Program Specialist IV

Date: Jul 14, 2026 Location: AUSTIN, TX 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: Program Specialist IV Job Title: Program Specialist IV Agency: Health & Human Services Comm Department: UR Wav & Comm Srvs Ran Mmt St Posting Number: 18940 Closing Date: 07/28/2026 Posting Audience: Internal and External Occupational Category: Community and Social Services Salary Range: $4,263.16 - $6,779.25 Pay Frequency: Monthly Salary Group: TEXAS-B-20 Shift: Day Additional Shift: Days (First) 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: 701 W 51ST ST Other Locations: Austin; Abilene; Alamo; Alice; Alpine; Alvin; Amarillo; Anahuac; Andrews; Angleton; Anson; Aransas Pass; Archer City; Arlington; Athens; Atlanta; Bacliff; Ballinger; Bandera; Bastrop; Bay City; Baytown; Beaumont; Bedford; Beeville; Bellville; Big Spring; Boerne; Bonham; Borger; Bowie; Brady; Breckenridge; Brenham; Brownfield; Brownsville; Brownwood; Bryan; Burnet; Caldwell; Cameron; Canton; Canutillo; Carlsbad; Carrizo Springs; Carrollton; Carthage; Center; Centerville; Childress; Clarksville; Cleburne; Cleveland; Coldspring; Columbus; Conroe; Copperas Cove; Corpus Christi; Corsicana; Crockett; Crosby; Crystal City; Cuero; Cypress; Daingerfield; Dallas; Del Rio; Denton; Dickinson; Dumas; Duncanville; Eagle Pass; Eastland; Edinburg; El Paso; Elgin; Elsa; Ennis; Fabens; Falfurrias; Floresville; Fort Stockton; Fort Worth; Fredericksburg; Gainesville; Galveston; Garland; Gatesville; Georgetown; Giddings; Gilmer; Goliad; Gonzales; Graham; Granbury; Grand Prairie; Grapevine; Greenville; Hallettsville; Hamilton; Harlingen; Haskell; Hearne; Hemphill; Hempstead; Henderson; Hereford; Hillsboro; Hondo; Houston; Humble; Huntsville; Hurst; Irving; Jacksonville; Jasper; Johnson City; Jourdanton; Karnes City; Katy; Kaufman; Kerrville; Killeen; Kingsville; Kingwood; Kirbyville; La Grange; Lake Jackson; Lake Worth; Lamesa; Lampasas; Lancaster; Laredo; Levelland; Lewisville; Liberty; Linden; Littlefield; Livingston; Llano; Lockhart; Longview; Lubbock; Lufkin; Lumberton; Madisonville; Marble Falls; Marfa; Marlin; Marshall; Mcallen; Mckinney; Mercedes; Meridian; Mesquite; Mexia; Midland; Mineola; Mineral Wells; Mission; Monahans; Mount Pleasant; Mount Vernon; Nacogdoches; Navasota; New Boston; New Braunfels; Odessa; Orange; Palestine; Pampa; Paris; Pasadena; Pearland; Pearsall; Pecos; Perryton; Pharr; Pittsburg; Plainview; Plano; Pollok; Port Arthur; Port Lavaca; Presidio; Quitman; Raymondville; Refugio; Richardson; Richmond; Rio Grande City; Robstown; Rockwall; Rosenberg; Round Rock; Rowlett; Rusk; San Angelo; San Antonio; San Benito; San Juan; San Marcos; San Saba; Schertz; Seguin; Seminole; Seymour; Sherman; Silsbee; Sinton; Snyder; Socorro; Sonora; South Houston; Stephenville; Sugar Land; Sulphur Springs; Sweetwater; Taylor; Temple; Terrell; Texarkana; Texas City; The Woodlands; Tomball; Trinity; Tyler; Uvalde; Van Horn; Vernon; Victoria; Waco; Washington; Watauga; Waxahachie; Weatherford; Webster; Weslaco; Wharton; Wichita Falls; Woodville; Zapata Program Specialist IV The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Program Specialist IV. This role contributes to MCS’s mission by providing oversight and monitoring of provider requirements with Individual Plans of Care (IPC) and Level of Care/Level of Need (LOC/LON) determinations. The program specialist completes highly complex consultative and technical assistance, including research, assessment, and planning directly to management, HHSC program staff, contract management staff, local authority (LIDDA) staff, the Home and Community-based Services (HCS), Texas Home Living (TxHmL), Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disability (DBMD) and Intermediate Care Facility (ICF/ID) provider base, advocacy groups, stakeholders, program participants and their families. Responsibilities Review and analyze Intellectual Disability/Related Condition (ID/RC) data to assess the need for additional oversight. Conduct desk reviews for compliance with HHSC rules, policies and procedures related to enrollments, IPCs and LOC/LONs. Conduct utilization review and evaluation of proposed IPCs and make clinical authorization decisions regarding participant eligibility and plans of care. Evaluate IPC and eligibility activities and trends to resolve technical problems and identify opportunities for improvement. Conduct data analysis, prepare reports, and respond to program information requests and special project reports. Develop and revise utilization review tools (e.g., review protocols, evaluation forms). Serve as agency representative in Medicaid fair hearings. Provide training and guidance to staff on new or revised operational procedures. Coordinate the review and evaluation of information on service delivery system methods, outputs, and activities. Collaborate with program staff through unit and cross-agency workgroups to analyze, develop, and implement program initiatives. Work with limited supervision, exercising initiative and independent judgment. Essential Job Functions Provide highly complex consultative and technical assistance (25%). Oversee and monitor provider requirements with IPC and LOC/LON determinations (30%). Conduct analysis of data and reports, prepare materials for program information requests (10%). Serve as agency representative in Medicaid fair hearings (5%). Develop and revise utilization review tools (5%). Conduct training and provide staff guidance (10%). Coordinate and collaborate with program staff on unit and cross-agency initiatives (10%). Work collaboratively across MCS to identify innovative and effective solutions (5%). Qualifications Qualification as a Qualified Intellectual Disability Professional (QIDP) as defined in 42 Code of Federal Regulations 483.430(a). Required. Regulations, Licensure Requirements or Certifications Qualified Intellectual Disability Professional (QIDP) certification. Required. Knowledge, Skills & Abilities Ability to work collaboratively across MCS. Able to balance team and individual responsibilities. Knowledge of ID and developmental disability related conditions, HCS, TxHmL, CLASS, DBMD and ICF/ID program rules, service array and billing guidelines, local authority functions and waiver service system. Skilled in interpersonal relationship development and public speaking. Effective oral and written communication. Ability to multi-task, handle stress and meet deadlines. Computer proficiency, including Microsoft Office. Initial Screening Criteria Qualified Intellectual Disability Professional (QIDP) certification as outlined in 42 CFR 483.430(a) is required. 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 online 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, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility Applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. All new hires must bring I‑9 documentation on their first day of work. Telework Disclaimer This position may be eligible for telework. All HHS positions are subject to state and agency telework policies and supervisor discretion. Nearest Major Market: Austin #J-18808-Ljbffr Texas Health and Human Services