Deputy Executive Commissioner, MCS Operations

Job Description

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Deputy Executive Commissioner (DEC) for Operations. MCS is driven by its mission to deliver quality, cost-effective services to Texans. The DEC for Operations is a key senior leadership position with a broad range of responsibilities related to the operational elements that support the Texas Medicaid Enterprise Systems (MES) and Medicaid program. This position has major accountability for the achievement of key goals of the program, thus making a significant contribution to MCS’s mission.

Reporting to the Chief Medicaid and CHIP Services Officer/State Medicaid Director, the DEC for Operations provides both day to day leadership and long-term vision related to ensuring the most efficient infrastructure for Medicaid operations that cross both the managed care and fee-for-service delivery models. This includes overseeing all planning, implementation, and evaluation of administrative, and operational activities for system operations, contract compliance and oversight, claims administration, provider enrollment, 1915(c) interest list management, PACE, Medicaid modernization and Vendor Drug programs. The combination of these various aspects requires oversight of 7,000+ contracts.

The functions under the DEC for Operations rely on multiple complex MES systems and contractors to enroll providers, administer claims payments, manage long-term care provider contracts and claims, and administer the Vendor Drug Program. This role requires strong leadership to ensure process improvements and technology changes can be leveraged to achieve strategic business objectives.

The ideal candidate for this role is a self-directed leader versed in managing multiple programs, dealing with ambiguity, and providing vision and strategic leadership in a public environment. The DEC for Operations must have excellent communication skills and be adept at cultivating strong stakeholder relations and working collaboratively across complex, diverse subject areas and agency divisions.

Works under minimal supervision with extensive latitude for the use of initiative and independent judgment.

Essential Job Functions

• Ensures both insourced and outsourced operations perform efficiently and effectively while meeting or exceeding stakeholder expectations and also meeting regulatory requirements.
• Institutes measures to understand operational performance and drives improvement through the implementation of best practices.
• Provides day to day leadership, directing, aligning and overseeing the staff who manage the various Medicaid operations functions.
• Provides guidance and direction in the management and oversight of Medicaid contracts to ensure state and federal compliance, high quality performance and outcomes.
• Collaborates with the leadership team to develop strategic direction for the department including priority setting, policy formation, and decision-making.
• Advises the State Medicaid Director and other leadership team members of changes in operations and business practices, or issues that arise.
• Drives the implementation of new initiatives, resolving problems that cross multiple departments, reducing any downstream negative impacts to clients, providers, and MCOs.
• Evaluates and strategically responds to developments/changes affecting operations in order to sustain and/or adjust plans or initiatives.
• Uses data and financial information to inform decisions and strategy.
• Engages in various meetings and represents Medicaid to members of the legislator to present the agency position on issues relating to aspects of the Medicaid program.
• Provides thought and strategic leadership in procurement of new business implementations, integrations, application enhancements and performance improvements.
• Represents the State Medicaid Director and HHSC while engaging with key stakeholders and legislators.
• Provides legislative testimony representing the agency on relevant subject matter areas.
• Performs related work as assigned.
  
  

Knowledge Skills Abilities

• Strong knowledge and application of key contracting concepts and oversight methods.
• Strong knowledge of Medicaid and government programs.
• Ability to establish effective internal controls that promote adherence to applicable state/federal laws and HHSC Medicaid/CHIP program requirements.
• Advanced verbal and written communication skills to assure complex Medicaid issues are easily understood.
• Demonstrated skill in using good judgment to a) seek and use information to support decision-making; b) anticipate the consequences of decisions and actions; c) communicate information; d) interact constructively with others both within and outside the organization; e) maintain confidentiality, as appropriate; and f) choose actions that are beneficial to, and consistent with, the mission, goals, and culture of the organization.
• Ability to take initiative, think independently, and contribute constructively to long-term planning, priority setting and decision-making.
• Demonstrated ability to use creativity and resourcefulness to a) conceptualize and implement new policies, programs and procedures; b) set priorities for self and others; and c) achieve maximum functioning with available resources.
• Ability to apply systems thinking inclusive of critical analysis, forecasting, and measurement related to strategic objectives and business goals.
• Ability to promote a culture of high performance and continuous improvement that values a commitment to quality through coaching and managerial oversight of staff performance and development.
• Skill in public speaking in the media and with legislators or public officials.
  
  

Registration Or Licensure Requirements

N/A

Initial Selection Criteria

Minimum of 10 years of relevant government, consulting, or health industry experience with 5+ years being senior level experience.

Related degree preferred but years of relevant work experience will be considered in determining most qualified candidate.

Additional Information

MOS Code:

There may be no military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

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