DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas. If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us.
Employee Benefits: DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page. Review our Top 10 Tips for Success when Applying to State of Texas Jobs.
Job Details
Brief Job Description
Under the direct supervision of the Texas Health Steps (THS) Program Supervisor and overall direction of the Specialized Health & Social Service Program Manager performs moderately complex (journey-level) consultative services and technical assistance to program staff, community organizations and THS Providers. The Program Specialist II will conduct Texas Health Steps program activities which include Provider Relations duties of recruitment, retention and referral services with medical and dental THS providers, Serve as a liaison with THS providers, the Medicaid claims contractor, Managed Care Organizations (MCOs) and DSHS staff. Conduct provider relations duties that include consultative service by resolving provider enrollment and billing issues, policy clarifications and technical assistance. Participates in program planning, development and implementation of provider relations strategies to promote and support the THS program, increase the number of providers who accept Medicaid and participate in the THS program. Assists with the development of surveys, analyzes survey data and prepares comprehensive administrative reports. Assist with the development and presentation of education programs and coordinate program activities for community and professional groups. Actively participate and serve in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Essential Job Functions (EJFs)
EJF #1 Provider Support (45%)
Provides education and updates to retain existing and new medical, dental and case management providers; conduct education activities to community stakeholders regarding THS and Medicaid Services.
Makes consultative to providers to discuss program issues, updates about programs, conduct trainings and/or assist providers with interpreting program policies and procedures.
Assist providers with provider issues or enhance the knowledge of THS providers around program policy, requirements and procedures.
Collaborates, communicates and assists with Managed Care Organizations (MCO's) and Texas Medicaid (TMHP) for providers regarding billing issues.
Escalates complex problems to central office timely to meet the needs of the provider.
May assist medical and dental providers in the resolution of client related problems with community resources for referrals.
EJF#2: Program Support (25%)
Assists with compiling, analyzing and reporting of the THS activities to meet regional program goals and objectives and reporting to Program Manager.
May assist Providers with consumer complaints and corrective action plans with guidance and interpretation.
Ensures that provider information is updated annually in appropriate database as determined by central office or regional needs.
EJF #3: Trainings & Presentations (15%)
Contact enrolled medical and dental THS providers at a minimal annually, to provide technical assistance with an on-site visit that promotes education, outreach and training.
Identifies provider training needs and offers appropriate training and educational sessions.
Maintains Vision & Hearing Trainer Certification and conducts provider trainings as requested.
Knowledge of Vision & Hearing Policies and regulations.
Knowledge of Medicaid policies and regulations and program impact.
EJF #4: Community & Outreach Activities. (10%)
Participates in community activities for the promotion and marketing of THS program.
Contacts potential medical, dental or CPW providers to explain the THS program and works collaboratively with public health partners to develop strategies to increase number of THS providers and retain current providers.
Attends and participates in regional and statewide THS meetings for program planning.
EJF #5: Adherence to Policy and Other Duties as Assigned (5%)
Actively participate and serve in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation.
Maintains an acceptable driving record, a valid class C Texas drivers license.
Working knowledge of Human Resources, Information Technology, Administrative Policy and Program Policy.
Completes all Public Health Emergency Response, COOP, and other state mandated trainings.
Reports time, labor and travel information in a timely manner.
Other duties as assigned by program manager including special assignments.
Knowledge, Skills and Abilities (KSAs)
Registrations, Licensure Requirements or Certifications
N/A
Initial Screening Criteria
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 for this position. For more information see the Texas State Auditor's Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.
ADA Accommodations
In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com.
Salary Information, Pre-employment Checks, and Work Eligibility
The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds. Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 form.