PASRR Specialized Services Policy Reviewer

Date:
Aug 21, 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:
  
  PASRR Specialized Services Policy Reviewer
• Job Title:
  
  Program Specialist V
• Agency:
  Health & Human Services Comm
• Department: PASRR
• Closing Date: 11/19/2026
• Occupational Category:
  Community and Social Services
• Salary Range: $4,523.16 - $5,888.50
• Pay Frequency:
  Monthly
• Salary Group: TEXAS-B-21
• Shift: Day
• Telework:
  Eligible for Telework
• Travel:
  Regular
• 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:
• MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Nearest Major Market:
Austin

The Program Specialist V position reports to the Pre-Admission Screening and Resident Review (PASRR) Manager within the Intellectual and Developmental Disability (IDD) Services and PASRR Section. This position performs highly complex senior-level work and is responsible for assisting the manager and the PASRR Specialized Services Lead with reviewing, adjudicating, and authorizing requests for specialized services under the PASRR program. The position evaluates supporting documentation, applies applicable PASRR policies and rules, and determines whether requests meet requirements for authorization.

This position also provides technical assistance and policy clarification to stakeholders and providers on procedures, policies, and rules related to PASRR, with an emphasis on specialized services authorization and related claims or payment issues. The position identifies, communicates, and supports resolution of documentation or system issues that may affect service authorizations, claims or payments. Works under limited supervision, with moderate latitude for the use of initiative and independent judgment.

Ideal candidates should be comfortable with change, skilled at navigating ambiguity, and capable of quickly pivoting when systems or processes prove ineffective or inefficient.

• (50%) Review, adjudicate, and authorize requests for nursing facility specialized services and IDD habilitative specialized services for PASRR-eligible people living in nursing facilities. Ensure requests are reviewed accurately and within required time frames using automated and manual processes and verify that supporting documentation meets PASRR specialized services authorization requirements.
• (30%) Provide technical assistance and policy clarification to external providers on PASRR procedures, policies, and rules, including requests for nursing facility specialized services submitted through the TMHP Long Term Care (LTC) Online Portal and IDD habilitative specialized services processed through manual procedures. Assist providers and stakeholders in understanding documentation requirements, authorization outcomes, and issues that may affect PASRR specialized services authorization, claims processing or payment.
• (10%) Assist with developing program and quality monitoring policies and procedures related to prior authorization of PASRR specialized services. Produce reports of findings, trends, authorization outcomes, and claims-related issues to support monitoring, process improvement, and compliance with PASRR specialized services requirements.
• (5%) Participate in work groups and TMHP LTC online portal initiatives such as user acceptance testing (UAT) on enhancements to the portal.
• (5%) Complete other work as assigned by the PASRR Policy Manager or PASRR Specialized Services Lead.

• Knowledge of PASRR processes, policies, regulations, and specialized services authorization requirements.
• Knowledge of reimbursement claims processing concepts, and factors that may affect claims payment for authorized services.
• Strong organizational and time management skills to handle workload and deadlines.
• Analytical and problem-solving skills to review service requests, evaluate supporting documentation, and…