Medicaid-Medicare Policy Advisor (PSVI)

Date: Apr 16, 2026

Location:

AUSTIN, TX

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Functional Title: Medicaid-Medicare Policy Advisor (PSVI)Job Title: Program Specialist VIAgency: Health & Human Services CommDepartment: Program Policy Spec APosting Number: 15964Closing Date: 04/30/2026Posting Audience: Internal and ExternalOccupational Category: Community and Social ServicesSalary Range: $5,098.66 - $8,304.83Pay Frequency: Monthly

Salary Group: TEXAS-B-23Shift: DayAdditional Shift: Days (First)Telework: Eligible for TeleworkTravel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Exempt

Facility Location:

Job Location City: AUSTIN

Job Location Address: 701 W 51ST ST

Other Locations: Austin

MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Brief Job Description

The Program Policy team within Medicaid and CHIP Services (MCS) Office of Policy is seeking a highly qualified candidate to fill Medicare-Medicaid Policy Advisor (Program Specialist VI). This position serves as the lead staff person in major Medicaid managed care projects, including the Texas Dual Eligible Integrated Care Program, state contracted Medicare Advantage Plans and Dual-eligible Special Needs Plans, and Medicaid wrap-around services for dually eligible beneficiaries. This position will also focus on enhancing Medicare-Medicaid integration for individuals dually eligible for both programs. This position works closely with internal and external stakeholders and will work with staff responsible for other Medicaid and Medicare programs and services. The position is expected to analyze Medicaid and Medicare laws and regulations as they relate to program issues and prepare high quality and well written documents.

Other Responsibilities Include

• Takes initiative to use subject matter expertise to identify and propose solutions to program needs;
• Coordinates and collaborates with internal and external stakeholders to develop policy;
• Oversees the development of operational policy, including contract, administrative rule, manual, and procedural requirements;
• Assists in ensuring compliance with program policies and procedures, statutes, and rules; oversees and participates in the resolution of issues;
• Facilitates meetings with stakeholders, including managed care organizations, provider associations, people receiving services, and advisory committee members;
• Serves as agency liaison to pertinent advisory committees or workgroups;
• Develops program policies, procedures, standards, and manuals;
• Prepares high quality written reports, correspondence, and other documents;
• Drafts legislative reports;
• Develops and provides training; and
• Analyzes program policies and legislation.
  
  

The position is not supervisory but may assign, oversee, and prioritize work of others. The position will work under limited supervision, with considerable latitude for the use of initiative and independent judgment.

Essential Job Functions

(25%) Oversees the analysis, development, implementation, and documentation of federal and state legislation and regulations. Develops and provides oversight healthcare policy, legislative analyses, research papers, reports, and responses to stakeholder inquiries.

(20%) Works with internal and external stakeholders to develop, implement, and manage projects or special initiatives related to programs and services for people dually enrolled in Medicaid and Medicare.

(20%) Establishes, facilitates, and participates in multiple workgroups and committees. May develop and provide training to internal staff and external entities.

(20%) Prepares and approves high quality written documents, including program and project updates and summaries, executive memos, presentations, legislative reports, rules, waivers, and state plan amendments.

(10%) Leads coordination of and consults with internal and external stakeholders, and keeps supervisor informed of pertinent issues.

(5%) Other duties as assigned.

Registrations, Licensure Requirements Or Certifications

None

Knowledge Of

Knowledge, Skills, and Abilities

• Medicaid, Medicare, or long-term services and supports (LTSS).
• Federal and state Medicare and Medicaid laws and regulations;
• Government organization and administration;
• Principles of health and human services policy and planning; and
• State of Texas legislative processes.
  
  

Skill In

• Analyzing, evaluating, and interpreting complex federal and state legislation and program policy;
• Synthesizing, analyzing, and evaluating highly complicated policy and technical information;
• Developing and implementing creative and workable solutions to complex problems and policy issues;
• Researching, gathering, assembling, correlating, and analyzing facts and devising solutions based on the information available;
• Communicate effectively orally and in writing, including the ability to adjust communications to fit the intended audience;
• Working with internal and external stakeholders;
• Project management;
• Exercising sound judgment with limited information; and
• Working independently with limited direction.
  
  

Ability To

• Analyze complex federal and state legislation, rules, and program policy and use the analysis to develop or revise Medicare-Medicaid program policy;
• Work cooperatively as a team member in a fast-paced, deadline-oriented environment;
• Lead or contribute to complex projects that require critical thinking, persistence, and problem solving;
• Negotiate among multiple parties and resolve conflicts;
• Navigate complex and dynamic systems and organizations;
• Establish and maintain effective working relationships;
• Manage multiple, sometimes conflicting tasks and projects at a time; and
• Use Microsoft Office Suite applications such as Outlook, Teams, Word, Excel, and Planner.
  
  

Initial Screening Criteria

Candidates Must Meet One Of The Following

• Bachelor’s degree from an accredited four-year college or university and at least two years' full-time work experience in health and human services;
• Master’s degree in public affairs, social work, public health, or related field and at least one year of full-time work experience in health and human services; or
• High School diploma and at least five years’ full-time work experience in a health and human services field.
  
  

Preferred Screening Criteria

• Master’s degree in public affairs, social work, public health, or public administration.
• Two years of full-time work experience in the health and human services field.
• Work experience in Medicaid or Medicare.
• Experience developing or overseeing advanced (senior-level) deliverables, reports, or other technical writing work products.
  
  

Additional Information

Additional information about the programs this position supports can be found on the 2024 edition of the Texas Medicaid Pink Book https://www.hhs.texas.gov/sites/default/files/documents/texas-medicaid-chip-reference-guide-15th-edition.pdf.

HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments.

Additional benefits of joining the MCS Office of Policy include:

• Leadership commitment to invest in and foster your professional growth and career advancement.
• Being part of a team that impacts the lives of millions of Texans that depend on Texas Medicaid throughout Texas.
• Being on the ground level of healthcare policy development and implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, managed care organizations, and other healthcare contractors.
• Engagement with the Texas legislative process, including the opportunity to analyze and inform legislators of potential impact of proposed bills.
• The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal-state Medicaid partnerships and other activities related to the administration of the Medicaid program.
  
  

The position is located in Austin and requires regular in-office attendance.

The final salary offer is dependent on factors such as Human Resources policies and available budget.

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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