Texas Medicaid Operations Specialist - Hybrid Texas

Job SummaryThis position is responsible for providing operational services, assistance, and program implementation and coordination for day-to-day Texas Medicaid reporting, contract compliance, and operational functions. The Texas Medicaid Reporting and Contract Compliance team supports Texas Medicaid Operations by managing communications, deliverables, and reporting commitments with the State of Texas in accordance with BCBSTX's STAR, CHIP, and STAR Kids contracts. The team serves as a primary communication hub between the State and internal stakeholders, ensuring regulatory requirements and contractual obligations are met. This resource is responsible for resolving complex and/or escalated internal and external operational questions, coordinating deliverables across business areas, and partnering with internal stakeholders on the development, testing, and implementation of program policies, business processes, reporting solutions, and system changes to ensure state requirements are met. The role also supports special projects, analyzes and performs quality reviews of reporting submissions, and ensures regulatory and ad hoc reporting commitments are completed accurately and timely. The ideal candidate will have knowledge of Texas Medicaid regulations, strong reporting and analytical capabilities, and the ability to evaluate information for accuracy, completeness, and compliance. This position serves as a trusted resource for contract compliance, proactively identifying gaps, validating data, engaging stakeholders with thoughtful questions, and providing guidance through day-to-day operations and special project initiatives.Required Job QualificationsBachelor Degree in Business with 4 years' experience OR 8 years of experience working in health insurance operationsExperience in project development, implementation and execution skillsExperience interfacing with internal clients, operations personnelVerbal and written communication skills and ability to represent Medicaid department at committee meetingsExperience with interacting effectively with all levels of internal and external customersExperience managing multiple projects effectivelyInterpersonal, organizational and analytical skillsOrganizational and leadership skillsPreferred Job QualificationsExperience with managing contract provisionsExperience in Project ManagementTexas Medicaid experience with knowledge of Medicaid operations, regulatory requirements, and contract compliance.Strong reporting and analytics skills, including advanced Excel; Power BI experience preferred.Analytical and quality-focused mindset with the ability to validate data, identify gaps or inconsistencies, and ensure reporting outputs are accurate, complete, and actionable.Strong organizational and communication skills with the ability to manage multiple deliverables, coordinate with stakeholders, ask effective follow-up questions, and meet reporting deadlines.Location: Richardson, TX HeadquartersSchedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote.Sponsorship: Sponsorship is not available.HCSC Employment StatementWe are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.Base Pay Range$55,900.00 - $123,500.00Exact compensation may vary based on skills, experience, and location.