What are the responsibilities and job description for the Policy Analyst position at Health & Human Services Comm?
The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Quality Analyst. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by performing advanced consultative and technical assistance work to program staff, governmental agencies, and community organizations. Responsibilities include developing written communication and presentations for internal and external stakeholders, providing and coordinating technical assistance to program participants, and completing research, analysis, and development activities concerning major programs impacting HHSC and other Texas HHS agencies.
The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy.
The Quality Analyst is selected by and directly reports to the Manager V in the Delivery System Quality & Innovation (DSQI) Unit. The Quality Analyst works under general direction with extensive latitude for the use of initiative and independent judgment.
The DSQI Unit is part of the Medicaid Quality & Program Improvement Division. The mission of DSQI is to incentivize, innovate, and educate to improve health care quality. We develop and implement innovative requirements and financial incentives, provide education & technical assistance to increase the adoption of best practices, and evaluate the effectiveness of quality programs & interventions. The DSQI team currently leads multiple high profile quality improvement initiatives that are critical to the Medicaid program in Texas including the quality aspects of Medicaid directed payment programs, the Non-Medical Drivers of Health (NMDOH) Action Plan, working with hospitals to reduce unnecessary emergency department utilization by people with Medicaid, evaluating alternative payment methodologies in Medicaid managed care, and the Maternal Opioid Misuse (MOM) Model pilot program.
The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy.
The Quality Analyst is selected by and directly reports to the Manager V in the Delivery System Quality & Innovation (DSQI) Unit. The Quality Analyst works under general direction with extensive latitude for the use of initiative and independent judgment.
The DSQI Unit is part of the Medicaid Quality & Program Improvement Division. The mission of DSQI is to incentivize, innovate, and educate to improve health care quality. We develop and implement innovative requirements and financial incentives, provide education & technical assistance to increase the adoption of best practices, and evaluate the effectiveness of quality programs & interventions. The DSQI team currently leads multiple high profile quality improvement initiatives that are critical to the Medicaid program in Texas including the quality aspects of Medicaid directed payment programs, the Non-Medical Drivers of Health (NMDOH) Action Plan, working with hospitals to reduce unnecessary emergency department utilization by people with Medicaid, evaluating alternative payment methodologies in Medicaid managed care, and the Maternal Opioid Misuse (MOM) Model pilot program.
Essential Job Functions:
Works collaboratively across MCS to identify innovative and effective solutions for clients and staff.
(35%) Prepares high quality written documents, including guidance documents, presentations, project updates, summaries, legislative reports, memos for executive leadership, and other documents relating to quality improvement and innovation initiatives.
(20%) Works with and presents to Medicaid providers as well as provider and hospital associations to coordinate, improve, and secure support for quality and innovation initiatives. Consults with HHSC staff and stakeholders to resolve problems, identify training needs and discuss program effectiveness.
(20%) Reviews and approves data submitted by Medicaid payors and Medicaid providers participating in quality programs. Identifies issues with submitted data and works with Medicaid providers to develop corrective action plans and bring reporting in line with state and federal requirements.
(15%) Conducts policy research, data analysis, spreadsheet development and maintenance, and coordination related to reporting of healthcare quality measures, as well as other Medicaid quality or delivery system reform planning and implementation activities.
(10%) Contributes to the development of program and policy options for Medicaid quality programs and initiatives, including options, timelines, analyses, and detailed work plans. Assist in the development of monitoring and evaluation plans for quality improvement initiatives including state directed payment programs.
Works collaboratively across MCS to identify innovative and effective solutions for clients and staff.
(35%) Prepares high quality written documents, including guidance documents, presentations, project updates, summaries, legislative reports, memos for executive leadership, and other documents relating to quality improvement and innovation initiatives.
(20%) Works with and presents to Medicaid providers as well as provider and hospital associations to coordinate, improve, and secure support for quality and innovation initiatives. Consults with HHSC staff and stakeholders to resolve problems, identify training needs and discuss program effectiveness.
(20%) Reviews and approves data submitted by Medicaid payors and Medicaid providers participating in quality programs. Identifies issues with submitted data and works with Medicaid providers to develop corrective action plans and bring reporting in line with state and federal requirements.
(15%) Conducts policy research, data analysis, spreadsheet development and maintenance, and coordination related to reporting of healthcare quality measures, as well as other Medicaid quality or delivery system reform planning and implementation activities.
(10%) Contributes to the development of program and policy options for Medicaid quality programs and initiatives, including options, timelines, analyses, and detailed work plans. Assist in the development of monitoring and evaluation plans for quality improvement initiatives including state directed payment programs.
Knowledge Skills Abilities:
Ability to work collaboratively across MCS to accomplish objectives
A keen attention to detail and the ability to implement creative solutions to problems
Able to balance team and individual responsibilities
Strong skills in communicating effectively both orally and in writing.
Knowledge of federal and state Medicaid and CHIP laws and regulations.
Familiarity with key concepts of delivery system reform and healthcare innovation including social determinants of health, alternative payments models, and population health.
Familiarity with healthcare quality measurement and common data sources used for healthcare monitoring and evaluation.
Skill in synthesizing, analyzing and evaluating complicated and technical information and translating it into easily understandable and concise documents and oral presentations for agency execution, elected officials and the public.
Skill in communicating complex program requirements to diverse groups of stakeholders.
Skills in analyzing and evaluating complex federal and state legislation, program, policy, and operations issues.
Skill in project management.
Skills in policy and data analysis.
Skills in performing research.
Skill in developing creative and workable solutions to complex problems and policy issues.
Skill in interpersonal relationships, including the ability to work with people under pressure, negotiate among multiple parties, resolve conflicts, and establish and maintain effective working relationships with various level personnel in governmental entities.
Ability to exercise judgment and work independently with minimum supervision.
Ability to lead and work cooperatively in a team environment.
Ability to use word-processing and spreadsheet applications in a windows environment.
Registration or Licensure Requirements:
None
None
Initial Selection Criteria:
Communications experience in a field related to healthcare quality, innovation, or research and analysis. Graduation from an accredited four-year college or university with major course work in a field. Experience and education may be substituted for one another.
Communications experience in a field related to healthcare quality, innovation, or research and analysis. Graduation from an accredited four-year college or university with major course work in a field. Experience and education may be substituted for one another.
Additional Information:
Requisition Number 582768
An In-basket exercise will be administered. The posted salary range extends from the minimum to the maximum of the range. Any offer is contingent on available funding as well as the applicant's qualifications as well as the requirements of HHSC Human Resources Manual Chapter 7.
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.
Requisition Number 582768
An In-basket exercise will be administered. The posted salary range extends from the minimum to the maximum of the range. Any offer is contingent on available funding as well as the applicant's qualifications as well as the requirements of HHSC Human Resources Manual Chapter 7.
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.
MOS Code:
There are no direct military occupation(s) that relate to the responsibilities, and registration or licensure requirements for this position. All active duty, reservists, guardsmen, and veterans are encouraged to apply if they meet the qualifications for this position.
There are no direct military occupation(s) that relate to the responsibilities, and registration or licensure requirements for this position. All active duty, reservists, guardsmen, and veterans are encouraged to apply if they meet the qualifications for this position.
Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
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.
Salary : $4,273 - $6,908