Texas Medicaid Ops & Compliance Lead (Hybrid)

HCSC Group; Richardson (TX); Hybrid; USD 56,000 - 124,000; Full time

Benefits offered by this job

Hybrid work schedule

Total rewards package

Job summary

HCSC is seeking a well-qualified Operations Analyst to manage day-to-day Medicaid operational functions with emphasis on Utilization Management and Care Management. You will coordinate program implementation, support policy testing, and ensure compliant execution of Texas Medicaid requirements.

The role blends data-driven oversight with cross-functional collaboration in a hybrid Richardson, TX setting. The ideal candidate brings a Bachelor's in Business or equivalent, 4+ years in health

Qualifications

• Bachelor's degree in Business or related field with strong experience in health insurance operations.
• Experience interfacing with internal clients and cross-functional teams.
• Strong verbal and written communication and leadership abilities.

Responsibilities

• Coordinate and implement Medicaid UM/CM programs and operations.
• Support reporting, compliance, billing, and enrollment activities to meet state requirements.
• Collaborate with internal stakeholders to translate policy requirements into actionable processes and reports.

Skills

Project management

Communication

Analytical skills

Leadership

Interpersonal skills

Health insurance operations

Education

Bachelor's degree in Business

Tools

Power BI

Microsoft Excel

Job description

HCSC is seeking a well-qualified Operations Analyst to manage day-to-day Medicaid operational functions with emphasis on Utilization Management and Care Management. You will coordinate program implementation, support policy testing, and ensure compliant execution of Texas Medicaid requirements.

The role blends data-driven oversight with cross-functional collaboration in a hybrid Richardson, TX setting. The ideal candidate brings a Bachelor's in Business or equivalent, 4+ years in health