Provider Experience Technology Auditor
Texas Health and Human Services
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Job summary
Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) seeks a Provider Experience Technology Auditor (Technology Auditor III) to strengthen provider interactions with HHSC systems and enrollment processes. The role focuses on auditing, data analysis, and continuous improvement across statewide Medicaid operations.
The position reports to the Director of Provider Experience for Operations, with responsibilities including audit work plans, dashboard reviews, and
Qualifications
- Three years’ experience auditing complex systems or programs.
- Experience evaluating technology systems and provider-facing processes.
- Graduation from a four-year college or university in a related field.
Responsibilities
- Conduct audits and evaluations of provider-facing technology systems and processes.
- Review enrollment and modernization processes and dashboards.
- Prepare work plans, reports, findings, and corrective actions.
- Communicate findings to leadership, program staff, and stakeholders.
Skills
Education
Tools
Job description
Date: Aug 7, 2026
Location: AUSTIN, TX
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.
The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate for the position of Provider Experience Technology Auditor (Technology Auditor III), reporting to the Director of Provider Experience for Operations. The MCS Operations department delivers infrastructure for both the managed care and fee-for-service delivery models within Texas Medicaid, one of the largest healthcare programs in the country, serving approximately 4 million Texans. Key department deliverables include claims resolution, acute care claims processing, provider enrollment, IDD Waiver Programs, Vendor Drug Program, and management of Medicaid Modernization. MCS is driven by its mission to deliver high quality, cost-effective services to Texans.
The Provider Experience Technology Auditor Performs advanced information technology auditing work evaluating provider facing business processes, systems, and operational practices to identify opportunities that will improve the provider experience. Work involves reviewing technology-enabled workflows, provider enrollment processes, system usability, data integrity, internal controls, compliance practices, and operational performance measures. The auditor evaluates how providers interact with HHSC systems and processes.
- (30%) Conducts audits, quality reviews, and evaluations of provider facing technology systems, business processes, and operational practices. Reviews workflows, system functionality, internal controls, data integrity, compliance practices, and provider interaction points to identify risks, gaps, and opportunities to improve the provider experience.
- (25%) Evaluates provider enrollment and Medicaid technology modernization processes, including PEMS and related systems. Reviews provider feedback, systems performance data, process maps, journey maps, dashboards, audit results, and key performance indicators to assess the effectiveness of provider facing processes.
- (20%) Prepares audit work plans, reports, findings, recommendations, and corrective action summaries. Communicates clearly to leadership, program staff, technology partners, vendors, and stakeholders. Tracks corrective actions and supports continuous improvement efforts that improve provider satisfaction, system usability, and operational performance.
- (15%) Researches and analyzes state and federal requirements, policies, procedures, standards , and best practices related to Medicaid operations, provider enrollment, technology auditing, quality assurance, data governance, and user experience. Recommends changes to policies, procedures, systems, and business processes.
- (5%) Participates in meetings, workgroups, and project activities related to provider experience, system enhancement, Medicaid modernization, and operational improvement. Builds collaborative working relationships and provides timely responses to requests for information.
- (5%) Other duties as assigned.
- The general framework of state and federal laws and regulations relevant to publicly funded healthcare services such as Medicaid and CHIP.
- Principles and practices of information technology auditing, quality assurance, compliance monitoring, and internal control evaluation.
- Business process analysis, workflow evaluation, system usability review, and continuous improvement methods.
- Establishing plans and setting objectives and goals that support an overall business strategy.
- Identifying problems, evaluating alternatives, and implementing effective solutions.
- Research and analysis of policies and processes to ensure compliance with applicable regulations and standards.
- Communicating complex findings in a clear and professional manner.
- Establishing and maintaining effective working relationships with program staff, technology partners, vendors, and stakeholders.
- Conduct audits, reviews, and evaluations of provider facing systems and business processes.
- Analyze complex information and translate findings into practical recommendations.
- Assess provider experience concerns through process data, provider feedback, usability information, and operational measures.
- Identify risks, root causes, and opportunities for improvement.
- Prepare accurate reports, summaries, presentation, and corrective action updates.
- Manage multiple assignments and meet deadlines.
Certified Information Systems Auditor, Certified Internal Auditor, Certified Government Auditing Professional, Lean Six Sigma Green or Black Belt certification, Certified Information Systems Security Professional, or related certification.
- At least three years’ experience conducting audits, quality reviews, compliance reviews, technology assessments, process evaluations, data analysis, or operational reviews involving complex systems, programs, or business processes.
- Experience evaluating technology systems, provider facing systems, customer experience processes, Medicaid operations, healthcare operations, enrollment processes, or public sector programs.
- Graduation from an accredited four-year college or university with major coursework in any one or more of the following: information technology, computer information systems, business administration, public administration, healthcare administration, accounting, auditing, data analytics, or a related field. Relevant experience may be substituted for education on a year-for-year basis.
The HHSC Provider Experience Team will focus on ensuring a positive and seamless experience for providers when engaging with HHSC and the Medicaid program, with an initial focus on enrollment and the Provider Enrollment Management System (PEMS) application. PEMS is a tool for providers to enroll, revalidate, re-enroll, or maintain their participation in Texas Medicaid or other state health-care programs. The purpose of the provider enrollment process is to ensure people and organizations who deliver Medicaid services have the appropriate qualifications for the services they deliver, are in good standing with relevant regulatory entities, are legally recognized entities, and have not been disbarred from participation in the program.
The Provider Experience Team will gather feedback through surveys and direct provider feedback for prioritizing system enhancements and identifying useability improvements. This work will continue in systems beyond PEMS in the future as HHSC continues to advance Medicaid technology modernization goals. The goal of the Provider Experience Team is to increase provider satisfaction, build relationships, and encourage long-term provider satisfaction.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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.
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.
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
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.
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