Senior Audit Coordination Analyst
Apply NowCompany: Health and Human Services Commission of Texas
Location: Austin, TX 78745
Description:
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: Senior Audit Coordination Analyst
Job Title: Program Specialist VII
Agency: Health & Human Services Comm
Department: PERM MCS Transf Fac-9
Posting Number: 3725
Closing Date: 04/10/2025
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Group: TEXAS-B-25
Salary Range: $5,797.66 - $7,667.00
Shift: Day
Additional Shift:
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,86M0,86P0,88A0,88B0,8U000,OS,OSS,PERS,YN,YNS
Brief Job Description:
The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks to fill the position of Senior Audit Coordination Analyst (Program Specialist VII) in the MCS Audit Management department. MCS is driven by its mission to deliver quality, cost-effective services to Texans.
Reporting to the Audit Management Manager in the office of MCS Strategic Business Operations, the Senior Audit Coordination Analyst supports the federal Centers for Medicare and Medicaid Services (CMS) Payment Error Rate Measurement (PERM) program review. PERM estimates improper payment rates for Medicaid and the Children's Health Insurance Program (CHIP).
The Senior Audit Coordination Analyst performs complex project management work and other tasks related to the state's participation in the federal CMS PERM review. Work involves coordinating the PERM review initiation and planning, overseeing the coordination and assembly of completed state responses, monitoring the progress & schedule of open requests, and communicating with stakeholders, management, and other relevant parties.
Success in this role requires engaging key stakeholders, managing expectations, and maintaining positive relationships with state staff, other agency staff, and internal and external stakeholders. To achieve this, the candidate must be an expert communicator, detail oriented, and highly organized.
The ideal candidate must be highly competent and thrive in a fast-paced environment. Must be able to work under minimal direction with extensive latitude for the use of initiative and independent judgment.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs duties as assigned. While some remote work may be possible, this position requires regular in-office participation to support project and implementation activities.
(25%) Serves as liaison and point of contact with CMS, its three contractors for the PERM program, and program experts within the Texas HHS system. Ensures appropriate HHS System management and staff participate in and are fully informed of the PERM program. Schedules, participates in, and distributes results of various teleconference calls with CMS and its contractors. Collects, organizes, prepares, and reviews information for submission to CMS and its contractors.
(45%) Directs and provides oversight of PERM activities. Monitors claims data submissions to ensure appropriate lead times are established and communicated, and deadlines are met. Coordinates in-person and virtual meetings to include necessary reservation of office workspace, as needed. Ensures appropriate information technology access is provisioned for the CMS contractors. Monitors medical record requests and follows up with providers as necessary to ensure timely and complete submission of requested medical records. Tracks the status of the review sample including (a) provider medical record issues (b) claims data processing issues and (c) eligibility determination issues. Monitors review findings, and timely files difference resolution requests and appeals to dispute findings, as appropriate. Maintains awareness of all open, outstanding requests and implements processes to ensure timelines are met and responses are received timely. Communicates clearly and concisely both verbally and in writing potential issues, findings, or concerns identified by CMS and its contractors with MCS Division management and HHS System management. Creates, collects, organizes, and maintains PERM files using SharePoint.
(25%) Receives and communicates final errors for corrective action plan development. Coordinates with appropriate HHS System management and staff to draft a comprehensive corrective action plan to address PERM final errors for submission to CMS and provides periodic updates to CMS on the implementation status of the corrective actions. Researches and analyzes highly complex and high-risk audit issues and develops strategies for management to resolve outstanding issues. Coordinates with HHS System management and staff to resolve issues. Prepares and presents detailed resolution methodologies and strategies both orally and in writing. Creates, collects, organizes, and maintains PERM corrective action and resolution files using SharePoint.
(5%) Other duties as assigned.
Registrations, Licensure Requirements or Certifications:
N/A
Knowledge, Skills and Abilities:
Knowledge of:
Skill in:
Ability to:
Initial Selection Criteria:
Graduation from an accredited four-year college or university. Coursework in a field relevant to audit, information technology, accounting, finance, public policy, law, or other business area is required. Minimum of 2 years of experience involving (a) auditing or coordinating external audits or reviews or (b) managing projects/assignments with numerous tasks/timelines and interested parties.
Relevant work experience may be substituted for education on a year-for-year basis. This includes:
Preference will be given to individuals with a four-year degree and at least two years of audit-related experience or experience in managing complex projects related to Medicaid/CHIP, health and human services state programs, or in managed care.
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 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.
Functional Title: Senior Audit Coordination Analyst
Job Title: Program Specialist VII
Agency: Health & Human Services Comm
Department: PERM MCS Transf Fac-9
Posting Number: 3725
Closing Date: 04/10/2025
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Group: TEXAS-B-25
Salary Range: $5,797.66 - $7,667.00
Shift: Day
Additional Shift:
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,86M0,86P0,88A0,88B0,8U000,OS,OSS,PERS,YN,YNS
Brief Job Description:
The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks to fill the position of Senior Audit Coordination Analyst (Program Specialist VII) in the MCS Audit Management department. MCS is driven by its mission to deliver quality, cost-effective services to Texans.
