SHARS Billing & TMHP Claims Administration * Oversee the end-to-end SHARS billing cycle in TMHP, ensuring: * Accurate submission of claims for eligible SHARS services * Timely correction and ...
SHARS Billing & TMHP Claims Administration * Oversee the end-to-end SHARS billing cycle in TMHP, ensuring: * Accurate submission of claims for eligible SHARS services * Timely correction and ...
Credentialing & Provider Enrollment Specialist
Houston, TX · On-site
$23 - $25/hr
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
Credentialing & Provider Enrollment Specialist
Houston, TX · On-site
$23 - $25/hr
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
Credentialing & Provider Enrollment Specialist
Houston, TX · On-site
$23 - $25/hr
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
Credentialing & Provider Enrollment Specialist
Houston, TX · On-site
$23 - $25/hr
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
Credentialing & Provider Enrollment Specialist
Houston, TX · On-site
$23 - $25/hr
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
Credentialing & Provider Enrollment Specialist
Houston, TX · On-site
$23 - $25/hr
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
Business Analyst
Austin, TX · On-site
TMHP technical sprint teams; and business users to provide subject matter expertise, perform critical analysis, ensure requirements are gathered that meet the functional needs and assist in creating ...
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Business Analyst
Austin, TX · On-site
TMHP technical sprint teams; and business users to provide subject matter expertise, perform critical analysis, ensure requirements are gathered that meet the functional needs and assist in creating ...
The Business Automation Support (BAS) unit within the Medicaid and CHIP Services (MCS) Department oversees Texas Medicaid & Healthcare Partnership (TMHP) systems and related support activities. BAS ...
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The Business Automation Support (BAS) unit within the Medicaid and CHIP Services (MCS) Department oversees Texas Medicaid & Healthcare Partnership (TMHP) systems and related support activities. BAS ...
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals. * Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications ...
The Business Automation Support (BAS) unit within the Medicaid and CHIP Services (MCS) Department oversees Texas Medicaid & Healthcare Partnership (TMHP) systems and related support activities. BAS ...
The Business Automation Support (BAS) unit within the Medicaid and CHIP Services (MCS) Department oversees Texas Medicaid & Healthcare Partnership (TMHP) systems and related support activities. BAS ...
ADON / MDS Coordinator
Dalhart, TX · On-site
$85K/yr
Every Medicaid resident has an additional form that must be filled out for TMHP, which requires listing all meds, etc. * The process from start to finish takes anywhere from 5-8 hours to complete
ADON / MDS Coordinator
Dalhart, TX · On-site
$85K/yr
Every Medicaid resident has an additional form that must be filled out for TMHP, which requires listing all meds, etc. * The process from start to finish takes anywhere from 5-8 hours to complete
Clerk (IDD Services)
Wichita Falls, TX · On-site
$11.69/hr
Position will perform complex data entry in the Client Assignment Registration data base (CARE), Texas Medicaid Healthcare Portal (TMHP), and Helen Farabee Centers' software system (SmartCare). Run ...
Clerk (IDD Services)
Wichita Falls, TX · On-site
$11.69/hr
Position will perform complex data entry in the Client Assignment Registration data base (CARE), Texas Medicaid Healthcare Portal (TMHP), and Helen Farabee Centers' software system (SmartCare). Run ...
CHWs may not begin seeing clients or billing for services until all required HHSC/TMHP and Managed Care Organization (MCO) contracting is fully completed and approved. Required CHW Qualifications ...
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CHWs may not begin seeing clients or billing for services until all required HHSC/TMHP and Managed Care Organization (MCO) contracting is fully completed and approved. Required CHW Qualifications ...
Habilitation Coordinator (Preadmission Screening and Resident Review) IDD 2015
Harlingen, TX · On-site
$38K - $41K/yr
Reviews Texas Medicaid & Healthcare Partnership (TMHP) internet portal for new and pending assessments. Responsible for conducting screening and evaluation of person(s) seeking admission into a ...
Habilitation Coordinator (Preadmission Screening and Resident Review) IDD 2015
Harlingen, TX · On-site
$38K - $41K/yr
Reviews Texas Medicaid & Healthcare Partnership (TMHP) internet portal for new and pending assessments. Responsible for conducting screening and evaluation of person(s) seeking admission into a ...
Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.) * Intermediate level of proficiency with Excel, Word, Outlook and Adobe * Delegated credentialing experience (preferred) * Knowledge ...
Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.) * Intermediate level of proficiency with Excel, Word, Outlook and Adobe * Delegated credentialing experience (preferred) * Knowledge ...
This person is also responsible for monitoring all rate releases made by the Texas Medicaid Health Partnership (TMHP) and by HHSC, for the State of Texas to ensure that all fee schedules are updated ...
This person is also responsible for monitoring all rate releases made by the Texas Medicaid Health Partnership (TMHP) and by HHSC, for the State of Texas to ensure that all fee schedules are updated ...
... TMHP) and contracted payers. This position is responsible for submitting accurate and complete provider organizational and facilities providers enrollment applications, following up with payer ...
... TMHP) and contracted payers. This position is responsible for submitting accurate and complete provider organizational and facilities providers enrollment applications, following up with payer ...
BCBA - Fully Remote
Katy, TX · On-site
$90K - $110K/yr
Must be credentialed with TMHP (Texas Medicaid Health Plan), Texas Children's, UHC, & Well point * Strong leadership, communication, and organization skills Preferred: * 2+ years in Applied Behavior ...
BCBA - Fully Remote
Katy, TX · On-site
$90K - $110K/yr
Must be credentialed with TMHP (Texas Medicaid Health Plan), Texas Children's, UHC, & Well point * Strong leadership, communication, and organization skills Preferred: * 2+ years in Applied Behavior ...
BCBA - Fully Remote
Katy, TX · On-site +1
$90K - $110K/yr
Must be credentialed with TMHP (Texas Medicaid Health Plan), Texas Children's, UHC, & Well point * Strong leadership, communication, and organization skills Preferred: * 2+ years in Applied Behavior ...
BCBA - Fully Remote
Katy, TX · On-site +1
$90K - $110K/yr
Must be credentialed with TMHP (Texas Medicaid Health Plan), Texas Children's, UHC, & Well point * Strong leadership, communication, and organization skills Preferred: * 2+ years in Applied Behavior ...
... TMHP) and contracted payers. This position is responsible for submitting accurate and complete provider organizational and facilities providers enrollment applications, following up with payer ...
Quick apply
... TMHP) and contracted payers. This position is responsible for submitting accurate and complete provider organizational and facilities providers enrollment applications, following up with payer ...
Coordinate provider credentialing and reimbursement activities with Texas Medicaid & Healthcare Partnership (TMHP), Beacon Health Options, North Texas Behavioral Health, and other external agencies.
Coordinate provider credentialing and reimbursement activities with Texas Medicaid & Healthcare Partnership (TMHP), Beacon Health Options, North Texas Behavioral Health, and other external agencies.
BCBA - Fully Remote
Katy, TX · Remote
$90K - $110K/yr
Must be credentialed with TMHP (Texas Medicaid Health Plan), Texas Children's, UHC, & Well point * Strong leadership, communication, and organization skills Preferred: * 2+ years in Applied Behavior ...
Quick apply
BCBA - Fully Remote
Katy, TX · Remote
$90K - $110K/yr
Must be credentialed with TMHP (Texas Medicaid Health Plan), Texas Children's, UHC, & Well point * Strong leadership, communication, and organization skills Preferred: * 2+ years in Applied Behavior ...
Tmhp information
What is a TMHP?
A TMHP job typically refers to a position at Texas Medicaid & Healthcare Partnership (TMHP), which assists with Medicaid provider enrollment, claims processing, and program inquiries in Texas. Employees in these roles may work in customer service, claims adjudication, or provider support to help healthcare providers navigate Medicaid policies. TMHP staff ensure compliance with state regulations and facilitate efficient healthcare reimbursement.
What are the key skills and qualifications needed to thrive in the TMHP position, and why are they important?
To excel as a Texas Medicaid Healthcare Partnership (TMHP) Provider, you must have a thorough knowledge of Medicaid billing, claims processing, and medical coding standards, often supported by certifications such as CPC or Certified Medical Reimbursement Specialist. Familiarity with TMHP portal systems, Medicaid policy manuals, and electronic health record (EHR) software is essential. Strong attention to detail, problem-solving ability, and effective communication help providers coordinate efficiently with healthcare teams and payers. These skills are crucial to ensure accurate claim submissions, regulatory compliance, and timely reimbursement for healthcare services.
