHSC telework policy, which is subject to change. Employees may be required to work in the office one or more days a week. 

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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