The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Director of Provider Relations. The Director serves in a key leadership position reporting to the State Medicaid Director and has primary responsibility for shaping strategies that support developing and maintaining a robust network of providers supporting the delivery of Medicaid and CHIP programs to more than four million Texans.
This role will actively engage provider associations and individual providers to identify opportunities to strengthen the Medicaid and CHIP programs. They will analyze data to identify systemic issues impacting providers and create and lead initiatives to address issues. The Director conducts research into issues, works with provider stakeholders to evaluate policy and process changes for potential impacts, monitors implementation of key initiatives, and provides leadership on key initiatives impacting providers.
The ideal candidate will have demonstrated leadership experience, knowledge of managed care best practices, experience driving strategic partnerships and operational improvements, and excellent communication skills. The individual in this position must be an expert collaborator adept at maintaining and fostering relationships with providers, key stakeholders, agency staff, and other agencies.
Works under minimal supervision with extensive latitude for the use of initiative and independent judgment.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Knowledge Skills Abilities:
- Oversees provider issues and ensures effective feedback or problem resolution is provided (25%)
- Coordinates and attends meetings and discussions that facilitate improved relationships between providers, HHSC and managed care organizations. (25%)
- Directs and serves as a key internal advisor to other MCS units regarding provider perspectives and to ensure providers have accurate and timely information (20%)
- Researches and stays abreast of emerging provider issues within the Medicaid program in Texas and nationally (15%)
- Develops and implements procedures necessary to support effective and efficient Provider Relations across HHSC departments and within MCS (5%)
- Performs other related duties as assigned (10%)
Registration or Licensure Requirements:
- Knowledge of Texas’ Medicaid and CHIP services or similar delivery models, physician and client demographics and needs, public and private health care systems, state and federal laws, program requirements and financing.
- Knowledge of state and federal legislative process.
- Ability to establish effective internal controls that promote adherence to applicable state/federal laws and HHSC Medicaid/CHIP program requirements.
- Ability to understand and effectively interpret agency and program rules, policies, and the ability to navigate agency procedures and processes to reach desired outcomes.
- Ability to communicate effectively orally and in writing.
- Ability to coordinate activities among public, private, and professional groups; express ideas clearly and concisely; address audiences effectively, and exercise judgment in evaluating situations and making decisions.
- Ability to work independently with minimal supervision.
- Ability to supervise the work of others.
- Skill in gathering, synthesizing and evaluating highly complicated and technical information and translating it into easily understandable and concise documents and oral presentations for agency executives, elected officials, and the public.
- Skill in complex problem solving and analysis
- Skill in meeting facilitation
- Skill in communication and negotiation
- Skill in the use of computer software, specifically Windows, Microsoft Outlook, Word, Excel, and Power Point
Initial Selection Criteria:
Graduation from an accredited university with a bachelor’s degree (required) or master’s degree (preferred), with a minimum of 5 years or professional experience. Experience related to health care provider relationship management or direct experience with Medicaid and CHIP is preferred.
There may be no military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS 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 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.