PERM Analyst

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: PERM Analyst

Job Title: Program Specialist VII

Agency: Health & Human Services Comm

Department: PERM MCS Transf Fac-9

Posting Number: 20199

Closing Date: 09/20/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $5,797.66 - $7,980.97

Pay Frequency: Monthly

Salary Group: TEXAS-B-25

Shift: Day

Additional Shift: Days (First)

Telework:

Travel: Up to 10%

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: Austin

MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Brief Job Description:

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division is seeking a highly qualified candidate for the position of PERM Analyst (Program Specialist VII) on the MCS PERM Coordination team. We're looking for someone whose work ethic and goals align with the MCS mission of delivering quality, cost-effective services to Texans.

The ideal candidate thrives in an environment built on:

• Teamwork - working together to achieve shared goals
• Excellence - high professional standards and personal accountability
• Curiosity - a drive to continuously grow and learn
• Critical thinking - sound judgment for effective execution
• Integrity - doing the right thing, even when it's not easy

Reporting to the PERM Review Manager in the office of MCS Strategic Business Operations, the PERM Analyst supports the state's participation in the federal Centers for Medicare and Medicaid Services (CMS) Payment Error Rate Measurement (PERM) program review. This is a large, recurring review that identifies gaps and process improvement needs, and determines improper payment error rates for services provided to eligible Texans through Medicaid and the Children's Health Insurance Program (CHIP).

The ideal candidate brings strong skills in complex analysis, project management, organization, and clear, timely communication. Communication across the agency is essential at every stage of the PERM review. Efficiently understanding and relaying needs and outcomes helps streamline the state's participation in the federal review. PERM review phases include planning, testing, reporting, corrective action plan development, and implementation.

The analyst should be able to:

• Perform critical analysis and efficiently use tracking and monitoring software
• Build and collaborate effectively with team and stakeholders
• Communicate clearly and concisely, simplifying complex information for different audiences
• Quickly build knowledge of Medicaid and CHIP policy and business functions

Success in this role requires engaging key stakeholders, managing expectations, meeting deadlines, learning how functions connect across the agency, and maintaining strong working relationships with state, internal, and external stakeholders. This role calls for an expert communicator who is meticulous and highly organized.

Essential Job Functions:

Works collaboratively with team members and across MCS to identify innovative, effective solutions for stakeholders and staff.

(25%) CMS Liaison & Coordination

Serves as the point of contact with CMS, its PERM contractors, state program experts, and leadership across the Texas HHS system (HHSC, DSHS, and DFPS). Identifies and informs the right HHS staff and management and ensures they participate in relevant portions of the PERM program. Schedules, attends, and distributes results of meetings and calls with CMS and its contractors. Collects, organizes, analyzes, and prepares information for submission to CMS and its contractors, as well as for internal tracking and reporting.

(45%) PERM Cycle Oversight

Directs and oversees PERM cycle activities, quickly building an understanding of complex, integrated Medicaid and CHIP processes. This includes learning:

• Fee-for-service (FFS) and managed care (MC) delivery models
• Data differences for large and small state programs
• Program policies and processes
• Federal regulations and state policies for payment processing, records retention, and eligibility determinations

Key responsibilities include:

• Monitoring and coordinating large dataset submissions, ensuring lead times are communicated and deadlines are met
• Coordinating meetings, including reserving workspace, as needed
• Learning state systems' access and provisioning processes to ensure reviewers receive timely, appropriate system access
• Tracking the statuses of the sampled cases across tested components: (a) provider medical records, (b) claims data processing, and (c) eligibility determinations
• Staying on top of all open requests and ensuring timelines are met
• Monitoring concurrent review activities for obstacles, delays, or errors, and researching and collaborating to file timely difference resolutions and appeals when possible
• Communicating clearly, both verbally and in writing, simplifying complex requests, educating new staff and stakeholders, connecting multiple program areas, and flagging potential errors, delays, or concerns to stakeholders and leadership
• Creating, organizing, and maintaining essential PERM cycle files in SharePoint

(25%) Corrective Action Plan Coordination

Receives, communicates, and coordinates information across all teams responsible for developing corrective action plans for finalized cycle errors. Coordinates with state management and staff to submit complete corrective action plans before CMS deadlines and provides periodic updates to CMS on implementation status. Quickly learns complex PERM topics through research and analyzes high-risk audit issues. Coordinates across program areas to develop resolution strategies. Prepares and presents detailed resolution responses, both orally and in writing. Creates, organizes, and maintains essential PERM cycle files in SharePoint.

(5%) Other duties as assigned.

Attendance is required on a regular, predictable schedule in accordance with agency leave policy. While some remote work may be possible, it is not guaranteed. This position requires a regular in-office presence to support collaboration and coordination activities.

Registrations, Licensure Requirements or Certifications:

N/A

Knowledge, Skills and Abilities:

• Ability to collaborate with and motivate staff to perform at a high standard, serve as an example to others, and foster a culture of continuous improvement
• Ability to work collaboratively across MCS and other divisions to accomplish shared objectives
• Keen attention to detail and the ability to implement creative solutions to obstacles
• Ability to balance team and individual responsibilities

Knowledge of:

• Health and Human Services programs, functions, and systems
• Medicaid and CHIP programs, functions, and systems
• Audit procedures, processes, and federal and state regulations and regulatory bodies
• Project management approaches and tools

Skill in:

• Organizing and managing time across multiple, competing priorities, with strong problem-solving and critical-thinking skills
• Building interpersonal relationships with stakeholders which includes leading and facilitating discussions and negotiations, resolving conflict, and maintaining effective working relationships with staff, stakeholders, and leadership at all levels
• Writing action-oriented, clear, and concise correspondence for varied audiences
• Analyzing and assessing interdependencies of complex programs, and evaluating rules, regulations, policies, and procedures
• Coordinating and reviewing the work of others, providing constructive feedback
• Scheduling, coordinating, and leading meetings
• Using Microsoft Office Suite, including Outlook, Word, Excel, PowerPoint, Visio, Teams, and SharePoint

Ability to:

• Collect, analyze, and evaluate complex technical information, translating it into clear, concise documents, reports, and presentations for stakeholders, leadership, and CMS
• Conduct research, collect and analyze data, and present findings in a logical format
• Make timely, effective decisions and ask the right questions to maintain timelines throughout the PERM cycle
• Identify challenges and develop creative, workable solutions to complex problems
• Articulate and share ideas clearly when collaborating with internal and external stakeholders
• Build and maintain effective working relationships, and work cooperatively in a team environment

Initial Selection Criteria:

Required

1. Graduation from an accredited four-year college or university, with coursework relevant to audit, information technology, accounting, finance, public policy, law, or another business-related field.

2. Experience in auditing and coordinating external audits or reviews, or leading complex projects, processes, or initiatives.

Relevant work experience may substitute for education on a year-for-year basis.

Preferred

At least two years of experience in the Texas Medicaid program or similar health and human services program.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Additional Information:

Posted Salary: The posted salary range reflects the minimum and maximum allowable. Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual.

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 Auditors 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 1-888-894-4747. 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.