FirstBank Jobs

Job Information

HEALTH AND HUMAN SERVICES COMMISSION Deputy Executive Commissioner, MCS Operations in Austin, Texas

Job/Position DescriptionThe Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Deputy Executive Commissioner (DEC) for Operations. MCS is driven by its mission to deliver quality, cost-effective services to Texans. The DEC for Operations is a key senior leadership position with a broad range of responsibilities related to the operational elements that support the Texas Medicaid Enterprise Systems (MES) and Medicaid program. This position has major accountability for the achievement of key goals of the program, thus making a significant contribution to MCSand#146;s mission.Reporting to the Chief Medicaid and CHIP Services Officer/State Medicaid Director, the DEC for Operations provides both day to day leadership and long-term vision related to ensuring the most efficient infrastructure for Medicaid operations that cross both the managed care and fee-for-service delivery models. This includes overseeing all planning, implementation, and evaluation of administrative, and operational activities for system operations, contract compliance and oversight, claims administration, provider enrollment, 1915(c) interest list management, PACE, Medicaid modernization and Vendor Drug programs. The combination of these various aspects requires oversight of 7,000+ contracts.The functions under the DEC for Operations rely on multiple complex MES systems and contractors to enroll providers, administer claims payments, manage long-term care provider contracts and claims, and administer the Vendor Drug Program. This role requires strong leadership to ensure process improvements and technology changes can be leveraged to achieve strategic business objectives.The ideal candidate for this role is a self-directed leader versed in managing multiple programs, dealing with ambiguity, and providing vision and strategic leadership in a public environment. The DEC for Operations must have excellent communication skills and be adept at cultivating strong stakeholder relations and working collaboratively across complex, diverse subject areas and agency divisions.Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Essential Job Functionsand#149; Ensures both insourced and outsourced operations perform efficiently and effectively while meeting or exceeding stakeholder expectations and also meeting regulatory requirements.and#149; Institutes measures to understand operational performance and drives improvement through the implementation of best practices.and#149; Provides day to day leadership, directing, aligning and overseeing the staff who manage the various Medicaid operations functions.and#149; Provides guidance and direction in the management and oversight of Medicaid contracts to ensure state and federal compliance, high quality performance and outcomes.and#149; Collaborates with the leadership team to develop strategic direction for the department including priority setting, policy formation, and decision-making.and#149; Advises the State Medicaid Director and other leadership team members of changes in operations and business practices, or issues that arise.and#149; Drives the implementation of new initiatives, resolving problems that cross multiple departments, reducing any downstream negative impacts to clients, providers, and MCOs.and#149; Evaluates and strategically responds to developments/changes affecting operations in order to sustain and/or adjust plans or initiatives.and#149; Uses data and financial https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/job_profile.cfm?szOrderID=608555 Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.

DirectEmployers