OperationsReadiness Coordinator (PSVI)

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Functional Title:Operations/Readiness Coordinator (PSVI)
Job Title:Program Specialist VI
Agency:Health & Human Services Comm
Department:MC Contracts and Oversight
Posting Number:17571
Closing Date:07/16/2026
Posting Audience:Internal and External
Occupational Category:Business and Financial Operations
Salary Range:$5098.66-$8304.83
Pay Frequency: Monthly
Salary Group:TEXAS-B-23
Shift:Day
Additional Shift:None
Telework:Eligible for Telework
Travel:Up to 40%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Exempt
Facility Location:
Job Location City:AUSTIN
Job Location Address:701 W 51ST ST
Other Locations:Austin
MOS Codes: 16GX60C0611X612X63G0641X712X86M08U000OSOSSPERSYNYNS

Brief Job Description:

The Operations/Readiness Coordinator reports to the Senior Manager of Operations and Readiness located in the Managed Care Contracts and Oversight (MCCO) division of the Medicaid/CHIP Services (MCS). This position works under minimal supervision with considerable latitude for the use of initiative and independent judgment. This position performs highly advanced (senior-level) consultative services and technical assistance work for the Managed Care Contracts and Oversight (MCCO) section. The position is responsible for development and recommendations for appropriate courses of action to address identified issues and will communicate with the Operations/Readiness Senior Manager in a timely manner. Performs highly advanced (senior level) consultative services analysis and oversight of compliance with contract standards.

Work for this position involves leading operational and readiness initiatives such as deliverables timelines for implementation system changes readiness reviews operational reviews and information sessions. Work also involves cross-divisional collaboration planning developing and implementing major agency program(s). Provides highly complex consultative services and technical assistance to program staff Managed Care Organizations (MCO) governmental agencies community organizations or the public. Work includes leading analysis research collection of data development and review of tools for Operational and Readiness initiatives. Prepares management responses and reports with analysis. This position trains leads assigns prioritizes and performs quality assurance of the work of others. Frequent travel is required.

This position works with all aspects of the Medicaid/CHIP programs including Medicaid Managed Care DMOs MCOs contracts policies and/or procedures. Leads and coordinates operations and readiness activities across the MCS Division and managed care organizations. Work includes evaluating MCO adherence to contracts policies programs other government assistance and programs and private sector resources. Performs other duties as assigned.

Essential Job Functions (EJFs):

1. Coordinates standardized oversight of program and MCO contractual compliance through Operational and Readiness Reviews which include: a) collection analysis and reporting of data for trends among MCO/DMO/MTO performance; b) evaluation of MCO compliance with contract(s) deliverables and regulatory standards; and c) identification and resolution of MCO contractual issues. d) develops and makes recommendations for appropriate courses of action to address identified issues and communicates them to the Senior Manager. (20%)

1. Leads facilitates and collaborates complex planning and technical assistance related to operations and readiness activities across the MCS Division and managed care organizations. Coordinates with internal and external stakeholders to facilitate creation review and assessment of programs and MCO contracts policies and/or procedures contract compliance issues and improvements to promote efficiency innovation and achievement of effective outcomes and processes risk mitigation and contract compliance activities. (20%)

1. Coordinates leads and facilitates operational on-site and desk readiness reviews highly technical information sessions and reviews of complex contractor materials. Performs QA checks on staff reviews and assists team staff in preparing reports based on findings from formal reviews and assessments of MCO operations and readiness. Develops timelines policies guidelines and operating procedures for the unit and communications for stakeholders. (20%)

1. Ensures the operational effectiveness of the MCO Operations and Readiness across MCS is maintained through cross-divisional planning and prioritizing technical assistance and training of staff including Readiness team activities and assigning policy reviews to staff related on MCO service delivery models. Analyzes processes and makes change recommendations to leadership. Prepares management responses and reports with analysis and appropriate project prioritization. (20%)

1. Participates in the development and evaluation of managed care contracts Requests for Proposals (RFPs) and evaluation tools through thorough analysis of rules bills and federal/state laws with implications for Medicaid and CHIP programs. Responds to legislative open record and audit requests within specified timeframes. (10%)

1. Establishes and maintains effective working relationships and communication with staff from other agencies and organizations appropriately interacts with others and provides timely responses to requests and inquiries. Represents MCCO in a positive manner. Demonstrates commitment to the goals of the Medicaid/CHIP services shows initiative to take on new projects is team-oriented and committed to outstanding customer service and focuses on promoting efficiencies and accountability. Communicates with manager in a timely manner regarding problematic situations and applies proper judgment to ensure action taken is appropriate. Attends work on a regular and predictable schedule in accordance with agency leave policy. Trains and leads others. Performs related work as assigned timely and accurately. (10%)

Registrations Licensure Requirements or Certifications:

Certified Texas Contract Manager (CTCM) certification required. Must maintain CTCM certification.

Knowledge Skills and Abilities (KSAs):

Knowledge of:

1. Managed care systems;
2. Subsidized health insurance including Medicaid Medicaid Managed Care and/or CHIP;
3. Contract management and compliance principles;
4. Team dynamics and human motivation theory.
   
   

Skill in:

1. Leading teams to achieve organizational goals objectives and performance targets;
2. Leadership project management and time management;
3. Planning development and implementation of systems programs and processes designed for operational oversight;
4. Using personal computer application software such as Microsoft Word Excel PowerPoint or similar programs;
5. Written and oral communication including making public presentations writing technical information in an understandable format and producing research and analytical reports;
6. Establishing and maintaining effective working relationships with managers co-workers other agency personnel and the public;
7. Leading workgroups and meetings to accomplish unit goals and objectives.

Ability to:

1. Develop and write policies and procedures;
2. Work under limited direction and exercise initiative and independent judgment;
3. Gather assemble correlate and analyze facts and data and devise solutions to problems;
4. Identify knowledge gaps train staff and assign and prioritize work;
5. Research develop and deliver internal policies and procedures;
6. Oversee activities goals and objectives and develop solutions to technical and administrative problems;
7. Organize resources to achieve desired outcomes;
8. Ensure accountability and motivate staff to build morale.

Initial Screening Criteria:

• A minimum of 120 semester hours from an accredited college with major course work in a field related to health and human services. Graduation from an accredited four-year college or university with major course work in a field relevant to assignment is generally preferred. Experience and education may be substituted for one another.

• Minimum of three years of experience with Medicaid and CHIP managed care programs policies procedures contracts and service delivery models. Minimum of three years of experience of contract management and contract principles.

• Minimum of three years of experience in using a PC and Microsoft Office Suite including Word Excel PowerPoint and Outlook.

• Relevant team lead/supervisory experience preferred.

Additional Information

Although this position is posted at the State Auditors Office Minimum to Maximum salary range individual offers are contingent on many factors including but not limited to available funding State and Agency HR policies salaries of comparable positions internal approval processes applicant qualifications and other factors.

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Active Duty Military Reservists Guardsmen and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include but not limited tothose 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 Auditors Job Descriptions Military Crosswalk and Military Crosswalk Guide at Texas State Auditors Office - Job Descriptions.

ADA Accommodations:

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-. If you are contacted for an interview and need accommodation to participate in the interview process please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

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

Telework Disclaimer:

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.