Compliance Reviewer

Texas Health & Human Services Commission; Austin (TX); Remote; USD 54,000 - 87,000; Full time

Job summary

Texas Health and Human Services Commission seeks a Compliance Reviewer to assess long-term care facilities against state and CMS standards. You will review documentation, advise on deficiencies, and provide guidance to regional teams to ensure consistent quality assurance across facilities.

The role requires knowledge of federal/state licensure rules and the PoD framework, plus strong analytical and communication skills.

Qualifications

• Knowledge of state and federal laws and rules related to long-term care program areas.
• Familiar with CMS guidance and State Performance Standards.
• Proficient with ASPEN, iQies and TULIP software; able to learn new tools.
• Strong communication and analytical skills; able to prepare reports.
• Bachelor’s degree in a human service field preferred but not required.
• Two years’ experience in long-term care regulation is preferred.

Responsibilities

• Develops and maintains QA tracking systems for reviews.
• Monitors survey processes from exit through QA/enforcement reviews.
• Facilitates vetting calls and provides determinations within program of expertise.
• Reviews survey findings for evidence and regulatory compliance with PoD and LTCR standards.
• Interprets policies and provides guidance to regional staff on compliance issues.
• Interacts with CMS for directives and guidance on compliance topics.
• Reviews draft policies to ensure conformity with state/federal requirements.
• Prepares data analyses and participates in workgroups and meetings.

Skills

Regulatory knowledge

CMS/PoD familiarity

Policy interpretation

Communication skills

Analytical thinking

Independent work

Education

Bachelor’s degree in human services

Tools

ASPEN

iQies

TULIP

Microsoft Word

Outlook

TEAMS

SharePoint

Excel

Job description

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: Compliance Reviewer

Job Title: Compliance Reviewer

Agency: Health & Human Services Comm

Department: Compliance & Oversight

Posting Number: 22147

Closing Date: 10/23/2026

Posting Audience: Internal and External

Occupational Category: Healthcare Support

Salary Range: $4,801.16- $7,761.50

Pay Frequency: Monthly

Salary Group: TEXAS-B-22

Shift: Day

Telework: Eligible for Telework

Travel: Up to 50%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Job Location City: FORT WORTH

Job Location Address: 1501 CIRCLE D

Other Locations/MOS Codes: 6016,6017,8012,8056,1S0X1,2A7X2,2F0X1,43HX,4E0X1,640A,68R,86M0,87G0,87I0,87Q0,8I000,8I100,8S000,ADLS,ME,MSSD,MSSE,MSSR,MST,OAP11,OAP14

This position can be HQ’d in any area of the state.

Compliance Reviewer – Starting Market Rate Salary $68,834.43 Under the supervision of the Quality Assurance Regional Programs (QARP) Manager, the QA Compliance Reviewer reviews and provides corrections and feedback for deficiencies and violations written across the state for regulated programs such as Nursing Facilities (NF) and Licensed Only Facilities (LOF). Licensed only facilities include: Assisted Living Facilities (ALF), Day Habilitation (DAHS) Services and/or Individual Support Services (ISS). This position conducts reviews and makes state and federal quality assurance recommendations based on the Center for Medicare and Medicaid Servicse (CMS) Principles of Documentation (PoD). The Compliance Reviewer provides consultation and guidance in the development and revision of NF/LOF statewide quality assurance related processes, training, and policies. The Compliance Reviewer provides professional regulatory feedback to surveyors, program managers, other state office level program staff, and may assist Quality Assurance and Program Integrity leadership in related decision-making. This position may communicate with CMS related to State Performance Standards (SPSS) or other compliance or enforcement concerns. The Compliance Reviewer communicates with internal staff to ensure consistency of quality assurance information and may be a witness at hearings. The QA Compliance Reviewer participates in work groups, committees, and meetings as the quality assurance representative and subject matter expert. Reviews certification, licensure, and all other long-term care onsite visit reports for compliance with state laws, regulations, and policies and procedures. Ensures reports follow established protocols and are accurately documented. This position also reviews and verifies information documents and data entry performed by others, as well as participates in review committees, prepares analysis of data for review and identification of staff training needs. Performs IJ/IT calls according to QA process document. This includes the invite, the call itself, data entry, the follow up email and all IJ/IT processes. The Compliance Reviewer also assists the Quality Assurance Regional Programs Manager with other tasks as assigned.

Essential Job Functions

• Develops and maintains quality assurance tracking systems for quality assurance reviews.
• Monitors and tracks survey processes from exit through quality assurance and enforcement reviews.
• Facilitates State Office level Immediate Jeopardy and Immediate Threat vetting calls to provide determinations and recommendations within the program of expertise.
• Reviews and analyzes survey findings to determine if evidence supports a deficiency/violation and is written in accordance with the PoD and LTCR standards.
• Provides guidance to regions and state office regulatory staff on compliance issues by interpreting policies, regulations, management directives, rules and state and federal guidance letters.
• Provides clarification to regional staff to ensure strength of future deficiencies resulting in remedies being imposed.
• Communicates with Center for Medicare and Medicaid Services (CMS) for directives and guidance related to specific compliance topics and State Performance Standards.
• Reviews draft policies, trainings, and guidance to ensure they conform to federal and/or state requirements as applicable.
• Consults with internal stakeholders to ensure that consistent quality assurance-related information is provided statewide.
• Participates in workgroups, committees, and meetings as the subject matter expert and quality assurance representative.
• Responds to management, media, and legislative inquiries as appropriate.
• Compiles monthly reports of quality assurance activities noting patterns and trends.
• May be required to develop and facilitate presentations related to data trends, quality assurance and consistency.
• May be a witness at hearings.

Knowledge, Skills and Abilities

• Knowledge of state and federal laws and rules related to one or more of the above-named program areas.
• Familiar with updated internal memoranda and program guidance.
• Familiar with ASPEN, iQies and TULIP software programs with willingness and ability to learn new software programs.
• Knowledge of state and federal laws and rules related to long-term care providers.
• Knowledge of enforcement actions, survey and program activities related to the aforementioned program areas.
• Knowledge of the State Performance Standards as mandated by CMS.
• Knowledge of applicable agency program policy and monitoring systems.
• Skilled in the use of computers and applicable software including Microsoft Word, Outlook, TEAMS, SharePoint, and Excel programs.
• Skilled in problem solving and decision-making.
• Ability to gather, organize and analyze facts; to compile and prepare reports; to develop and evaluate policies and procedures and initiate modifications or revisions as appropriate.
• Ability to interpret policies, rules, and regulatory language.
• Ability to communicate (verbally and written) with leadership, agency staff, stakeholders, and the public.
• Ability to adjust work routine according to priorities.
• Ability to establish and maintain professional and effective working relationships.
• Ability to effectively interact with others in political/stressful situations.
• Ability to work independently.
• Ability to exercise professional judgment and reach sound decisions.
• Ability to integrate complex concepts into difficult procedures, or complicated processes.
• Ability to multi-task and track multiple activities with competing priorities.

Registration or Licensure Requirements

• Must possess SMQT qualification
• Registered Nurse (RN) Texas licensure preferred.

Initial Selection Criteria

• 2 years’ experience in Long Term Care Regulation related to Nursing Facilities required.
• Additional experience in Licensed-Only facilities (ISS, DAHS, ALF) preferred
• A Bachelor’s degree from an accredited college or university in a human service field is preferred but not required.
• A combination of work experience and education may substitute (year for year) for a bachelor’s degree.
• Experience interpreting or overseeing compliance with state and federal licensure regulations and standards preferred

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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 . 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.