Remote-Eligible Claims Management Director

FALL CREEK FARM & NURSERY; Austin (TX); Hybrid; USD 78,000 - 132,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Time off

Career growth

Job summary

The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a highly qualified candidate for Director of the Claims Management unit in Austin. The Director provides senior managerial leadership, oversees daily operations, staffing, and strategic initiatives to ensure efficient claims processing, payments, appeals, and provider support.

Responsibilities include policy development, cross‑agency collaboration, project delivery, and ensuring compliance with

Qualifications

• Graduation from an accredited four-year college; major in public administration, policy, business, health care.
• At least five years in a health services management role with supervising staff.
• At least three years in claims processing, payments, appeals or recoupments.
• Experience with Medicaid programs.
• Experience delivering technical and non-technical presentations.
• Experience responding to legislative inquiries, audits or open records requests.

Responsibilities

• Oversee day-to-day operational activities for Claims Management.
• Lead strategic planning and development aligned with agency goals.
• Provide liaison and communications with external/internal stakeholders.
• Oversee project management for technology and operational initiatives.
• Manage and develop staff; performance evaluations and mentoring.
• Perform other duties as assigned.

Skills

Public speaking

Leadership

Strategic thinking

Collaboration

Analytical thinking

Education

Bachelor's degree in public administration/health policy or related field

Job description

The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a highly qualified candidate for Director of the Claims Management unit in Austin. The Director provides senior managerial leadership, oversees daily operations, staffing, and strategic initiatives to ensure efficient claims processing, payments, appeals, and provider support.

Responsibilities include policy development, cross‑agency collaboration, project delivery, and ensuring compliance with