EVV MCO Liaison

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Functional Title: EVV MCO Liaison Job Title: Program Specialist VI Agency: Health & Human Services Comm Department: MCS Elec Visit and Verificatn Posting Number: 23362 Closing Date: 11/27/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Range: $5,098.66 - $8,304.83 Pay Frequency: Monthly Salary Group: TEXAS-B-23 Shift: Day

Additional Shift:

Telework:

Travel:

Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt

Facility Location:

Job Location City: AUSTIN Job Location Address: 701 W 51ST ST

Other Locations:

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) department seeks a highly qualified candidate to fill the position of Program Specialist VI in the Electronic Visit Verification (EVV) program.

Under the supervision of the EVV Operations Manager, the Program Specialist VI will serve as the EVV MCO Liaison with managed care organizations (MCOs) and perform highly advanced consultative and technical work related to EVV program policies and processes in a dynamic and fast-paced environment. Work includes researching and interpreting program policies, procedures, rules, regulations, guidance, and standards to MCOs. Develops EVV guidance for MCOs. Recommends changes to MCO EVV related contract requirements. Responsible for supporting the development of new EVV policies and updating existing policies. Provides technical assistance to program and EVV staff, providers, and State Medicaid contractor. Responds to legislative and external inquiries and requests. Prepares complex written reports. Researches and resolves EVV related provider complaints against MCOs. Leads the EVV MCO workgroup as a subject matter expert on the EVV program. Assists and leads MCO operational readiness reviews related to EVV program changes. Leads special projects. Performs legislative bill analysis.

Essential Job Functions

Liaison – Leads the EVV MCO workgroup consisting of 14 MCOs as subject matter expert on EVV policy and programmatic initiatives. Prepares agenda, facilitates discussions, and maintains effective working relationships with MCO representatives. Coordinates with MCOs on major initiatives including readiness reviews, technical changes, policy changes, and other major projects. Coordinates with other HHSC areas involved in managed care. Identifies operational, policy and technical impacts to MCOs, shares information with MCOs and coordinates to ensure successful implementation. Solicits feedback from MCOs on proposed program and policy changes. (30%)

Technical Support - Provides technical assistance to program and EVV staff, providers, and State Medicaid contractor. Serves as expert on managed care policies and processes that affect EVV; provides consultative support to other EVV staff on MCO policies and processes. Plans, researches, coordinates EVV program policies and rules that affect other HHSC program areas. Recommends MCO contract updates for EVV. (10%)

Research and analysis – Interprets policies, procedures, rules, regulations and standards related to program to other program areas. Performs legislative bill analysis. Researches MCO contracts and processes. (15%)

Policy Support – Assists with development of EVV policy. Subject matter expert on EVV policy. Analyzes state and federal legislative mandates to develop recommendations for policy changes. Updates the HHSC Uniform Managed Care Manual (UMCM) and Uniform Managed Care Contract (UMCC) with EVV program and policy changes. (15%)

Communications – Responds to legislative and external inquiries and requests. Prepares complex written reports, presentations and other EVV program deliverables. Presents program policy at meetings. Participates in other workgroup meetings. Communicates with industry stakeholder groups such as provider associations and health plan associations. Drafts guidance and notices to MCOs with program updates. (10%)

Provider Complaints – Assists the Managed Care Compliance & Operations (MCCO) Unit with EVV related complaints. Researches and dispositions provider complaints received from MCCO. (10%)

Special Projects - Leads and participates in operational projects affecting the unit. Coordinates with other program areas with minimal oversight. Serves as a lead team member providing direction to others. May train others. (10%)

Licensure, Certification, or Registration

None

Knowledge, Skills and Abilities

Ability to establish and maintain strong working relationships with stakeholders.

Ability to work in a dynamic and fast-paced environment.

Ability to interpret statutes, state, and federal rules and regulations.

Ability to lead large workgroups and make presentations.

Ability to prepare complex written reports.

Ability to communicate effectively.

Knowledge or experience with EVV preferred.

Knowledge of Medicaid or other HHSC programs preferred.

Skill in analyzing, interpreting and evaluating policies and procedures.

Skill in using Outlook, Word, and Excel.

Initial Screening Criteria

Graduation from an accredited four-year college or university. Experience may substitute for education.

Experience analyzing, researching, and communicating policy to stakeholders.

Experience handling customer escalations. Experience working with managed care organizations.

Knowledge or experience with EVV.

Knowledge of Medicaid or other HHSC programs.

Preferred experience with analyzing state and/or federal statutes, rules and regulations. Preferred experience with billing and claims processing systems.

Preferred experience with hosting webinars or virtual online meetings or events.

Preferred experience with performing operational readiness reviews. 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.