LTSS Project & Program Specialist PSIV

Date:
Sep 9, 2026

Benefits:

• Excellent health benefits,

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:

LTSS Project & Program Specialist PSIV

Job Title:

Program Specialist IV

Agency:
Health & Human Services Comm

Department:
Long Term Svcs  & Supports Policy

Posting Number: 21132

Closing Date: 10/14/2026

Posting Audience:
Internal and External

Occupational Category:
Community and Social Services

Salary Range: $5,521.16 - $6,779.25

Pay Frequency:
Monthly

Salary Group: TEXAS-B-20

Shift: Day

Additional Shift: Days (First)

Telework:
Eligible for Telework

Travel:
Up to 10%

Regular/Temporary:
Regular

Full Time/Part Time:
Full time

FLSA Exempt/Non-Exempt:
Nonexempt

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

The Long-Term Services and Supports (LTSS) team within the Medicaid and CHIP Services (MCS) Office of Policy is seeking accomplished program and project management professionals dedicated to improving critical services for Texans. In this role, you will lead the development, implementation, and oversight of complex program policies and initiatives that drive the quality and success of long-term care programs for thousands of children and adults with intellectual and developmental disabilities (IDD) and related conditions across Texas.

Reporting to the Manager of Long-Term Services and Supports, the Program Specialist IV serves as a lead on high-impact projects, coordinating cross-functional teams to deliver results on time and within scope. Responsibilities center on end-to-end program and project management, including strategic planning, stakeholder coordination, policy development, risk mitigation, and performance evaluation. Successful candidates will demonstrate expertise in managing complex projects and a commitment to delivering measurable outcomes for the State of Texas.

This position operates with limited supervision and offers moderate latitude for initiative and independent judgment.

• Analysis of state and federal Medicaid policies that impact waiver programs.
• Facilitating and participating in work groups and meetings with internal and external stakeholders and policy specialists to develop, implement, oversee, and evaluate initiatives for waiver program services.
• Preparing written project updates, summaries, briefings, reports, plans, bill analyses, and other documents for internal and external communication related to waiver program policies.
• Delivering executive and leadership briefings, presenting to stakeholders, providing subject matter expertise on program policy, reviewing and advising on waiver amendments, and drafting and finalizing policies and other time-sensitive materials.

Demonstrates reliable attendance according to agency leave policy and proactively contributes to additional projects as assigned.

(40%) Leads strategic analysis, development, implementation, and documentation of federal and state legislation and regulations. Crafts compelling legislative analyses, delivers insightful responses to diverse stakeholders, and creates impactful presentations.

(40%) Drives and facilitates meetings related to Medicaid LTSS, including work groups and subcommittees, to develop innovative program materials. Sets ambitious goals and objectives, delegates assignments, and ensures excellence in work products. Collaborates cross-functionally within HHSC to interpret and apply program policy and rules.

(10%) Produces exemplary written communications, including project updates, executive memos, analytical summaries, and legislative reports.

(10%) Serves as a subject matter expert, leading or actively contributing to work groups and meetings for assigned Medicaid waiver programs.

This position offers the opportunity to make a direct impact on the Medicaid system, working closely with diverse teams and stakeholders to shape the future of long-term services…