Nurse IV HTW Policy Analyst

FALL CREEK FARM & NURSERY; Austin (TX); On-site; USD 71,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Telework eligible

Paid time off

Job summary

The Healthy Texas Women Nurse IV HTW Policy Analyst position reports to the Medical and Dental Benefits Policy Managers in HHSC. The role performs highly advanced medical benefit policy analysis for the HTW program, planning, developing, coordinating, and evaluating HTW policy updates.

The position requires excellent writing skills and strong research abilities, including literature reviews using PubMed/Medline and other databases, and the ability to synthesize findings for clinical and policy

Qualifications

• Bachelor's degree or higher in a health-related field.
• Master's degree in public health or related field preferred.
• Experience conducting literature reviews and data synthesis.
• Excellent writing and communication skills.
• Ability to work independently and in teams.

Responsibilities

• Attends work on a regular schedule and supports HTW program policy updates.
• Performs literature reviews and synthesizes findings for policy development.
• Develops, reviews, and updates HTW medical benefit policies.
• Leads or participates in special projects and stakeholder engagement.

Skills

Policy analysis

Medical benefits

Literature review

Communication

Project management

Team collaboration

Education

Bachelor's degree

Master's degree in public health

Tools

Microsoft Office

Job description

Career Opportunities: Nurse IV HTW Policy Analyst (21093)

Posting ID21093-Posted -Health & Human Services Comm-HTW ADMIN 1115-Healthcare Practitioners and Technical-Eligible for Telework-c. $5000 - $6999 per month

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:Nurse IV HTW Policy AnalystJob Title:Nurse IVAgency:Health & Human Services CommDepartment:HTW ADMIN 1115Posting Number:21093Closing Date:12/07/2026Posting Audience:Internal and ExternalOccupational Category:Healthcare Practitioners and TechnicalSalary Range:$6,377.50-$10,785.83Pay Frequency:MonthlySalary Group:TEXAS-B-26Shift:DayAdditional Shift:NoneTelework:Eligible for TeleworkTravel:Up to 5%Regular/Temporary:RegularFull Time/Part Time:Full timeFLSA Exempt/Non-Exempt:ExemptFacility Location:Job Location City:AUSTINJob Location Address:701 W 51ST STOther Locations:NoneMOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job Description

The Healthy Texas Women (HTW) Nurse Policy Analyst - Nurse IV position reports to one of the Medical and Dental Benefits Policy Managers in the Medicaid and CHIP Services division of the Health and Human Services Commission. The position performs highly advanced and/or supervisory (senior-level) medical benefit policy analysis for the Healthy Texas Women (HTW) benefit program. Work involves planning, developing, coordinating, and evaluating HTW medical benefit policy updates.

The position requires excellent writing skills and strong research skills, including experience conducting comprehensive literature reviews using PubMed/Medline, Hayes, and other health literature electronic databases; must be able to synthesize findings for clinical and political audiences, and apply findings to medical benefits for policy development in the HTW program. These findings must be interpreted correctly in accordance with the HTW's program requirements for application to and development of HTW medical benefits.

The Nurse Policy Analyst in this position must be proactive in seeking input from other staff in the Medicaid and CHIP Services Division and demonstrate the ability to work independently, and as an effective team member with peers, other divisions within HHSC, and other HHS agencies. This position works under minimal supervision, with extensive latitude for the use of initiativeand independent judgment.

Essential Job Functions

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Keeps the Medical Benefits Manager informed of pertinent HTW program medical benefit issues and coding impacts as required or as necessary.

(30%) Clinical Review of the Literature - Researches, analyzes, and synthesizes peer reviewed literature and evidence-based practices and applies it to program medical and behavioral health benefit policy. Provides complex technical medical information verbally or in writing to nonclinical audiences. Consults with stakeholders to address HTW program benefit policy issues.

(30%) Develops policies- Reviews and updates current benefits and develops new benefits for HTW medical policy. Identifies eligibility standards and authorization requirements for benefit policy. Collaborates, as needed, with Medical Benefits staff as well as HHSC staff in other programs and other State agencies for program benefit policy development, planning, and implementation. Serves as clinical subject matter expert in the development and review of program benefit policy. Develops, reviews, and provides comments on HTW materials intended for use by vendors, providers, managed care organizations, and other partners.

(25%) Special Projects and Workgroups - Leads or participates in workgroups and public meetings engaged in research, analysis, and evaluation of policy issues or initiatives. Leads or participates in special projects as requested by management. Positively represents department, agency, and State in conferences and meetings, including public presentation delivery, and, as an ongoing representative on various committees and teams, as directed. Prepares project updates, summaries, reports, or other documents and keeps management informed on pertinent issues. Functions as a resource to other State staff providing guidance, advice, or direction. Responds to internal and external communications and requests for information in a timely manner. Identifies the need to, and communicates and consults with external stakeholders, as necessary.

(15%) Quality Assurance and Process Improvement - Identifies methods for effectively managing benefit changes that have varying effective dates. Researches provider or manufacturer questions or concerns. Maintains organized electronic files of activities and shares with staff and partners, as appropriate. Reviews, analyzes, and comments on regulations affecting program benefit policy. Other duties, as assigned, include but are not limited to actively participating in or serving in a supporting role to meet the agency's obligations.

Knowledge, Skills, and Abilities

Knowledge of:

• Health and Human Services agencies and programs, including Medicaid/CHIP and the HTW program.
• Computer use, including but not limited to the use of Microsoft Office suite.
• General clinical coding resources such as Current Procedural Terminology (CPT) and International Classification of Diseases (ICD).
• Quality assurance principals.

Skill in:

• Evaluating the quality and levels of evidence presented in the literature.
• Synthesizing findings for clinical and non-clinical audiences.
• Clinical practice guideline evaluation or development; clinical quality assessment, assurance, or improvement; clinical research or health care delivery.
• Written, verbal, and interpersonal communication and presentations.
• Project planning, evaluation, and implementation.
• Establishing and maintaining effective working relationships with managers, co-workers, and other staff or program stakeholders.

Ability to:

• Work independently and function effectively as a member of a team, and under tight deadlines with high volume workloads.
• Conduct comprehensive literature reviews using electronic databases such as PubMed/Medline, Hayes, or other similar electronic sources such as UpToDate, and reviewing professional organization's recommendations for best practices.
• Manage several projects concurrently in a fast-paced environment and juggle competing priorities.
• Effectively facilitate meetings and establish and advance agenda goals.
• Consistently remain organized and detail- and task-oriented.

Initial Screening Criteria

• Bachelor's degree from an accredited 4-year college or university. Bachelor's of Nursing degree preferred.
• Master's degree in public health, health policy, biology, or other social/behavioral health field or 4 years' experience in an area that provided equivalent experience. Master's degree in nursing preferred.
• Experience analyzing clinical research and applying findings to work.
• Experience or familiarity with literature reviews of medical research topics.

Additional Information

Applicants selected for an interview will be required to submit a resume, a professional or academic writing sample, and may be asked to complete an in-basket exercise.

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 1-888-894-4747. 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.