Program Specialist IV

Posting 21382
-Posted
09/11/2026

- Health & Human Services Comm

- Provider Claims Svcs (75/25)
- Office and Administrative Support

- Eligible for Telework
-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 IV
Job Title:Program Specialist IV
Agency:Health & Human Services Comm
Department:Provider Claims Svcs (75/25)
Posting Number:21382
Closing Date:09/25/2026
Posting Audience:Internal and External
Occupational Category:Office and Administrative Support
Salary Range:$4,263.16-$5,521.16
Pay Frequency: Monthly
Salary Group:TEXAS-B-20
Shift:Day
Additional Shift:None
Telework:Eligible for Telework
Travel:Up to 10%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility

Location:


Job Location City:AUSTIN
Job Location Address:701 W 51ST ST
Other Locations:None
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Program Specialist IV in the Provider Claims Services (PCS) unit. PCS provides payment resolution support to Medicaid program and service providers of nursing facilities, hospice services, Community Living Assistance and Support Services (CLASS), Home and Community-Based Services (HCS), Texas Home Living (TxHmL), and rehabilitation and specialized services.

The Program Specialist IV reports to the PCS Manager and provides highly complex (senior-level) program and technical assistance to agency program staff, Medicaid providers, and contractors to resolve service authorization and claims billing issues.

This position initiates and leads efforts to resolve service authorization and claims billing issues through research, analysis, troubleshooting and testing of Long-Term Care (LTC) provider payment systems. The PSIV works to identify, communicate, and direct resolution of system-related issues impacting service authorizations or claims payments. The position makes recommendations to improve operations and develop policies, procedures, standards, and training on new system requirements.

• Serves as a subject matter expert (SME) for the PCS section. Develops and provides guidance on PCS processes and procedures and ensures effective coordination between PCS, Claims Management Division, and other HHS programs/areas. Monitors compliance with section and agency policies and procedures. Serves as back-up trainer for the PCS section. (25%)
• Conducts research and analysis of claims management system issues specializing in the HCS/TxHmL Programs. Coordinates and collaborates with program staff areas to resolve issues and develops recommendations for resolution or alternatives. Notifies stakeholders of business impact and provides updates on progress toward resolution of identified issues. (30%)
• Provides technical assistance by interpreting policies, procedures, rules and standards related to programs within claims management. Oversees or participates in user acceptance testing. Conducts training and provides guidance to staff in the development and integration of new or revised methods and procedures. (20%)
• Serves…