RAC Operations Specialist

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: RAC Operations Specialist
Job Title: Management Analyst II
Agency: Health & Human Services Comm
Department: Data Reviews
Posting Number: 22038
Closing Date: 04/02/2027
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $4,523.16- $7,253.83
Pay Frequency: Monthly
Salary Group: TEXAS-B-21
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: Nonexempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations: Austin
MOS Codes: 0510,0570,4502,4505,8016,8840,8852,8862,8870,11A,11Z,14FX,165X,171X,35PX,37A,37F,3N0X6,46A,612X,632X
641X,70A,70D,70E,712X,732X,INF,IS,SEI13,SEI15,YN,YNS

The Management Analyst II (Recovery Audit Contract (RAC) Operations Specialist) is managed by the RAC Director within the Texas Health and Human Services (HHS) Office of Inspector General (OIG). Performs complex (journey level) professional analytical and operational work. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.

Analyzes programmatic and operational data, evaluates processes and procedures, identifies trends and issues, develops data-informed recommendations, and supports implementation of program improvements. Coordinates program-specific activities, reviews RAC vendor work products, resolves provider and stakeholder inquiries, and promotes program efficiency.

Essential Job Functions

(25%)Collects, organizes, validates, and analyzes programmatic, operational, customer service, and performance data from multiple sources. Uses data gathered to identify trends, patterns, discrepancies, operational issues, risks, and opportunities for improvement as well as to inform programmatic decisions. Develops and maintains spreadsheets, reports, dashboards, tracking tools, and other analytical products to monitor program performance. Conducts research and analysis related to RAC processes and operational issues and communicates findings to management. Evaluates performance measures and identifies areas requiring corrective action, additional resources, or changes in procedures. Prepares analytical reports, presentations, briefing materials, and summaries that translate complex information into actionable recommendations.

(20%) Reviews and evaluates program processes, workflows, policies, procedures, and operational practices to assess effectiveness, efficiency, consistency, and compliance with applicable requirements. Identifies operational problems and develops recommendations for improving program processes, customer service, internal controls, and program outcomes. Implements new program procedures, processes, and operational requirements. Monitors program initiative and process change implementation activities, evaluating whether intended results are achieved. Develops and maintains documentation of business processes, workflows, procedures, and operational requirements. Coordinates assigned operational activities and follows up with responsible parties to ensure timely completion. Conducts special projects and operational studies related to assigned programs and agency functions.

(20%) Manages a mailbox and responds to or coordinates responses to customer inquiries, requests for information, and program-related issues. Provides accurate, timely, professional, and well-supported written responses to customers. Tracks inquiries, response times, issues, and resolutions to identify recurring questions, trends, and improvement opportunities. Recommends potential changes to processes, communications, or procedures. Escalates complex, sensitive, or unresolved issues to management and assists in developing resolutions.

(20%) Coordinates program activities. Serves as a liaison between agency staff and the RAC vendor regarding program requirements, assignments, deliverables, timelines, and operational issues. Coordinates information requests, meetings, work assignments, deliverables, and follow-up activities necessary to accomplish program objectives. Monitors contractor activities and deliverables for timeliness, completeness, accuracy, and compliance with established program requirements. Identifies RAC vendor performance or implementation issues and coordinates resolutions. Collaborates with partners on program-specific activities, including information sharing, implementation efforts, data requests, operational coordination, and issue resolution. Communicates program requirements and operational expectations. Maintains documentation regarding coordination activities, decisions, deliverables, and outstanding issues.

(10%) Prepares technical, operational, and program reports summarizing activities, findings, performance measures, issues, alternatives, and recommendations. Develops briefing materials, presentations, correspondence, procedures, guidance documents, and other materials. Maintains accurate documentation of program activities, customer inquiries, operational decisions, contractor activities, and issue resolutions. Develops work plans, schedules, tracking tools, and other mechanisms to monitor program activities and deliverables. Conducts special projects, studies, and evaluations involving program operations, organizational effectiveness, customer service, or process improvement.

(5%) Attends work on a regular and predictable schedule in accordance with agency leave policy and performs duties as assigned. Performs other duties necessary to achieve the mission of the OIG. Keeps manager informed as required or as necessary.

Knowledge, Skills, and Abilities

Knowledge of:

• Principles and practices of program administration and operations analysis.
• State and federal laws, rules, and policies related to health and human services.
• The Texas Medicaid program.
• Medicaid claims processing and terminology.
• Methods for collecting, organizing, analyzing, and interpreting quantitative and qualitative data.
• Program evaluation and performance measurement techniques.
• Research methods and techniques.
• Process improvement and organizational effectiveness principles.
• Customer service principles and methods for resolving inquiries and issues.
• Project coordination and stakeholder management practices.

Skill in:

• Analyzing and interpreting complex data sets; identifying relevant trends, relationships, discrepancies, and issues; and translating findings into actionable recommendations.

• Identifying operational problems and developing practical solutions.
• Researching and resolving inquiries.
• Coordinating activities involving multiple parties.
• Monitoring contractor work and program deliverables.
• Preparing clear, concise, accurate, and well-supported written reports and correspondence.
• Using spreadsheets, databases, reporting tools, and other technology to analyze and present information.
• Communicating effectively, both verbally and in writing.

Ability to:

• Exercise independent judgment in analyzing problems and determining appropriate courses of action, including when to escalate issues or seek guidance.
• Interpret policies, procedures, regulations, and program requirements and apply them to operational situations.
• Develop evidence-based recommendations to improve program operations and outcomes.
• Establish and maintain effective working relationships.
• Organize and manage multiple projects, assignments, and deadlines.
• Maintain confidentiality and exercise sound judgment when handling sensitive information.

Registrations, Licensure Requirements or Certifications:

Certified Texas Contract Manager (CTCM) or Certified Texas Contract Developer (CTCD) preferred.

Initial Screening Criteria:

Graduation from an accredited four-year college or university. Work experience may be substituted for education on a year-for-year basis.

Experience working within federal, state, or local, government or a public agency is preferred.

Minimum of 2 years of experience coordinating programmatic or operational work.

Final Selection Criteria

Responses to interview questions and exercises.

Reference and background checks.

Additional Information

The OIG is responsible for preventing, detecting, auditing, inspecting, reviewing, and investigating fraud, waste, and abuse in the provision of HHS in Medicaid and other HHS programs. Potential employees of OIG are subject to criminal background checks in accordance with the HHS Human Resources policy. Selected applicants must complete a national fingerprint-based criminal background check through the Texas Department of Public Safety (TDPS) and Federal Bureau of Investigations (FBI) to determine if they have criminal history record information that constitutes a bar to employment.

Applicants considered for an interview will be required to provide responses to essay questions. Failure to respond to the request could disqualify an applicant from the interview process.

The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual.

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

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 online application, contact the HHS Employee Service Center at View phone number on aiapply.co. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

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 aiapply.co. 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.