Quality Report Specialist

Career Opportunities: Quality Report Specialist (20765) Posting ID 20765 -Posted 09/09/2026 - Health & Human Services Comm - Quality Oversight - Community and Social Services - Eligible for Telework - c. $5000 - $6999 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: Quality Report Specialist Job Title: Program Specialist VI Agency: Health & Human Services Comm Department: Quality Oversight Posting Number: 20765 Closing Date: 09/23/2026 Posting Audience: Internal and External Occupational Category: Community and Social Services Salary Range: $5,098.66-$6,701.75 Pay Frequency: Monthly Salary Group: TEXAS-B-23 Shift: Day Additional Shift: None Telework: Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt 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 Brief Job Description: The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) division seek a highly qualified candidate to fill the position of Program Specialist VI to serve as the Quality Report Specialist within the Quality Reporting Unit in the Quality Data Analytics and Reporting Department. The Quality Report Specialist reports to the Quality Reporting Unit Manager (or designee) and performs advanced (senior-level) consultative and technical work supporting the planning, development, coordination, and submission of Centers for Medicare & Medicaid Services (CMS) required reports. This position works under minimal supervision, with considerable latitude for the use of initiative and independent judgment, and is not supervisory but may assign, oversee, and prioritize the work of others. The Quality Report Specialist plays a critical role in supporting compliance with CMS requirements related to Section 1115 Demonstration Waivers including the Healthy Texas Women (HTW) program, Texas Healthcare Transformation and Quality Improvement Program (THTQIP) and STAR+PLUS Home and Community-based Services (HCBS) authorized under THTQIP authority. This position also supports future implementation efforts for federal reporting under the CMS Ensuring Access to Medicaid Services Final Rule (CMS-2442-F). Responsibilities include coordinating, developing, and completing high-quality, timely reports, interpreting federal guidance, and ensuring accuracy and completeness of reported data. The role requires cross-functional coordination, project management, trend identification and analysis, and the ability to manage multiple reporting priorities. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by supporting quality reporting activities. The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy. Essential Job Functions:

• 40%)Reporting and Federal Compliance: Coordinates and leads the development, review, and submission of assigned federally required reports. Interprets CMS guidance, special terms and conditions, and related regulations to ensure accurate and compliant reporting. Ensure reports are complete and submitted in accordance with established federal timelines and requirements. Prepares implementation updates, performance narratives, metrics context descriptions, and responses to report inquiries. Identifies reporting risks, discrepancies, or compliance concerns and develops and recommends corrective actions. Maintains knowledge of evolving federal reporting requirements related to assigned reports to support ongoing compliance.
• 25%)Data Analysis and Performance Monitoring: Analyzes quantitative and qualitative data from multiple sources to identify trends, variances, and performance indicators. Reviews data outputs for accuracy, completeness, and alignment with federal specifications. Validates data accuracy across reporting cycles. Develop reports, summaries, and dashboards. Supports performance monitoring and reporting efforts by translating data into actionable insights. Evaluates reporting methodologies and data integrity. Supports the development of new performance metrics.
• 15%)Stakeholder Coordination and Collaboration: Coordinates with internal divisions and external partners to gather, validate, and finalize reporting inputs. Facilitate meetings, workgroups, and communications to ensure alignment of reporting requirements, timelines, and deliverables. Provides technical guidance and clarification regarding reporting expectations and federal requirements. Build and maintain effective working relationships to support cross-functional reporting efforts.
• 10%)Process Improvement and Quality Assurance: Supports the development and implementation of standardized reporting processes, tools, and documentation. Reviews and validates reports to ensure quality, accuracy and compliance with federal standards. Identifies opportunities to improve reporting efficiency, consistency, and workflow coordination. Documents processes, procedures, and reporting requirements to support continuity and knowledge sharing. Apply quality improvement methodologies (e.g., Plan-Do-Check-Act, Lean) to enhance reporting processes and implement improvements to enhance reporting reliability.
• 10%)Complete other duties as assigned.

Knowledge, Skills, Abilities: Knowledge of: Federal and Texas Medicaid laws, rules, and regulations. Project management theories, practices, and tools. Performance measure development, analysis, and evaluation. Statistical concepts, sampling methods, and models. Healthcare quality metrics, reporting methodologies, and data systems. Skill in: Using Microsoft Office 365 applications and data visualization tools to prepare reports and analysis data. Project management to ensure timely completion of required reports. Analyzing, interpreting, and evaluating federal and state legislation, rules, guidance, and program policy to prepare reports and recommendations. Synthesizing and effectively communicating complex information both verbally and in writing, to non-technical audiences ensuring completeness and accuracy. Ability to: Use Microsoft Office 365 applications and data visualization tools such as Outlook, Teams, Word, Excel, OneNote, SharePoint, PowerPoint. Analyze and interpret complex data and federal and Texas legislation, rules, laws, and regulations. Work cooperatively as a team member in a fast-paced, deadline-oriented environment. Lead or contribute to complex projects that require critical thinking and problem solving. Establish and maintain effective working relationships. Manage multiple, sometimes conflicting, tasks and projects, and meet strict deadlines. Work independently with minimal supervision and exercise of sound judgment in decision making. Translate federal reporting requirements into operational processes. Prepare high-quality written documents such as project updates, dashboards, reports, presentations, and communications to stakeholders. Registrations, Licensure Requirements, or Certifications: N/A Initial Screening Criteria: Bachelor’s degree from an accredited four-year college or university. At least three years’ full-time work experience with Medicaid, long-term services and supports programs, or health and human services programs required. Experience with health care quality measurement, federal or state reporting, compliance reporting, or performance monitoring required. Experience preparing reports for federal submission preferred. Additional Information: THTQIP is HHSC’s primary Section 1115 Demonstration Waiver, and it provides the federal authority for operations of most of HHSC’s managed care programs, including STAR, STAR+PLUS, STAR Kids, and the Children’s Dental Program. THTQIP is administered in accordance with federally approved THTQIP special terms and conditions (STCs) and Medicaid managed care regulations. STAR+PLUS HCBS also operates under the authority of THTQIP and is subject to both federally approved THTQIP STCs and 1915(c)-like federal HCBS requirements. HTW is a women’s health and family planning Medicaid program authorized through a Section 1115 Demonstration Waiver, and it is currently administered in accordance with approved HTW STCs under a fee-for-service delivery system. Additionalinformation about the programs listed in this job posting is located in the 2024 edition of the Texas Medicaid Pink Book . The final salary offer is dependent on factors such as Human Resources policies and available budget. This position is eligible for a hybrid telework schedule, and staff are required to work in the Austin state office in accordance with division guidance. Telework availability is subject to agency policy and is not guaranteed. Changes or discontinuation to Medicaid access requirements on the federal level related to the CMS Ensuring Access to Medicaid Services Final Rule (CMS-2442-F) may impact the ongoing availability of this position. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. State of Texas employees participate in outstanding benefits: Lifetime monthly retirement annuity, and Generous time off benefits. Additional benefits of joining the MCS Office of Quality and Program Improvement include: Leadership commitment to invest in and foster your professional growth or knowledge of the Texas Medicaid program and your career advancement. Having a profound impact on the lives of thousands of Medicaid clients that depend on Medicaid services throughout Texas. Being on the ground level of healthcare quality implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, managedcareorganizations, and other healthcare contractors. Being part of a team at the forefront of interpreting, implementing, and developing quality initiatives that have a statewide impact. The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal/state Medicaid partnerships and other activities related to the administration of the Medicaid program. Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited tothose listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS 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 View phone number on click.appcast.io. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. #J-18808-Ljbffr FALL CREEK FARM & NURSERY