Senior Actuarial Projects Manager - Medicaid Capitation

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: CFO Actuarial Analysis Project Manager Job Title: Project Manager IV Agency: Health & Human Services Comm Department: Actuarial Analysis Posting Number: 12517 Closing Date: 02/08/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Group: TEXAS-B-26 Salary Range: $7,000.00 - $9,500.00 Pay Frequency: Monthly Shift: Day Additional Shift: 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: 4601 W GUADALUPE ST Other Locations: MOS Codes: 2611,8058,8060,8848,16KX,1D7X1,32EX,3D0X4,611X,612X,63A,63AX,641X,712X,8K000,BU,CE,EA,SEI16 Brief Job Description: Project Manager IV - Actuarial Analysis Under the direction of the Chief Actuary, the Project Manager IV performs advanced, senior-level project management work. Work involves coordinating the planning and initiation of projects at various levels of completion; monitoring the progress and schedule of projects; and communicating with project stakeholders, management, and other relevant parties. May plan, assign and/or supervise the work of others. Works under limited supervision with considerable latitude for the use of initiative and independent judgment. This position works closely with the Chief Actuary, providing project management support for Medicaid managed care capitation calculations, financing and rate implementation. The responsibilities of this position include: providing assistance on issues related to managed care financing to accomplish state and federal directives; analyzing federal guidance; planning, developing, executing, evaluating, and modifying policy as needed; coordinating with numerous divisions with the agency; and assisting with the preparation of comprehensive reports and presentations for senior management, legislative and external agencies, and the general public. This position performs other duties as assigned and as required for maintaining HHSC operations. Essential Job Functions (EJFs): EJF 1: Develops, monitors and evaluates projects in matters related to Medicaid managed care capitation calculations, financing and rate implementation for the HHSC Actuarial Analysis department and Chief Actuary. Develops work plans for capitation rate projects that total over $25 billion in state and federal funding. (20%) EJF 2: Provides project management for issues related to managed care financing to accomplish state and federal directives and provides project management updates on a regular basis. Monitors and identifies risks. Manages risk for capitation rate projects to ensure that projects are completed within state and federal deadlines and at lowest possible cost. Monitors and manages quality of deliverables from the contracted actuaries. Develops, plans and directs capitation rate workgroups with vendors and HHSC staff, or other interested groups. (20%) EJF 3: Analyzes federal guidance and plans, develops, executes, and evaluates policy related to managed care finance and capitation rates. Develops related project budgets, schedules, work plans, resource requirements and cost estimates. Develops and evaluates capitation development policies and procedures. Monitors and provides regular updates to Chief Actuary on HHSC internal resource needs, and the cost of the actuarial service contract. (20%) EJF 4: Prepares comprehensive reports and presentations for HHSC Leadership illustrating captitation rate development, policies, and project timelines. Develops presentations for meetings with Legislative staff and for workgroups with external stakeholders. (20%) EJF 5: Develops and implements plans to communicate and explain overall strategy for issues related to managed care capitation rates and develops organizational relationships, integrated policies and promotes efficiency and collaboration across the HHS organization. Provides direction and coordinates with multiple HHSC departments to ensure interdepartmental coordination and collaboration necessary for efficient capitiaton rate development is occuring. (20%) Knowledge, Skills and Abilities (KSAs): Knowledge of project management theories and practices applicable to highly complex projects. Skill in project management monitoring, in addressing changes in scope and budget, and in operating computers and applicable computer software. Ability to manage project activities; to establish project goals and objectives; to exercise sound judgment in making critical decisions; to analyze complex information and develop plans to address identified issues; to demonstrate negotiation and facilitation skills; to identify project risks and gaps; to prepare reports; and to plan, assign, and/or supervise the work of others. Skill in: written and oral communication; understanding and solving complex problems; handling multiple assignments and tasks, prioritizing, and meeting deadlines; organization; exercising sound judgment; and effective decision making. Ability to: communicate effectively, both orally and in writing; manage multiple assignments and deadlines; perform under pressure; analyze and assess risk; receive and respond positively to constructive feedback; work cooperatively with others in a professional office environment. Registrations, Licensure Requirements or Certifications: None Initial Screening Criteria: Bachelor's degree in business, finance or a similar field required. PMP certification is required or must be obtained within one year of hire. Additional Information: This position is required to work in office on Thursday and Friday each week. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. 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 to those 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 Texas Health and Human Services Commission