Medicaid HCS & TxHmL Program Advisor

Health & Human Services Comm; Austin (TX); On-site; USD 45,000 - 58,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Time off

Job summary

Health & Human Services Comm in Austin, TX seeks a Program Specialist III to support Medicaid and CHIP Services through moderately complex consultative and technical guidance for the IDD PES unit. You will help ensure eligibility and enrollment for HCS, TxHmL, CLASS, ICF/IID, and related programs, coordinating with LIDDAs and Medicaid for financial eligibility verification.

The role emphasizes teamwork, data-driven decisions, and adherence to program rules while maintaining high professional

Qualifications

• Knowledge of Medicaid waiver programs (such as HCS, TxHmL, or ICF/IID).
• Knowledge of federal and state laws relating to long term care and/or other Medicaid and non-Medicaid services and programs.
• Knowledge of program planning, evaluation, and implementation.
• Skilled in organization and prioritization.
• Ability to communicate effectively, both orally and in writing.
• Ability to understand and follow policies and procedures.
• Ability to maintain accurate files, records, and databases.
• Ability to gather, assemble, correlate, and analyze information.
• Ability to operate computers and experience using Microsoft Office products.

Responsibilities

• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
• Reviews and processes enrollments, transfers, terminations, and suspensions for the HCS and TxHmL programs using various electronic database systems.
• Provides moderately complex consultative and technical assistance, including research, assessment and planning directly to management, HHSC staff, LIDDA staff, program providers, program participants and their families.
• Monitor provider and LIDDA inquiries by managing multiple spreadsheets and navigating various electronic database systems.
• Develops recurring reports and conducts data analysis in accordance with program objectives and goals.
• Assists in creating presentation material, organizing documents and may present program rules, policy and procedure information to internal and/or external stakeholders.
• Serves as agency representative in fair hearings.

Skills

Medicaid waivers

Program eligibility

Data analysis

Microsoft Office

Communication skills

Tools

LTCOP

TIERS

Electronic databases

Job description

Health & Human Services Comm in Austin, TX seeks a Program Specialist III to support Medicaid and CHIP Services through moderately complex consultative and technical guidance for the IDD PES unit. You will help ensure eligibility and enrollment for HCS, TxHmL, CLASS, ICF/IID, and related programs, coordinating with LIDDAs and Medicaid for financial eligibility verification.

The role emphasizes teamwork, data-driven decisions, and adherence to program rules while maintaining high professional