Senior Program Specialist, Medicaid Claims & LTC
FALL CREEK FARM & NURSERY
The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services seeks a Program Specialist IV in Provider Claims Services (PCS). The role provides senior-level program and technical guidance to resolve service authorization and claims billing issues for LTC, HCS, TxHmL, and related programs. The PSIV reports to the PCS Manager and leads complex problem resolution, policy development, and training on new system requirements, across multiple programs and stakeholders. #J-18808-Ljbffr FALL CREEK FARM & NURSERY
- The Medicaid and CHIP Services (MCS) department seeks a qualified Business Analyst... ...unit. This position reports to the LTC Production Support Manager within the... ..., service authorization, and claims, coordinating across programs and vendors as needed. It oversees the...SeniorClaims
$3,000 - $4,999 per month
...Services Comm - Provider Claims Svcs (75/25) - Office... .... Functional Title: Program Specialist IV Job Title: Program... ...Services Commission (HHSC) Medicaid and CHIP Services (MCS... ...highly complex (senior-level) program and technical... ...of Long-Term Care (LTC) provider payment...ClaimsFull timeTemporary workPart timeFor contractorsWork at officeLocal areaRemote workWork from homeRelocationShift workDay shift- ...webpage. Functional Title: Program Specialist VI / LON Lead Job Title: Program... ...Services Commission (HHSC) Medicaid CHIP Services (MCS)... ...position performs highly advanced (senior-level) consultative services... ...Monitoring (CAPM), Provider Claims Services, etc. tied to LON review...ClaimsFull timeContract workTemporary workPart timeWork at officeLocal areaRemote workWork from homeShift work
$5,000 - $6,999 per month
Career Opportunities: Program Specialist (PFD LTSS Non-Medicaid and DFPS Rates) (20437) Posting ID 20437 -Posted - Health & Human Services Comm - SP26 DFPS Rate Setting - Business and Financial Operations - Eligible for Telework - c. $5000 - $6999 per month Join the Texas...SuggestedFull timeContract workTemporary workPart timeWork at officeRemote workShift work2 days per week- ...IV (Long Term Care Product Owner) to lead complex LTC enrollment, service authorization and claims initiatives within Medicaid and CHIP Services. Reporting to the BAS Director, you will coordinate with state programs and vendors, drive user stories, oversee testing, and...SeniorClaimsRemote work
- ...Human Services Commission (HHSC) seeks a School-Based Services Program Specialist VI - Training Developer to support SHARS training... ...training design, cross-agency collaboration, and compliance with Medicaid requirements. Responsibilities include developing training materials...Senior
- ...Program Specialist Austin Retina Associates is seeking a responsible, self-motivated individual to assist in providing unparalleled patient... ...payments Assist with recovering payments on unpaid claims Respond to a high volume of internal instant messaging...ClaimsMonday to Friday
$128.06 per hour
...and change the world. Job Description ~ The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews applicant data to... ...needed throughout the program delivery process. • Supports the claims process by reviewing and validating damage details, scopes...ClaimsWork experience placementH1bImmediate startFlexible hours- Texas Health and Human Services Commission (HHSC) is seeking a Program Specialist V for the SITP within the Substance Use Programs. You will provide advanced technical assistance, oversee SUD services, and coordinate reports and contract activities with stakeholders and...SeniorContract workRemote work
- Health & Human Services Commission in Austin seeks a Program Specialist V to support Agency Finance. The role plans, analyzes, and improves complex programs, policies, and budgeting processes, providing guidance and training across the agency. The position emphasizes collaboration...SeniorRemote work
$5,797.66 - $7,791.66 per month
...opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Program Specialist VII Senior Statement of Work Specialist Job Title: Program Specialist VII Agency: Health & Human Services Comm Department:...SeniorFull timeTemporary workPart timeFor contractorsRemote workShift workDay shift- ...Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) unit seeks... ...Representative in the Provider Claims Services (PCS) unit. This role reports to the PCS Program Supervisor and performs highly advanced... ...dealing with Medicaid LTC providers and recipients. The position...ClaimsWork at officeRemote work
- ...all functions within a distinct, complex program area. Analyzes, resolves and documents... ...classification is distinguished from the Office Specialist in that incumbents typically specialize... ...financial reports, including receipts, claims, and disbursements. Performing cashier...SeniorClaimsWork at officeImmediate startMonday to Friday
- Texas Department of Agriculture in Austin, Texas seeks a Grant Specialist to manage complex grant eligibility and administration for CACFP, SFSP, SNP, and USDA Foods. You will review applications, renewals, and amendments, ensuring compliance with federal and state policies...Senior
