Manager VI

Date: Apr 16, 2025

Location:

AUSTIN, 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 VI

Job Title: Manager VI

Agency: Health & Human Services Comm

Department: HHS Provider Finance M/C Admin

Posting Number: 4912

Closing Date: 05/16/2025

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Group: TEXAS-B-27

Salary Range: $9,439.83 - $11,864.50

Shift: Day

Additional Shift: Days (First)

Telework: Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location:

Job Location City: AUSTIN

Job Location Address: 4601 W GUADALUPE 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

Brief Job Description

Under the direct supervision of the Provider Finance Department (PFD) Long-term Services and Supports (LTSS) Director, the Manager of the Calculations and Analysis (C&A) Team oversees and provides leadership and guidance in the design, development, implementation, modification and maintenance of methods and procedures used in the analyses of cost and statistical data for the development and implementation of reimbursement methodologies and payment rates for Medicaid and Non-Medicaid LTSS programs and services. The position oversees the development and updates to LTSS cost reporting templates; LTSS directed payment programs; rate development from submitted LTSS cost report data; administration of provider spending and staffing accountability systems for LTSS programs; and the development, modification and maintenance of complex systems, spreadsheets and databases used in rate calculations.

The C&A Manager performs highly advanced management and oversight, and directs daily operations. Establishes short-, mid-, and long-term goals and objectives; develops policies and procedures; schedules, priorities, and standards for achieving established goals. Coordinates and evaluates program activities; and supports legislative inquiries and analyses. Completes performance evaluations and handles human resource matters for staff. Reviews, develops and implements policies, regulations, guidelines, agency rules, and state plan amendments as needed. Identifies needed areas of change and oversees the development of alternative strategies and recommendations. This position works closely with key internal and external decision-makers providing timely, accurate, and well communicated budget and program management information that is needed to effectively plan, allocate, implement, and control programs, services, and staffing levels to achieve the goals and objectives consistent with the agency strategic plan.

Iv. Essential Job Functions (ejf)

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

• OVERSIGHT OF LTSS COST REPORTS AND RATE CALCULATIONS Oversees development of LTSS cost report-based rate methodologies and rate calculations; ensures cost reports collect sufficient data to support rate setting requirements and recommends modifications of cost report templates as appropriate; ensures cost reporting and associated processes conform to Texas Administrative Code (TAC) requirements, and state and Federal statutes, rules and guidelines. Oversees development and implementation of, and compliance with, policy guidelines, TAC amendments and other agency rules, state plan amendments, Medicaid waivers, and other associated documents pertaining to LTSS cost reporting and cost report -based reimbursement methodologies and payment rates; reviews fiscal estimate calculations to ensure accuracy, develops and implements quality assurance processes related to rate calculations and rate setting (20%)
• OVERSIGHT OF LTSS SUPPLEMENTAL AND DIRECTED PAYMENT PROGRAMS Oversees cost report reconciliation process for LTSS programs with spending accountability requirements; develops and maintains informal review and settlement process; participates in appeal hearings and settlement negotiations on behalf of the PFD; manages LTSS supplemental and directed payment programs ensuring calculations and payments conform to TAC requirements, and state and Federal statutes, rules and guidelines. Maintains, reviews and approves payment files for directed and supplement payment programs, ensures payment accuracy, develops and implements quality assurance processes related to supplemental and directed payment programs. (20%)
• COMMUNICATIONS: Interfaces with various PFD staff, provider industry representatives, HHS Enterprise staff, legal staff, advisory committees, workgroups and other interested parties concerning payment rate policy issues affecting LTSS supplemental or directed payment programs, cost reporting or payment rate determinations. Communicates complex information to internal and external parties to provide, exchange or verify information, answer inquiries, address issues or resolve problems or complaints. Interfaces with external entities including but not limited to: contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys and other interested parties (20%)
• LEADERSHIP: Provides guidance and management to PFD staff on complex, technical and analytical methods used in rate determination, LTSS cost reporting and supplemental or directed payment programs. Hires and conducts staff training, including participation in interview and selection panels, training new hires on various technical aspects of their positions; directs staff; develops and manages workplans and workflows. Sets priorities, goals and accountability for reporting. Oversees the development of processes, procedures, workpapers, and tools to ensures compliance with agency and department standards. Monitors workflow to ensure processing timeframes are met. (20%)
• DOCUMENTS FOR APPROVAL AND PRESENTATION: Oversees the preparation and reviews/approves written briefing documents and other documents related to the results of calculations and analysis for decision making by PFD and executive staff. Makes presentations of calculations and analysis to a variety of audiences and HHSC executive staff (15%)
• OTHER DUTIES: Performs other duties as assigned. (5%)
  
  

Total: 100%

V. Licensure, Certification, Or Registration Required

N/A

Vi. Knowledge, Skills, And Abilities Required

Knowledge of state government and health and human services financial processes and procedures.

Knowledge of the State of Texas legislative processes and procedures.

Skill in the development of reimbursement methods and payment rates, formulas, and procedures or complex cost analysis or data analysis.

Skill in interpersonal relationships, establishing and maintaining, effective working relationships.

Skill in policy/procedure development and/or evaluation

Skills in computer software including Excel, SAS, SPSS, Word, CAPPS, and other state/governmental financial or human resources applications.

Skills in summarizing or presenting information to executive staff or stakeholders

Ability to manage projects effectively, including setting priorities and planning, organizing and coordinating the work of others.

Ability to develop, evaluates, implement and interpret policies, procedures and rules.

Ability to identify problems, evaluates alternatives, and implements creative solutions.

Ability to exercise independent judgment, set priorities, meets deadlines and adapt to shifting technical and political developments.

Vii. Initial Screening Criteria

Bachelor's Degree Required. Experience in Provider Finance or applicable organization may be substituted for education on a one-to-one basis. Required 1 year or more of experience in a supervisory/management position, 2 years as a team lead, or 3 years of experience in quantitative analysis.

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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 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: Austin