Functional Title: PE Program Coordinator Job Title: Program Specialist VI Agency: Health & Human Services Comm Department: Prov Resol and Admin Appeals Posting Number: 18147 Closing Date: 07/02/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Range: $5,098.66- $8,304.83 Pay Frequency: MonthlySalary Group: TEXAS-B-23 Shift: Day Additional Shift: Telework: Eligible for Telework Travel: Up to 10% 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: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

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 Program Specialist VI (Program Coordinator) in the Provider Enrolment (PE) program.

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.

Under the supervision of the Provider Enrollment Manager, the Program Specialist VI will serve as an PE liaison between Texas HHSC, state contractors and Medicaid providers to perform highly advanced consultative and technical work related to PE program policies and processes in a dynamic and fast-paced environment. Work includes researching and interpreting program policies, procedures, rules, regulations, guidance, and standards as they relate to Medicaid provider enrollment. Provides technical assistance to program and PE staff, providers, and State Medicaid contractors. Responds to legislative and external inquiries and requests. Prepares complex written reports. Researches and resolves PE related provider complaints and escalations. Leads special projects. Performs legislative bill analysis. Serves as a liaison and information conduit between PE and Medicaid providers.

Essential Job Functions:

Provider Support - Assists the Provider Enrollment unit with PE related questions and complaints. Works with internal and external stakeholders, including contracted vendors, to research and disposition provider questions and complaints. (25%)

Liaison - Leads or represents PE in workgroups and meetings to disseminate information on PE policy and programmatic initiatives. Prepares agenda, facilitates discussions, and maintains effective working relationships with PE representatives. Coordinates with stakeholders on major initiatives including workgroups, technical changes, policy changes, and other major projects. Coordinates with other HHSC areas involved in managed care. Identifies operational, policy and technical impacts to PEs, shares information with stakeholders and coordinates to ensure successful implementation. Solicits feedback from internal and external stakeholders on proposed program and policy changes. (25%)

Technical Support - Provides technical assistance to program and PE staff, providers, and State Medicaid contractors. Serves as an expert on managed care policies and processes that affect PE; provides consultative support to other PE staff on PE policies and processes. Plans, researches, coordinates PE program policies and rules that affect other HHSC program areas. Recommends PE contract updates for PE. (15%)

Research and analysis - Interprets policies, procedures, rules, regulations and standards related to program to other program areas. Performs legislative bill analysis. Researches PE contracts and processes. (15%)

Communications - Responds to legislative and external inquiries and requests. Prepares complex written reports, presentations and other PE program deliverables. Presents program policy at meetings. Participates in other workgroup meetings. Communicates with industry stakeholder groups such as provider associations and health plan associations. Drafts guidance and notices to providers with program updates. (10%)

Special Projects - Leads and participates in operational projects affecting the unit. Coordinates with other program areas with minimal oversight. Serves as a lead team member providing direction to others. May train others. (10%)

Licensure, Certification, or Registration:

None

Knowledge, Skills and Abilities:

Knowledge or experience with Medicaid provider enrollment preferred.

Knowledge of Medicaid or other HHSC programs preferred.

Skill in developing accurate, clear, and succinct program policies.

Skill in analyzing, interpreting and evaluating laws, policies and procedures.

Skill in leading large workgroups and in making presentations.

Skill in using Outlook, Word, and Excel.

Excellent verbal and written communication skills.

Proficient in web conferencing tools (GoToMeeting & Teams).

Ability to establish and maintain strong working relationships with stakeholders.

Ability to work in a dynamic and fast-paced environment.

Ability to interpret statutes, state, and federal rules and regulations.

Ability to prepare complex written reports.

Ability to review and analyze contract documents and complex data sets.

Initial Screening Criteria:

Graduation from an accredited four-year college or university. Relevant experience may be substituted for each year of required education.

Three years' experience preferred researching, analyzing, developing and communicating policy to stakeholders.

Three years' experience handling customer escalations.

Three years' experience preferred leading large workgroups or special projects or hosting webinars or virtual online meetings or events.

Two years' experience preferred working in the healthcare industry.

Additional Information:

1. Your application must be complete and contain all the requested information. Job histories must demonstrate how you meet the initial selection criteria at a minimum.
2. Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of the HHSC Human Resources Manual.
3. This position may be eligible for telework in accordance with the HHSC Telework Policies, which includes in-office attendance three days a week. Telework policies are subject to change.

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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.