Medicaid Operations Specialist at HCSC

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Job Summary

This position is responsible for assisting in Texas Medicaid programs’ implementation and coordination for the following day-to-day Medicaid operation functions: federal, state and internal reporting, contractual updates and distribution, analysis of operational services data, data and reporting compliance validation, quality improvement performance, and other areas as identified. This resource is responsible for resolving complex and/or escalated internal or external operational issues as they occur. Additionally, this position works with other areas of the organization on the development, testing, and implementation of program policies, reporting changes, business processes, and system changes to ensure the state requirements of the plan are met.


Required Job Qualifications:


  • Bachelor Degree in Business with 4 years’ experience OR 8 years of experience working in health insurance operations
  • Experience in project development, implementation and execution skills
  • Experience interfacing with internal clients, operations personnel
  • Verbal and written communication skills and ability to represent Medicaid department at committee meetings
  • Experience with interacting effectively with all levels of internal and external customers
  • Experience managing multiple projects effectively
  • Interpersonal, organizational and analytical skills
  • Organizational and leadership skills

Preferred Job Qualifications:


  • Experience working with Medicaid/CHIP or government programs and services
  • Experience with managing contract provisions
  • Experience in Project Management
  • Experience analyzing and reviewing data to assess trends

We encourage people of all backgrounds and experiences to apply.

Even if you don’t think you are a perfect fit, apply anyway – you might have qualifications we haven’t even thought of yet.





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HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.