What are the responsibilities and job description for the Manager V position at Texas Health and Human Services?
Date: Mar 31, 2025
Location:
HOUSTON, TX
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Manager V
Job Title: Manager V
Agency: Health & Human Services Comm
Department: MC Prog Supp & Int Mgmt - Reg
Posting Number: 4107
Closing Date: 06/29/2025
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Group: TEXAS-B-26
Salary Range: $6,377.50 - $10,785.83
Shift: Day
Additional Shift: Days (First)
Telework
Travel: Up to 40%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: HOUSTON
Job Location Address: 5425 POLK ST
Other Locations:
MOS Codes
0203,0207,0302,0370,0520,0602,0802,1802,1803,2340,5502,6302,6502,7202,7208,7210,7220,7502,8005,8858
9702,16GX,3D0X1,60C0,611X,612X,63G0,641X,712X,86M0,86P0,8U000,9G100,BOSN,ELC,ISS,MAT,MED,MLES,MSSD
MSSE,MSSR,OSS,WEPS
Job Description
The Program Support Manager is responsible for performing highly advanced managerial work for the daily operations of the HHSC Program Support Unit staff/functions for managed care programs and other program support functions for managed care activities at HHSC. This position will develop, implement, and oversee the activities and staff related to critical managed care activities across the state. This position will provide technical guidance to state employees and contracted managed care staff. The manager will represent the section and the agency at meetings, hearings, trials, conferences, committees, and panels. This position works under minimal supervision and requires extensive initiative, self-direction, and independent judgment. The Program Support Unit consists of units in all managed care service delivery areas and is responsible for critical support and coordination of multiple aspects of STAR PLUS and STAR Kids, as well as other managed care programs and services. This position will support units across the state of Texas. This section serves as the primary contact for individual and member transitions in and out of the STAR PLUS service areas and for communication between the state, managed care organizations and other contractors. This section coordinates continuity of care for members that are suspended or dis-enrolled from managed care, transfer/move within the state, and to a different state program. This section also assists in the Promoting Independence initiative and assists individuals who "age out" of various state programs.
Essential Job Functions (EJFs)
Attend work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
(25%) Manages Program Support Unit (PSU) regional staff activities. Oversees the performance of a variety of required Medicaid STAR PLUS and STAR Kids program technical, training, research, planning, policy, program assessment, and administrative activities. Coordinates PSU staff who act as program enrollment liaisons with managed care organizations, internal program staff, and Medicaid member families to explain program enrollment requirements. Oversees PSU policy analysis, project implementation, and policy documentation. Plans, assigns, and supervises the work of assigned PSU staff. Directs and approves PSU staff activities to meet the following program objectives: give guidance and direction/assistance to PSU staff developing and implementing STAR PLUS and STAR Kids PSU program's policies, procedures, rules and guidelines; reviewing and approving PSU implementation of policies, procedures, rules and guidelines to enroll Medicaid members in managed care; reviewing PSU issue status information and to report progress towards meeting PSU program goals; reviews and approves PSU team management, area fiscal and productivity reports; PSU staffing forecasts, and programmatic and fiscal needs of the program.
(20%) Manages the collection, organization, analysis, and preparation of PSU member enrollment materials in response to program information requests. Implements and provides management support of PSU program policies, procedures, manuals, and standards and planned program activities. Coordinates the development and implementation of effective PSU Medicaid member enrollment techniques for evaluating STAR PLUS and STAR Kids efficiencies, identifies the need for new or modified managed care programs, and guides PSU staff in the development and integration of new Medicaid managed care enrollment methods and procedures.
(35%) Directs the completion and monitors required PSU regional staff administrative and performance reports, studies and specialized managed care enrollment projects. Coordinates compliance with PSU, STAR PLUS, and STAR Kids program policies and procedures, statutes, and rules and takes corrective action(s) with PSU staff and managed care organizations as needed. Manages PSU operational problem analyses and required PSU operational report preparation. Identify PSU regional staff managed care member enrollment process and procedure issues and resolves operational problems. Assigns and manages PSU staff specialized research projects.
(20%) Delivers technical assistance related to planning, implementing, and monitoring of ongoing PSU managed care member enrollment programs and services. Consults with public and private entities involved in STAR PLUS and STAR Kids program and other managed care programs to resolve member enrollment problems, identify PSU staff training needs, and discuss PSU program effectiveness. Provides guidance to PSU regional staff in the development and integration of new internal methods and procedures. Works within agency constraints to provide PSU regional staff with tools needed to carry out their member enrollment responsibilities. Represents PSU regional staff and HHSC at meetings, hearings, trials, conferences, committees, and panels.
Knowledge Of
Knowledge, Skills and Abilities (KSAs)
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 to those 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 Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's 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 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
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.
