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Functional Title: IDD PES Program Specialist IV CLASS, DBMD, and CFC Non-Waiver Job Title: Program Specialist IV Agency: Health & Human Services Comm Department: IDD Prog Eligibility and Spprt Posting Number: 19920 Closing Date: 09/03/2026 Posting Audience: Internal and External Occupational Category: Community and Social Services Salary Range: $4,263.16- $6,779.25 Pay Frequency: MonthlySalary Group: TEXAS-B-20 Shift: Day Additional Shift: Days (First) Telework: Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt 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
Job Description:
Program Specialist IV will provide highly complex consultative and technical assistance, including research, assessment and planning directly to management, IDD Program Eligibility and Support (IDD PES) department colleagues and HHSC staff from other agency organizational areas, Local Intellectual and Developmental Disability Authority (LIDDA) staff, Community Living Assistance and Support Services (CLASS), and Community First Choice (CFC) Non-Waiver, Deaf Blind with Multiple Disabilities (DBMD) advocacy groups, stakeholders, program participants and their families. Work involves Level of Care (LOC) eligibility determinations for individuals who receive services in the CLASS Waiver Program and Community First Choice (CFC) Non-Waiver program. Work also involves the oversight and monitoring of provider requirements with enrollment activities, such as initial Individual Plans of Care (IPC) and Level of Care(LOC) determinations. Routinely reviews and analyzes Intellectual Disability/Related Condition (ID/RC) data to assess the need for additional oversight. Conducts desk reviews to determine compliance with HHSC rules, policies and procedures related to program enrollment, including IPCs and LOCs. Conducts initial ID/RC and DBMD and CLASS proposed enrollment IPC reviews to make authorization decisions regarding participant eligibility and plan of care approvals. Evaluates IPC and eligibility activities and trends to resolve technical problems, identifies opportunities for improvement and makes recommendations for improvements in review processes. Conducts analysis of data and reports as assigned, and collects, organizes, analyzes and prepares materials in response to requests for program information, or special project reports. Develops and revises review tools (e.g., review protocols, evaluation forms, etc.) in accordance with program objectives and goals. Serves as agency representative to present the state's action in Medicaid fair hearings. Conducts training and provides guidance to staff in the development or integration of new or revised operational procedures.
Coordinates the review and evaluation of information on service delivery system methods, outputs and activities in order to identify gaps in resources and recommend improvements. Coordinates and collaborates with program staff through participation in unit and cross-agency workgroups related to unit functions and planning to analyze, develop, and implement program initiatives. Works under limited supervision with considerable 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 other duties as assigned.
Oversees and monitors provider requirements with enrollment Individual Plans of Care (IPC) and Level of Care (LOC) eligibility determinations. (50%)
Provides highly complex consultative and technical assistance, including research, assessment and planning directly to management, HHSC program staff, HHSC contract management staff, local intellectual developmental disability authority (LIDDA) staff, the program provider base, advocacy groups, stakeholders, program participants and their families. (10%)
Conducts training and provides guidance to staff in the development or integration of new or revised operational procedures. (10%)
Coordinates and collaborates with program staff through participation in unit, agency and cross-agency workgroups related to unit functions and planning to analyze, develop, and implement program initiatives. (10%)
Conducts analysis of data and reports as assigned, and collects, organizes, analyzes and prepares materials in response to requests for program information, or special project reports. (5%)
Serves as agency representative in fair hearings. (5%)
Develops and revises review tools (e.g., review protocols, evaluation forms, etc.) in accordance with program objectives and goals. (5%)
Will serve as the lead to prioritize the work of colleagues by assigning provider deliverables to designated unit staff during the absence of the supervisor. (5%)
Knowledge Skills Abilities:
Knowledge of intellectual disability and other developmental disability related conditions, CLASS and CFC, program rules, service array and billing guidelines, local authority functions and waiver service system.
Awareness of federal and state laws relating to long term care and other Medicaid and non-Medicaid services and programs.
Knowledge of program planning, implementation, and evaluation and continuous quality improvement.
Skill in the development and maintenance of interpersonal relationships and public speaking. Ability to communicate effectively, both orally and in writing.
Ability to gather, assemble, correlate, and analyze information to devise solutions to problems.
Ability to interpret policies and procedures.
Ability to multi-task, handle stress, and meet deadlines.
Ability to make appropriate determinations using specific criteria.
Ability to independently plan, organize, prioritize and manage multiple work assignments.
Ability to operate computers and experience using Microsoft Office products.
Registration or Licensure Requirements:
Qualification as a Qualified Intellectual Disability Professional (QIDP) as defined in 42 Code of Federal Regulations 483.430(a) required.
Initial Selection Criteria:
• Experience with Medicaid services for individuals with intellectual or developmental disabilities is preferred
• Experience in interpreting policies and procedures is preferred
• Experience or knowledge in eligibility criteria for the 1915c Waiver programs, ICFs/SSLCs, or CFC Non-Waiver program.
• Minimum of one year of experience with individuals with intellectual/development or related conditions required.
• Graduation from an accredited four year college or university with a degree in human services or a related field.
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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.