- ...certified as a Great Place To Work®, and named one of BuiltIn's Best Places to Work for the seventh year in a row! As the Sr Program Specialist, Analyst Relations , you'll help manage the day-to-day programs and operations that enable a best-in-class Analyst Relations...SeniorWork at office
- ...Health and Human Services Commission (HHSC) Medicaid CHIP Services Division seeks a Director... ...modernization, aligning IT strategy with program priorities and the agency roadmap. You... ...position oversees a broad portfolio including Claims Management, EVV, Pharmacy Vendor Drug #J...ClaimsRemote job
- Health & Human Services Commission (HHSC) in Austin, TX seeks a Program Specialist VI to oversee cost reporting and rate-setting activities for non-Medicaid programs in the DFPS area. Under supervision, you develop, implement, and monitor cost reporting processes and reimbursement...Remote work
$4,523.16 - $7,253.83 per month
...career advancement and more Job Information Functional Title: Program Specialist V Job Title: Program Specialist V Agency: Health & Human... ...and projects related to fraud detection and prevention for Medicaid, CHIP, SNAP, and TANF at the precertification stage....Full timePart timeRemote workShift work$5,000 - $6,999 per month
.... Functional Title: Rural Texas Strong Program Specialist Job Title: Program Specialist VII Agency... ...by the Centers for Medicare & Medicaid Services (CMS). This role will be primarily... ...vendors. This role performs highly advanced (senior-level) consultative services and...Full timeTemporary workPart timeWork at officeLocal areaRemote workShift work$3,000 - $4,999 per month
Career Opportunities: Civil Money Penalties - Program Specialist (21106) Posting ID 21106 -Posted 09/09/2026 - Health & Human Services Comm... ...ongoing, effective, communication with Centers for Medicare and Medicaid Services (CMS). Maintains ongoing communication with Budget,...Full timeContract workTemporary workPart timeFor contractorsWork at officeRemote workShift work- ...into clear technical requirements and align IT capabilities with business strategy. You will support a broad modernization program for a new Medicaid application and contribute to a team managing Medicaid IT-Contracted Systems. Responsibilities include guiding...Senior
$5,000 - $6,999 per month
Career Opportunities: Senior Financial Analyst (FA III) (21454) Posting... ...Services Commission (HHSC) Medicaid CHIP Services (MCS) division... ...Financial Deliverables: Claims Lag Reports, Annual Financial... ...Eligibility Depending on the program area and position requirements...SeniorClaimsFull timeTemporary workPart timeWork at officeRemote workShift work$350k
...100 firm, is seeking a highly motivated Senior Associate Attorney or Senior Counsel to join... ..., and EEOC/DOL matters ~ Wage and hour claims, statutory or common law privacy issues... ...; commuter benefits; employee assistance programs; paid time off; emergency childcare; 401(...SeniorClaims- ...Pre-Authorization Specialist The Pre-Authorization Specialist is a member of the Pre-Authorization... .... Facilitates submission of clean claims and reduction in payer denials by... ...health insurance plans including: Medicare, Medicaid, HMO's and PPO's required. Working Conditions...ClaimsWork at office
- Ryder System, Inc. in Austin, TX seeks a Senior Claims Representative to handle complex and high-exposure bodily injury and property damage claims under Ryder's liability program. You will investigate, adjust, and direct defense counsel, outside adjusters, and experts,...SeniorClaimsRemote job
$150k
...to join our team as Roofing Restoration Specialists. When the storms hit, our phones ring—but... ...problem. We provide a 90-day training program to turn you into a high-earning pro.... ...0-Day Paid Training: Base salary + per-claim bonuses + commission while you learn....ClaimsFor contractors- Your Texas Benefits in Austin, TX is seeking a Research Specialist V to analyze Medicaid, HTW and CSHCN policy and related claims, develop fiscal notes, and support policy decisions with data-driven analyses. The RS V will assist in fiscal impact studies and contribute...SeniorClaimsRemote workDay shift
- RESPEC is seeking a Senior Business Analyst to support a landmark Medicaid systems modernization project for the Texas HHSC. This on-site role in Austin TX involves... ...architecture and deployment strategies meet program goals. You will bridge policy mandates with technical...Senior
- Senior Advisor, Vendor Management Lead the global NVIDIA Compliance & Claiming operating model, serving as the program expert responsible for compliance and claiming operation. Drive strategic initiatives that standardize processes, improve scalability, reduce business...SeniorClaims
- Texas Health and Human Services Commission seeks a Certified Clinical Coder with a Program Specialist V role to lead complex Medicaid billing and coding policy work. You will analyze ICD, CPT, HCPCS changes, advise on policy updates, and collaborate with HHSC teams and...SeniorFull timeRemote work
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