Nearest Major Market: Houston
Location:
HOUSTON, TX
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Manager V
Job Title: Manager V
Agency: Health & Human Services Comm
Department: MC Prog Supp & Int Mgmt - Reg
Posting Number: 4107
Closing Date: 06/29/2025
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Group: TEXAS-B-26
Salary Range: $6,377.50 - $10,785.83
Shift: Day
Additional Shift: Days (First)
Telework
Travel: Up to 40%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: HOUSTON
Job Location Address: 5425 POLK ST
Other Locations:
MOS Codes
0203,0207,0302,0370,0520,0602,0802,1802,1803,2340,5502,6302,6502,7202,7208,7210,7220,7502,8005,8858
9702,16GX,3D0X1,60C0,611X,612X,63G0,641X,712X,86M0,86P0,8U000,9G100,BOSN,ELC,ISS,MAT,MED,MLES,MSSD
MSSE,MSSR,OSS,WEPS
Job Description
The Program Support Manager is responsible for performing highly advanced managerial work for the daily operations of the HHSC Program Support Unit staff/functions for managed care programs and other program support functions for managed care activities at HHSC. This position will develop, implement, and oversee the activities and staff related to critical managed care activities across the state. This position will provide technical guidance to state employees and contracted managed care staff. The manager will represent the section and the agency at meetings, hearings, trials, conferences, committees, and panels. This position works under minimal supervision and requires extensive initiative, self-direction, and independent judgment. The Program Support Unit consists of units in all managed care service delivery areas and is responsible for critical support and coordination of multiple aspects of STAR PLUS and STAR Kids, as well as other managed care programs and services. This position will support units across the state of Texas. This section serves as the primary contact for individual and member transitions in and out of the STAR PLUS service areas and for communication between the state, managed care organizations and other contractors. This section coordinates continuity of care for members that are suspended or dis-enrolled from managed care, transfer/move within the state, and to a different state program. This section also assists in the Promoting Independence initiative and assists individuals who "age out" of various state programs.
Essential Job Functions (EJFs)
Attend work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
(25%) Manages Program Support Unit (PSU) regional staff activities. Oversees the performance of a variety of required Medicaid STAR PLUS and STAR Kids program technical, training, research, planning, policy, program assessment, and administrative activities. Coordinates PSU staff who act as program enrollment liaisons with managed care organizations, internal program staff, and Medicaid member families to explain program enrollment requirements. Oversees PSU policy analysis, project implementation, and policy documentation. Plans, assigns, and supervises the work of assigned PSU staff. Directs and approves PSU staff activities to meet the following program objectives: give guidance and direction/assistance to PSU staff developing and implementing STAR PLUS and STAR Kids PSU program's policies, procedures, rules and guidelines; reviewing and approving PSU implementation of policies, procedures, rules and guidelines to enroll Medicaid members in managed care; reviewing PSU issue status information and to report progress towards meeting PSU program goals; reviews and approves PSU team management, area fiscal and productivity reports; PSU staffing forecasts, and programmatic and fiscal needs of the program.
(20%) Manages the collection, organization, analysis, and preparation of PSU member enrollment materials in response to program information requests. Implements and provides management support of PSU program policies, procedures, manuals, and standards and planned program activities. Coordinates the development and implementation of effective PSU Medicaid member enrollment techniques for evaluating STAR PLUS and STAR Kids efficiencies, identifies the need for new or modified managed care programs, and guides PSU staff in the development and integration of new Medicaid managed care enrollment methods and procedures.
(35%) Directs the completion and monitors required PSU regional staff administrative and performance reports, studies and specialized managed care enrollment projects. Coordinates compliance with PSU, STAR PLUS, and STAR Kids program policies and procedures, statutes, and rules and takes corrective action(s) with PSU staff and managed care organizations as needed. Manages PSU operational problem analyses and required PSU operational report preparation. Identify PSU regional staff managed care member enrollment process and procedure issues and resolves operational problems. Assigns and manages PSU staff specialized research projects.
(20%) Delivers technical assistance related to planning, implementing, and monitoring of ongoing PSU managed care member enrollment programs and services. Consults with public and private entities involved in STAR PLUS and STAR Kids program and other managed care programs to resolve member enrollment problems, identify PSU staff training needs, and discuss PSU program effectiveness. Provides guidance to PSU regional staff in the development and integration of new internal methods and procedures. Works within agency constraints to provide PSU regional staff with tools needed to carry out their member enrollment responsibilities. Represents PSU regional staff and HHSC at meetings, hearings, trials, conferences, committees, and panels.
Knowledge Of
Knowledge, Skills and Abilities (KSAs)
- Medicaid managed care programs policy and processes with focus on transitions in and out of the STAR PLUS and STAR Kids service areas including continuity of care for members that are suspended or dis-enrolled from managed care, transfer/move within the state, to a different state program, and assists individuals with placement on state program interest lists.
- Mandatory experience in direct support of a Medicaid program including experience communicating with managed care organizations and member families.
- Local, state, and federal laws related to the program area; of public administration and management techniques; of research techniques; of training and marketing techniques; and of program management processes and techniques.
- Identifying measures or indicators of program performance and in operating computers and applicable software.
- Evaluate the impact policy and program changes may have on program support unit activities.
- Manage projects and workgroups to facilitate the implementation of required program support unit changes.
- Gather, assemble, correlate, and analyze facts and to work with staff to devise solutions to problems, market programs, prepare reports, to develop, evaluate, and interpret policies and procedures, to communicate effectively, and to train, lead, assign, and prioritize staff workloads.
- Coordinate with other areas of HHSC to represent the Program Support Unit. Candidate will function as a manager for the Program Support Unit.
- Coordinate team member actions operating in direct support of the Medicaid managed care programs and is responsible for resolving Medicaid Program Enrollment & Support issues.
- Coordinate managed care program support unit activities with STAR PLUS waiver services staff.
- Perform other duties as assigned.
- N/A
- Experience in a field related to Program Support Unit service activities.
- Required minimum of three years of full-time management experience.
- Required experience working professionally with a broad range of stakeholders.
- Required experience planning, assigning, and directing the work of others.
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 to those 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 Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's 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 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
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.
Nearest Major Market: Houston
Salary : $6,378 - $10,786
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