Texas Health and Human Services · 10 hours ago
Quality Analyst
Austin, TX
Contract
Hybrid
Senior LevelTexas Health and Human Services Commission (HHSC) is dedicated to improving the lives of Texans. They are seeking a Program Specialist VII to join their Quality Assurance team, responsible for developing healthcare quality initiatives and evaluating managed care organizations to enhance health outcomes.
Health Care
No H1B
Responsibilities
Works with program staff in determining trends and resolving technical problems. Coordinates with staff across areas and agencies and with contractors; acts as a liaison with agencies and internal programs to explain and provide technical assistance on agency and program statutory requirements. Recommends and coordinates activities to produce more effective programs
Researches and analyzes the implications of new state and federal policies and legislation related to healthcare quality. Analyzes state legislation related to quality initiatives delivered through managed care and suggests changes to legislative language. Implements quality-related legislative initiatives. Prepares legislative reports
Prepares high-quality research, analyses, summaries, and other documents as assigned. Develops materials for preparation or follow up to workgroups and meetings conducted for internal and external stakeholders. Interprets agency rules and federal and state laws. Oversees compliance with program policies, procedures, statutes, and rules and takes corrective action if needed. Develops reports, policies and procedures, and analysis tools
Develops and manages highly complex initiatives that evaluate and directly impact the performance of managed care organizations within the Medicaid and CHIP managed care programs. Plans, develops, coordinates, and implements quality related program and operational policy changes and initiatives. Develops recommendations relating to changes in programs and operational policies related to managed care and provides input related to health quality initiatives
Reviews and analyzes quality performance information including technical reports, datasets, and analyses completed by Texas’s external quality review organization. Works with other areas of MCS to review and improve understanding of quality metrics and reports and develops strategies to improve health plan performance. Provides consultative services and technical recommendations to MCOs on applicable topics and works with MCOs’ staff to resolve technical and operational issues. Works closely with other program areas within HHSC enterprise, and associated vendors, to ensure operational processes and systems are coordinated. Works with staff and external stakeholders to identify risks/issues and develop mitigation strategies and solutions. Identifies quality gaps, improves reporting processes, tracks quality improvements and enhances current systems. Facilitates and participates in workgroups, setting goals and objectives and providing work products related to managed care programs and policy. Works collaboratively across MCS to identify innovative and effective solutions for clients and staff
Qualification
Required
Graduation from an accredited four-year college or university
Experience with Medicaid, healthcare quality, managed care, or another large-scale healthcare delivery system
Experience with long-term services and supports and populations that utilize them
Experience leading projects and addressing complicated issues or problems
Experience analyzing policies, data and other complex information
Experience in communicating, including making presentations and preparing technical information in an understandable format for a variety of audiences
Preferred
Master's degree is preferred
Experience in the evaluation of health care quality
Benefits
100% paid employee health insurance for full-time eligible employees
Defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement
Company
Texas Health and Human Services
Texas Health and Human Services is an agency that focuses on improving health, safety and well-being.
Founded in 1907
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Dr. Napoleon Broughton
Chief Executive Officer: Life Enhancement Solutions
John F. Palermo
CTO Strategic Analyst VI
Recent News
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