Deputy State Medicaid Director

Career Opportunities:
Deputy State Medicaid Director (21698)

Posting 21698
-Posted
09/21/2026

- Health & Human Services Comm

- MCS Chief Office

- Management

- Not Eligible for Telework
-f. $11000 - $14999 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:

Deputy State Medicaid Director

Job Title:

Deputy Director I
Agency:Health & Human Services Comm
Department:MCS Chief Office
Posting Number:21698
Closing Date:10/05/2026
Posting Audience:Internal and External
Occupational Category:Management
Salary Range:$12,427.83-$17,370.75
Pay Frequency: Monthly
Salary Group:TEXAS-B-33
Shift:Day
Additional Shift:None
Telework:Not Eligible for Telework
Travel:Up to 10%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Exempt
Facility

Location:


Job Location City:AUSTIN
Job Location Address:4601 W GUADALUPE ST
Other Locations:None

Brief

Job Description:

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Deputy State Medicaid Director (DSMD). The DSMD is a key leadership position with a broad range of responsibilities that are critical to ensuring the division is successful in fulfilling its mission to deliver quality, cost-effective services to Texans.

Reporting to and working in collaboration with the State Medicaid Director, the DSMD provides the leadership, management, and vision necessary to ensure that MCS has optimal policies, business processes, administrative and reporting procedures, and monitoring systems to effectively operate the division while ensuring financial strength and operational efficiency. They are responsible for strategically driving outcomes in the Medicaid and CHIP programs while working with managed care organizations and providers to ensure the programs evolve and are structured in a way to achieve quality and efficiency.

They ensure that results of various programmatic analyses and reviews lead to policy and operational changes that drive program improvements.

The DSMD also serves as the main back‑up to the State Medicaid Director representing the division with stakeholders and in legislative hearings.

The ideal candidate will have a proven track record of working in partnership with other team members to drive strategy and results, embracing and solving specific challenges the organization faces, bringing fresh ideas to Medicaid and CHIP in Texas, integrating mission and values into management practices, and leading in a fast‑paced environment. The DSMD is a collaborator, adept at fostering relationships with internal staff, managed care organizations, providers, constituency groups, contractors, and other agencies and stakeholders.

The DSMD will work under minimal supervision with extensive latitude for the use of initiative and independent judgment.

Essential Job Functions (EJFs):

• Collaborates with the leadership team to develop and administer all aspects of the Medicaid and CHIP programs.
• Contributes to policy formation, strategic direction, high‑level priority setting, decision‑making, and overall leadership of the department.
• Ensures the highest level of member and provider experience and improved outcomes through program, quality, and operational initiatives.
• Fos…