Program Specialist V

Posting 22152
-Posted
10/06/2026

- Health & Human Services Comm

- UR Wav & Comm Srvs Ran Mmt St

- Healthcare Practitioners and Technical

- Eligible for Telework
- Other Locations (13) - Additional Shifts available (1) -b. $3000 - $4999 per month

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 V
• Job Title:
  
  Program Specialist V
• Agency:
  Health & Human Services Comm
• Department: UR Wav & Comm Srvs Ran Mmt St
• Posting Number: 22152
• Closing Date: 10/20/2026
• Posting Audience:
  Internal and External
• Occupational Category:
  Healthcare Practitioners and Technical
• Salary Range: $4,523.16-$7,253.83
• Pay Frequency:
  Monthly
• Salary Group: TEXAS-B-21
• Shift: Day
• Additional Shift: Days (First)
• Telework:
  Eligible for Telework
• Travel:
  Up to 15%
• Regular/Temporary:
  Regular
• Full Time/Part Time:
  Full time
• FLSA Exempt/Non-Exempt:
  Nonexempt
• Job Location City: ABILENE
• Job Location Address: 4601 S 1ST ST
• Other Locations:
  Abilene;
  Arlington;
  Bedford;
  Dallas;
  Decatur;
  Denton;
  Fort Worth;
  Granbury;
  Grand Prairie;
  Irving;
  Mesquite;
  Rockwall;
  Weatherford
• MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Program Specialist V

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Program Specialist V. 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 ensuring individuals served in our 1915(c) waiver programs and Community Attendant Services (CAS) receive the appropriate type and amount of service.

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.

Under the direct supervision of the Utilization Review Nurse Manager, the utilization review (UR) Program Specialist V: reviews and evaluates individual's records, individual service plans (ISPs), patient assessments, documentation related to Title XIX and Title XX, and state plan Medicaid community services for aged and disabled persons and individuals with intellectual and developmental disabilities (IDD); and conducts face to face interviews with individuals enrolled in the Community Attendant Services (CAS), Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD), Home and Community-based Services (HCS), and Texas Home Living (TxHmL) programs to determine service justification.

Based on the face-to-face assessment, desk review and evaluation of services, the UR Program Specialist V uses program knowledge and expertise to: determine appropriateness and quality of services, cost effectiveness of the service plan, validate determinations of health service needs, and make service authorization decisions.

The UR Program Specialist V conducts a variety of quality assurance reviews, and quality improvement studies. The UR Program Specialist V will evaluate assigned Level of Need (LON) determinations in the IDD waiver programs when assigned to do…