Quality Assurance Manager

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: Quality Assurance Manager 
Job Title: Manager IV 
Agency: Health & Human Services Comm 
Department: Compliance & Oversight 
Posting Number: 9345 
Closing Date: 10/13/2025 
Posting Audience: Internal and External 
Occupational Category: Management 
Salary Group: TEXAS-B-25 
Salary Range: $8,496.72 - $9,508.25 
Pay Frequency: Monthly
Shift: Day 
Additional Shift:  
Telework: Eligible for Telework 
Travel: Up to 25% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: ROUND ROCK 
Job Location Address: 1101 E OLD SETTLERS BLVD 
Other Locations: San Antonio; Austin; Dallas; Houston; San Angelo; Tyler 
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 
 
 

This position can be filled STATEWIDE

Market Rate for this position is 8,496.72 monthly.

The Quality Assurance Special Investigations (QASI) Manager is selected by and reports to the Director of Quality Assurance for Long Term Care Regulation (LTCR) within the Health and Human Services (HHS) Regulatory Services Division (RSD) and is responsible for performing advanced level managerial work by administering the daily operations of the Special Investigations Unit. The Quality Assurance Manager is responsible for the complex assessment and management of complaints coming into the department. Complaints are submitted from a variety of sources. The complaints can be concerning a Survey Operations staff member (internal investigations), an investigation that was not seen by the complainant as being adequately performed in the field (Re-Investigation requests) or can come from any Legislative or executive level entity (internal or special investigations). These investigations can be very high profile and extremely sensitive in nature. The management of the timeliness and sensitivity of the investigations is critical in accomplishing the tasks. The staff must be ready to be deployed anywhere across the state at a moment’s notice and the manager is expected to assist staff in accomplishing the task. The QASI Manager directs a very high skill level of investigative staff. The ability to review and critique special investigations reports is essential to this position. This position is responsible for directing and focusing the investigators with their special investigations.

The QASI Manager is also responsible for managing the Nursing Facility Administrator (NFA) investigations. The Investigators performing these reports investigate Nursing Facility Administrators (NFAs) who have received a substandard quality of care deficiency cited at their facility during a survey or investigation. They respond to complaints against NFAs as well, which can come from field staff, outside entities, or internal sources. These investigations occur across the state. The staff completing these reports are skilled at performing in-depth investigations and detailed report writing. They present their cases at a review of cases and to a specialized committee quarterly. They may be required to present their cases in a court of law and work with the department’s legal team.

Work involves establishing goals and objectives; developing guidelines, procedures, and policies; developing schedules, priorities, and standards for achieving established goals; coordinating and evaluating business function, division, or department activities; developing and evaluating budget requests; and monitoring budget expenditures.

Essential Job Functions (EJFs):

1. Performs advanced level managerial work by administering the daily operations of the Special Investigations Unit.  (20%)
2. Manages Nursing Facility Administrator mailbox and investigations for complaints and support them in presentation of case review.  (20%)
3. Plans, implements, coordinates, monitors, and evaluates QASI policies and procedures related to quality assurance, investigations, and performance management.  Monitors SIU teams’ compliance with those policies and procedures. Evaluates success of the current processes and leads the implementation of changes where improvements must be made.  (15%)
4. Establishes QASI goals and objectives; develops and approves staff schedules, priorities, and standards for achieving goals; and manages staff evaluation activities. (10%)
5. Provides technical expertise and guidance to staff related to specialized investigations. Mentors, trains, and develops direct reports in the performance of their job duties, ensures timeliness of personnel activities and oversees the timely and ongoing transmittal of completed assignments. (10%)
6. Performs high level planning, organization, monitoring, prioritization, and coordination of resources for the QASI team. Reviews, provides feedback, and approves reports prior to elevation. Ensures elevation of reports per protocol. (10%)
7. Communicates and coordinates effectively with program and state office leadership, other state agencies, external stakeholder groups, and various other organizations. Documents and explains investigations assessments, outcomes, and recommendations. Analyzes workflow through the special investigations unit to identify trends or patterns. Oversees the preparation of management and productivity reports and studies and provides to leadership on a regular basis. (5%)
8. Develops and conducts staff training as new program policies and procedures are implemented or new programs or requirements are mandated. (5%)
9. Represents the program at meetings, hearings, trials, conferences, and seminars or on boards, panels, and committees. (3%)
10. Performs related work as assigned. (2%)

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

• local, state, and federal laws and regulations relevant to HHSC Long Term Care Regulation; and

• the principles and practices of management.

• operations of the organizational structure and functions of the agencies that comprise the HHS system.

• performance management and continuous quality improvement processes.

• gathering and reporting program and/or operational performance data.

• highly complex and specialized investigatory procedures, for a variety of investigation types.

Skill in:

developing strategically aligned goals and objectives that support an overall strategy.

• managing multiple and competing priorities.

• working collaboratively and cooperatively with diverse groups.

• providing direction, guidance, counseling, advice, and recommendations to direct reports, peers, and leadership.

• use of personal computer and various software programs to include Word, Excel, PowerPoint, and Outlook.

• principles, tools, and techniques of project management.

• critical thinking to identify problems, evaluate alternatives, and recommend effective solutions.

Ability to:

• develop and evaluate policies and procedures.

• plan, assign and/or supervise the work of others.

• build, establish, and maintain effective working relationships and

• coach staff to improve their skills. 

Registrations, Licensure Requirements or Certifications:

Successful completion of the Surveyor Minimum Qualification Test (SMQT) required.

Initial Screening Criteria:

1. Two years employment with LTCR in a position related to SNF/NF regulations required.  
2. Additional experience in other provider types regulated by LTCR such as ALF, ICF, HCS, HCSSA, or PI preferred.
3. Two years management experience with a regulatory authority required
4. Experience in analyzing performance data.
5. Experience in implementing a quality assurance/quality improvement program.

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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.