HCS/TxHmL/ICF Program Advisor

Texas Health & Human Services Commission; Oregon; Hybrid; USD 48,000 - 62,000; Full time

Job summary

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services division seeks a highly qualified candidate to fill the position of Program Specialist IV in the IDD PES unit. This role provides complex consultative and technical assistance to HHSC staff, providers, and stakeholders, supporting enrollment and eligibility activities for HCS, TxHmL, CLASS, ICF/IID, and CFC NW programs.

Reporting to the Unit Manager, you will analyze program data, develop review tools, train staff, and

Qualifications

• Knowledge of intellectual disabilities and related conditions.
• Knowledge of HCS, TxHmL, and ICF/ID program rules, service array and billing guidelines, LIDDA functions, or waiver service systems.
• Ability to communicate effectively both orally and in writing.

Responsibilities

• Provides highly complex consultative and technical assistance to management, HHSC staff, providers, and stakeholders.
• Analyzes data and prepares program information and reports as requested.
• Coordinates cross-agency workgroups to develop and implement program initiatives.
• Develops and revises review tools and evaluation forms.

Skills

Intellectual disabilities knowledge

Program rules knowledge (HCS/TxHmL/ICF

Public speaking

Interpersonal skills

Microsoft Office

Staff training

Education

QIDP qualification preferred

Tools

Microsoft Office

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: HCS/TxHmL/ICF Program AdvisorJob Title: Program Specialist IVAgency: Health & Human Services CommDepartment: IDD Prog Eligibility and SpprtPosting Number: 22638Closing Date: 11/05/2026Posting Audience: Internal and ExternalOccupational Category: Community and Social ServicesSalary Range: $4,263.16- $5,521.16Pay Frequency: MonthlySalary Group: TEXAS-B-20Shift: DayAdditional Shift: Days (First)Telework: Eligible for TeleworkTravel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: NonexemptFacility Location:Job Location City: AUSTINJob Location Address: 701 W 51ST STOther Locations:MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Job Description

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of Program Specialist III. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS's mission by providing highly complex consultative and technical assistance for the Intellectual and Developmental Disabilities Program Eligibility and Support (IDD PES) unit. 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. The Program Specialist IV reports to the Unit Manager within IDD PES and works as a team member to support unit functions. The IDD PES team is responsible for ensuring eligible Texans are enrolled in programs serving individuals with intellectual and/or developmental disabilities. These programs include: Home and Community-based Services (HCS), Texas Home Living (TxHmL), Community Living Assistance and Support Services (CLASS), the Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICF/IID), and Community First Choice Non-Waiver (CFC NW). IDD PES staff authorize and verify programmatic eligibility for the listed programs. In addition, IDD PES staff process enrollments, transfers, suspensions, and terminations for HCS, TxHmL, and CLASS and coordinate and attend Fair Hearings. Work involves the review and processing of enrollments, transfers, terminations, and suspensions for the HCS and TxHmL programs. Work also involves monitoring enrollment activities, such as Individual Plans of Care (IPC) and Level of Care/Level of Need (LOC/LON) determinations. Routinely reviews and analyzes HCS and TxHmL program activity data to assess the need for additional oversight. Work also involves monitoring provider and LIDDA inquiries and ensures timely resolutions. Evaluates enrollment IPC and eligibility activities and trends to resolve technical problems, identify opportunities for improvement, and to make recommendations for improvements in review processes. Conducts analysis of data and reports as assigned, and collects, organizes, analyzes and prepares materials in response to requests for program information, or special project reports. Develops and revises review tools (e.g., review protocols, evaluation forms, etc.) in accordance with program objectives and goals. Will serve as the lead to prioritize the work of colleagues by assigning provider deliverables to designated unit staff in absence of the HCS/TxHmL/ICF Unit Manager. Conducts training and provides guidance to staff in the development or integration of new or revised operational procedures. Coordinates and collaborates with program staff through participation in unit and cross-agency workgroups related to unit functions and planning to analyze, develop, and implement program initiatives. Works under limited supervision with moderate latitude for the use of initiative and independent judgment.

Essential Job Functions

• (30%) Provides highly complex consultative and technical assistance, including research, assessment and planning directly to management, HHSC program staff, HHSC contract management staff, LIDDA staff, the program provider base, advocacy groups, stakeholders, program participants and their families.
• (25%) Conducts analysis of data and reports as assigned, and collects, organizes, analyzes, and prepares materials in response to requests for program information, or special project reports.
• (15%) Coordinates and collaborates with program staff through participation in unit and cross-agency workgroups related to unit functions and planning to analyze, develop, and implement program initiatives.
• (10%) Develops and revises review tools (e.g., review protocols, evaluation forms, etc.) in accordance with program objectives and goals.
• (10%) Conducts training and provides guidance to staff in the development or integration of new or revised operational procedures.
• (5%) Serves as agency representative in fair hearings.
• (5%) Will serve as the lead to prioritize the work of colleagues by assigning provider deliverables to designated unit staff during the absence of the HCS/TxHmL/ICF Unit Manager.

Registrations, Licensure Requirements or Certifications

• Qualification as a Qualified Intellectual Disability Professional (QIDP) as defined in 42 Code of Federal Regulations 483.430(a) preferred.

Knowledge Skills Abilities

• Knowledge of intellectual disabilities and other developmental disabilities (such as related conditions).
• Knowledge of HCS, TxHmL, and/or ICF/ID program rules, service array and billing guidelines, LIDDA functions and/or waiver service systems.
• Awareness of federal and state laws relating to long term care and other Medicaid and non-Medicaid services and programs.
• Knowledge of program planning, implementation and evaluation and continuous quality improvement.
• Skilled in the development and maintenance of interpersonal relationships and public speaking.
• Ability to communicate effectively, both orally and in writing.
• Ability to gather, assemble, correlate, and analyze information.
• Ability to train, lead, and/or prioritize the work of others.
• Ability to operate computers and experience using Microsoft Office products.
• Ability to work collaboratively across MCS to accomplish objectives.
• A keen attention to detail and the ability to implement creative solutions to problems.
• Able to balance team and individual responsibilities.

Initial Screening Criteria

• Work experience with HCS, TxHmL, or ICF/ID program rules, service array and billing guidelines, LIDDA functions, or Texas waiver service system. Experience working with the Long Term Care Online Portal (LTCOP) preferred.
• Experience in conducting staff trainings preferred.

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.