Functional Title: Project Manager IV
Job Title: Project Manager IV
Agency: Health & Human Services Comm
Department: Daily Operations Claims Admin
Posting Number: 20612
Closing Date: 09/11/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $6,377.50- $10,785.83
Pay Frequency: Monthly
Salary Group: TEXAS-B-26
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: 2611,8058,8060,8848,16KX,1D7X1,32EX,3D0X4,611X,612X,63A,63AX,641X,712X,8K000,BU,CE,EA,SEI16
Brief Job Description:The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate for the position of Project Manager IV, reporting to the Director of Provider Services within MCS Operations Management.
The Provider Services area performs and oversees operations that support healthcare providers that participate in the Medicaid program. The primary functions of Provider Services include:
- Oversight of claims processing, payment, appeals and recoupments;
- Management of provider enrollment;
- Management of electronic visit verification; and
- Operation of a call center to assist providers with service authorizations.
The Project Manager leads and coordinates a wide range of operational, strategic, and improvement-focused initiatives. This position manages and tracks traditional projects of varying sizes while also serving as a problem-solving and operational improvement lead for emerging issues, special assignments, and cross-functional initiatives.
The Project Manager independently researches operational challenges, scopes projects, coordinates stakeholders, develops implementation strategies, tracks outcomes, and measures project impact. Projects may include process improvement initiatives, workforce development activities, policy implementation support, system implementation development or maintenance efforts, operational readiness efforts, legislative coordination, and other departmental priorities.
This position requires a highly resourceful and self-directed professional who can work across teams and organizational levels to drive measurable improvements in operational performance, coordination, and service delivery.
Essential Job Functions (EJFs):Project Management and Coordination. Lead, plan, organize, coordinate, and monitor projects and operational initiatives from initiation through completion, ensuring deliverables, timelines, risks, and stakeholder expectations are effectively managed. Maintain organized project documentation, process improvement records, meeting records, action items, and project artifacts in accordance with organizational standards, operational needs, and project management best practices. (40%)
Project Portfolio Management. Manage the collective portfolio of projects for Provider Services, including selection, prioritization, and oversight of the projects. Ensure projects are properly prioritized to align with MCS and Operations Management goals and strategic direction. (20%)
Process Improvement and Performance Measurement. Support operational excellence initiatives by analyzing workflows, identifying improvement opportunities, identifying root causes for operational issues, and developing metrics to measure project effectiveness and operational impact of improvement efforts. (15%)
Stakeholder Engagement and Communication. Facilitate collaboration and communication across operational teams, leadership, policy staff, clinical staff, vendors, and other stakeholders to support project success and operational alignment. (15%)
Other duties. Perform other duties as assigned to support operational priorities, strategic initiatives, and organizational objectives. (10%)
Knowledge, Skills and Abilities (KSAs):Knowledge of- Project management principles, methodologies, and best practices.
- Operational improvement and process analysis methodologies.
- Basic statistical and performance measurement concepts.
- Principles of organizational coordination, stakeholder engagement, and change management.
- Lean Six Sigma or continuous improvement methodologies.
- Medicaid, healthcare operations, or public sector operations preferred.
Skill in- Strong project management and organizational skills.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication skills.
- Meeting facilitation and stakeholder coordination skills.
- Research and information synthesis skills.
- Data analysis and reporting skills.
- Time management and prioritization skills.
- Conflict resolution and collaboration skills.
Ability to- Independently research and analyze complex operational issues.
- Manage multiple projects and competing priorities simultaneously.
- Work collaboratively across diverse teams and professional disciplines.
- Communicate effectively with executive leadership, operational staff, technical teams, clinical staff, policy teams, vendors, and other stakeholders.
- Develop actionable recommendations and implement solutions.
- Interpret data and identify meaningful operational trends.
- Adapt to changing priorities and operational needs.
Registrations, Licensure Requirements or Certifications:- Required: Active Project Management Professional (PMP) certification issued by the Project Management Institute (PMI) or a comparable certification from a recognized authority.
Initial Screening Criteria:- Bachelor's degree from an accredited college or university. Relevant work experience in project management, operations, process improvement, healthcare administration, public administration, business administration or related field. Experience and education can be substituted for each other on a year for year basis.
- At least five years of experience managing projects, operational initiatives, or process improvement efforts.
- Experience with operational improvement, workflow analysis, or organizational performance initiatives.
- Experience in healthcare, Medicaid, public sector operations, or healthcare administration preferred.
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.
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.