What are the responsibilities and job description for the Program Specialist IV position at Texas Health and Human Services?
Date: May 4, 2026
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: Program Specialist IVJob Title: Program Specialist IVAgency: Health & Human Services CommDepartment: HHS Provider Finance M/C AdminPosting Number: 16521Closing Date: 05/18/2026Posting Audience: Internal and ExternalOccupational Category: Business and Financial OperationsSalary Range: $4,263.16 - $6,779.25Pay Frequency: Monthly
Salary Group: TEXAS-B-20Shift: Day
Additional Shift
Telework:
Travel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations:
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS
The Program Specialist IV position performs work for the Chief Financial Officer (CFO) Division, Provider Finance Department under the supervision of the Manager of the Hospital Rates and Customer Information Teams. The position works in the Hospital Finance section on the Customer Information Team. The position cross-trains with team members in order to effectively review/edit documents related to Supplemental Payments and the development of rates for Medicaid. Responds to questions from Hospital providers, associations, and stakeholders. Performs special projects as assigned by the Resource Section Leads and Section Director. Duties are independently performed with moderate latitude for the use of initiative and independent judgment.
Essential Job Functions
Knowledge Skills Abilities: a. Knowledge of health and human service programs, services, and procedures.
b. Knowledge of accounting, business and management principles, practices and procedures.
c. Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
d. Ability to analyze laws, regulations, program policies, and issues.
e. Ability to develop, evaluate, implement, and interpret policies, procedures and rules.
f. Skill in the use of personal computers and to use word processing, spreadsheet, statistical and other software.
g. Ability to manage projects effectively, and produce quality work within short deadlines.
h. Ability to identify problems and brainstorm creative solutions.
l. Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
m. Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
Initial Screening Criteria: Required: High school diploma or equivalent. Preferred experience communicating with multiple levels of staff and/or stakeholders both orally and in writing. Experience in Medicaid programs is preferred.
Additional Information: N/A
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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
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: Program Specialist IVJob Title: Program Specialist IVAgency: Health & Human Services CommDepartment: HHS Provider Finance M/C AdminPosting Number: 16521Closing Date: 05/18/2026Posting Audience: Internal and ExternalOccupational Category: Business and Financial OperationsSalary Range: $4,263.16 - $6,779.25Pay Frequency: Monthly
Salary Group: TEXAS-B-20Shift: Day
Additional Shift
Telework:
Travel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations:
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS
The Program Specialist IV position performs work for the Chief Financial Officer (CFO) Division, Provider Finance Department under the supervision of the Manager of the Hospital Rates and Customer Information Teams. The position works in the Hospital Finance section on the Customer Information Team. The position cross-trains with team members in order to effectively review/edit documents related to Supplemental Payments and the development of rates for Medicaid. Responds to questions from Hospital providers, associations, and stakeholders. Performs special projects as assigned by the Resource Section Leads and Section Director. Duties are independently performed with moderate latitude for the use of initiative and independent judgment.
Essential Job Functions
- Communicates information, which may be complex, to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning hospital supplemental payments and/or hospital rates. (40%)
- Develops and conducts surveys to collect cost data from contracted providers for use in payment analysis. Provides technical assistance related to cost survey completion, policy, guidelines and rule requirements. (5%)
- Formats complex data analysis for various Medicaid and non-Medicaid programs. Develops, modifies and maintains complex computer programs, spreadsheets and large databases used the hospital provider finance department. (35%)
- Formats processes policy documents (including policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials, and hearing and other notices) relating to payment rate and payment methodology determination. (10%)
- Performs other work as assigned or required to maintain and support the office and HHSC operations. (10%)
Knowledge Skills Abilities: a. Knowledge of health and human service programs, services, and procedures.
b. Knowledge of accounting, business and management principles, practices and procedures.
c. Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
d. Ability to analyze laws, regulations, program policies, and issues.
e. Ability to develop, evaluate, implement, and interpret policies, procedures and rules.
f. Skill in the use of personal computers and to use word processing, spreadsheet, statistical and other software.
g. Ability to manage projects effectively, and produce quality work within short deadlines.
h. Ability to identify problems and brainstorm creative solutions.
l. Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
m. Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
Initial Screening Criteria: Required: High school diploma or equivalent. Preferred experience communicating with multiple levels of staff and/or stakeholders both orally and in writing. Experience in Medicaid programs is preferred.
Additional Information: N/A
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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
Salary : $4,263 - $6,779