Reporting to the Audit Management Manager in the office of MCS Strategic Business Operations, the Senior Audit Coordination Analyst supports the federal Centers for Medicare and Medicaid Services (CMS) Payment Error Rate Measurement (PERM) program review. PERM estimates improper payment rates for Medicaid and the Children's Health Insurance Program (CHIP).
The Senior Audit Coordination Analyst performs complex project management work and other tasks related to the state's participation in the federal CMS PERM review. Work involves coordinating the PERM review initiation and planning, overseeing the coordination and assembly of completed state responses, monitoring the progress & schedule of open requests, and communicating with stakeholders, management, and other relevant parties.
Success in this role requires engaging key stakeholders, managing expectations, and maintaining positive relationships with state staff, other agency staff, and internal and external stakeholders. To achieve this, the candidate must be an expert communicator, detail oriented, and highly organized.
The ideal candidate must be highly competent and thrive in a fast-paced environment. Must be able to work under minimal direction with extensive latitude for the use of initiative and independent judgment.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs duties as assigned. While some remote work may be possible, this position requires regular in-office participation to support project and implementation activities.
(25%) Serves as liaison and point of contact with CMS, its three contractors for the PERM program, and program experts within the Texas HHS system. Ensures appropriate HHS System management and staff participate in and are fully informed of the PERM program. Schedules, participates in, and distributes results of various teleconference calls with CMS and its contractors. Collects, organizes, prepares, and reviews information for submission to CMS and its contractors.
(45%) Directs and provides oversight of PERM activities. Monitors claims data submissions to ensure appropriate lead times are established and communicated, and deadlines are met. Coordinates in-person and virtual meetings to include necessary reservation of office workspace, as needed. Ensures appropriate information technology access is provisioned for the CMS contractors. Monitors medical record requests and follows up with providers as necessary to ensure timely and complete submission of requested medical records. Tracks the status of the review sample including (a) provider medical record issues (b) claims data processing issues and (c) eligibility determination issues. Monitors review findings, and timely files difference resolution requests and appeals to dispute findings, as appropriate. Maintains awareness of all open, outstanding requests and implements processes to ensure timelines are met and responses are received timely. Communicates clearly and concisely both verbally and in writing potential issues, findings, or concerns identified by CMS and its contractors with MCS Division management and HHS System management. Creates, collects, organizes, and maintains PERM files using SharePoint.
(25%) Receives and communicates final errors for corrective action plan development. Coordinates with appropriate HHS System management and staff to draft a comprehensive corrective action plan to address PERM final errors for submission to CMS and provides periodic updates to CMS on the implementation status of the corrective actions. Researches and analyzes highly complex and high-risk audit issues and develops strategies for management to resolve outstanding issues. Coordinates with HHS System management and staff to resolve issues. Prepares and presents detailed resolution methodologies and strategies both orally and in writing. Creates, collects, organizes, and maintains PERM corrective action and resolution files using SharePoint.
(5%) Other duties as assigned.
Registrations, Licensure Requirements or Certifications:
N/A
Knowledge, Skills and Abilities:
Knowledge of:
- Health and Human Services programs, functions, and systems
- Medicaid & CHIP programs, functions, and systems
- Audit procedures, processes, and federal and state regulations/regulatory bodies
- Project management approaches, tools, and phases of the project lifecycle
Skill in:
- Project management involving managing multiple and competing priorities, problem solving, and applying critical thinking
- Developing interpersonal relationships, including the ability to negotiate among multiple parties, resolve conflicts, and establish and maintain effective working relationships with various levels of personnel in government entities
- Writing in a clear and concise manner and conveying information appropriately for a variety of audiences
- Analyzing and evaluating complex programs, rules, regulations, policies, and procedures
- Coordinating and reviewing the work of professional staff
- Scheduling, coordinating, and leading meetings
- Using Microsoft Office Suite including Outlook, Word, Excel, PowerPoint, Visio, and Teams, plus SharePoint and Adobe
Ability to:
- Gather, analyze, and evaluate highly complicated and technical information and translate it into easily understandable and concise written documents and reports, or into presentations for agency executives, managers, and federal CMS reviewers
- Conduct research, collect and analyze data, and draw logical conclusions
- Make timely and effective decisions and produce results through planning, implementation of policy and processes, and monitoring of performance and corrective actions
- Identify issues, develop creative and workable alternatives to complex problems and policy issues, and recommend effective solutions
- Explain, advocate, express facts and ideas, and negotiate with individuals and groups, internally and externally
- Build, establish, maintain effective working relationships and coalitions, and work cooperatively in a team environment
- Identify, gather, and analyze accurate and relevant information involving complex program, policy, and audit issues
Initial Selection Criteria:
Graduation from an accredited four-year college or university. Coursework in a field relevant to audit, information technology, accounting, finance, public policy, law, or other business area is required. Minimum of 2 years of experience involving (a) auditing or coordinating external audits or reviews or (b) managing projects/assignments with numerous tasks/timelines and interested parties.
Relevant work experience may be substituted for education on a year-for-year basis. This includes:
- Experience managing audit-related activities.
- Experience managing complex projects.
- Experience working with Medicaid/CHIP, health and human services state programs, or in managed care.
Preference will be given to individuals with a four-year degree and at least two years of audit-related experience or experience in managing complex projects related to Medicaid/CHIP, health and human services state programs, or in managed care.
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 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.