Texas Health and Human Services · 7 hours ago
HCBS Compliance Analyst
Austin, TX
Full-time
Hybrid
Senior Level
$5,797.66/mo - $7,652.96/moTexas Health and Human Services Commission (HHSC) is dedicated to positively impacting the lives of Texans. They are seeking a Compliance Analyst IV to perform complex compliance analysis work related to Home and Community-Based Services, ensuring adherence to federal and state regulations and driving quality improvements in Medicaid services.
Health Care
Responsibilities
Compiles and analyzes HCBS data from various sources and databases to verify state compliance with technical specifications, state and federal laws, rules, and regulations related to long-term care services and supports. (25%)
Develops accurate reports and visual summaries to communicate audit results and makes recommendations on improving HCBS outcomes and compliance across the state. (25%)
Performs advanced auditing work of HCBS records. Creates compliance review and audit guidelines. Trains internal and external stakeholders on the audit process. (15%)
Develops timelines and defines the scope of compliance review work. Reviews contracts and other legal documents related to compliance reviews. (15%)
Submits reporting results and findings as part of the HCBS Quality Measure Set reporting to the Centers for Medicare and Medicaid Services (CMS) in accordance with CMS-2442-F requirements. Presents reporting results to internal and external stakeholders. (15%)
Performs related work as assigned. (5%)
Qualification
Required
Graduation from an accredited four-year college or university with major coursework in business administration, public administration, finance, accounting, computer science, statistical analysis, mathematics, research methodology, or a related field is generally preferred
Experience with Medicaid, Home and Community-Based Services, or long-term services and supports data
Knowledge of relevant federal and state rules and regulations related to Medicaid, Home and Community-Based Services, or long-term services and supports
Knowledge of contract and compliance monitoring
Knowledge of statistical concepts, sampling methods, and models
Skill in conducting data searches and evaluating large amounts of data
Skill in using data management programs to run queries
Skill in using applicable data visualization software to communicate compliance summaries and recommendations
Skill in preparing concise and accurate reports for agency management and staff
Skill in preparing and presenting reports for agency management and other staff
Ability to identify problems, evaluate alternatives, and implement effective solutions
Ability to maintain effective working relationships and communicate effectively with other teams and departments
Ability to oversee and/or supervise the work of others
Benefits
100% paid employee health insurance for full-time eligible employees
A defined benefit pension plan
Generous time off benefits
Excellent health benefits
Lifetime monthly retirement annuity
Generous time off benefits
Leadership commitment to invest in and foster your professional growth or knowledge of the Texas Medicaid program and your career advancement
Having a profound impact on the lives of thousands of Medicaid clients that depend on Medicaid services throughout Texas
Being on the ground level of healthcare quality implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, managed care organizations, and other healthcare contractors
Being part of a team at the forefront of interpreting, implementing, and developing quality initiatives that have a statewide impact
The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal/state Medicaid partnerships and other activities related to the administration of the Medicaid program
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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2025-04-09
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2024-04-01
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