Provider Enrollment Team Contract Specialist V

Provider Enrollment Team Contract Specialist V

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.

Position Details

Job Title : Contract Specialist V

Agency : Health & Human Services Comm

Department : Prov Resol and Admin Appeals

Posting Number : 10054

Closing Date : 10 / 22 / 2025

Posting Audience : Internal and External

Occupational Category : Community and Social Services

Salary Group : TEXAS-B-24

Salary Range : $5,425.33 - $8,886.16

Pay Frequency : Monthly

Shift : Day (First)

Telework : Yes

Travel : Up to 5%

Regular / Temporary : Regular

Full Time / Part Time : Full time

FLSA Exempt / Non-Exempt : Non-exempt

Facility Location : Austin, TX

Job Location Address : 701 W 51ST ST, Austin, TX

Brief Job Description

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services Division (MCS) seeks a highly qualified candidate to fill the position of Contract Specialist V in the Provider Enrollment (PE) program. Under the supervision of the Provider Enrollment Manager, the Contract Specialist V will perform highly advanced consultative and technical work related to PE program policies and processes in a dynamic and fast-paced environment. The individual selected will be a self-starter who can complete assignments with minimal direction and thrive in teamwork, excellence, curiosity, critical thinking, and integrity.

Responsibilities

• Research and interpret program policies, procedures, rules, regulations, and guidance.
• Analyze and review contracts related to the Texas Medicaid and Healthcare Partnership (TMHP), PE, and Managed Care Organizations (MCOs).
• Recommend and participate in enforcement actions against PE-related contracts.
• Respond to legislative and external inquiries and requests.
• Research and resolve PE provider complaints.
• Lead oversight of TMHP contracts for PE-related requirements.
• Work with assigned HHSC program areas (e.g., Office of Inspector General, Managed Care Contracts Oversight) to solicit program rules / requirements that may impact or drive changes within the PE program.

Essential Job Functions

Knowledge, Skills & Abilities

Initial Selection Criteria

Required

Preferred

Registration or Licensure Requirements

Certified Texas Contract Manager (CTCM) preferred. For individuals who do not have a CTCM, this certification is required within 12 months of employment.

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

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 on your first day of work. Download the I-9 Form.

Telework Disclaimer

This position may be eligible for telework. All HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

J-18808-Ljbffr