What are some common challenges that TMHP providers face in their daily work?
TMHP providers often navigate complex Medicaid regulations, frequent policy updates, and detailed medical documentation requirements, which can create challenges in staying compliant. Managing claim denials or delays and accurately interpreting Medicaid guidelines requires diligence and ongoing education. Collaboration with billing teams and state agencies is essential, as miscommunication can impact reimbursement and patient care continuity. However, strong organizational skills, regular training, and proactive communication can help providers effectively address these challenges and maintain efficient operations.
What job categories do people searching Tmhp jobs look for?
The top searched job categories for Tmhp jobs are:
- Remote Medicare Recovery Audit Contractor
- Remote Penn Medicine Penn Medicine
- Night Shift Remote Medical Credentialing
- Remote Bilingual Community Health Worker
- Remote Medical Staff Credentialing
- Remote Women S Advocacy
- Remote Aya Healthcare
- Remote Dementia Nurse Specialist
- Remote Reading Hospital Tower Health
- Remote Organizational Behavior

Executive Director - Medicaid Program Accountant (Finance & Accounting)
Houston, TX • On-site
Full-time
Re-posted 13 days ago
Houston Independent School District rating
5.4
Based on 31 frontline employees who took The Breakroom Quiz
527th of 632 rated elementary and secondary schools
Job description
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Job Description
The Executive Director - School Health and Related Services Program Accountant - Accounting & Finance serves as HISD's lead finance/accounting operator for its SHARS Program, a Texas-administered Medicaid program operating under federal Medicaid law. This is a senior-level accounting and compliance position responsible for fiscal oversight, revenue maximization, internal controls, and regulatory compliance for all SHARS reimbursement activities. The position ensures full compliance with Texas Health and Human Services Commission (HHSC) rules, Texas Medicaid & Healthcare Partnership (TMHP) billing requirements, Texas Education Agency (TEA) guidance, HISD policies, and applicable federal Medicaid regulations, while safeguarding district financial integrity and audit readiness.
Responsibilities
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Responsibilities
- Executive Leadership & Program Governance
- Serve as the district's executive authority for the SHARS program, providing strategic direction, fiscal governance, and long-term sustainability planning.
- Advise the CFOO/Controller on SHARS revenue, risk exposure, audit findings, and compliance matters.
- Fiscal Management & Accounting Oversight
- Direct all accounting functions related to SHARS revenues, including:
- Revenue recognition and reconciliation
- Maintenance of SHARS-specific general ledger accounts
- Cash receipts, accruals, and adjustments
- Ensure SHARS revenues are recorded in accordance with HISD standards and financial policies.
- Prepare and present monthly financial reports detailing SHARS revenue performance, trends, and projections.
- SHARS Billing & TMHP Claims Administration
- Oversee the end-to-end SHARS billing cycle in TMHP, ensuring:
- Accurate submission of claims for eligible SHARS services
- Timely correction and resubmission of denied or adjusted claims
- Compliance with TMHP billing manuals, policy updates, and deadlines
- Establish internal controls to ensure that claims are supported by valid IEPs, provider credentials, and compliant service documentation.
- State/Federal Compliance and Audit Monitoring
- Ensure HISD compliance with:
- Texas Administrative Code related to SHARS
- HHSC and TMHP SHARS policy manuals
- Federal Medicaid requirements applicable to school-based services
- Lead preparation for and response to:
- TMHP reviews
- HHSC or TEA monitoring
- State and federal audits
- Develop and maintain corrective action plans when required and ensure timely resolution of findings.
- Coordinate PEIMS/finance alignment and other cross-functional reporting dependencies with district teams as needed.
- Documentation, Internal Controls & Risk Management
- Establish and enforce districtwide policies and procedures governing:
- SHARS documentation standards
- Provider credential verification
- Time studies (if applicable)
- Record retention requirements
- Conduct periodic internal reviews to identify compliance risks and implement corrective measures.
- Data Analysis & Revenue Optimization
- Analyze SHARS data to monitor:
- Claim acceptance and denial rates
- Provider productivity
- Revenue trends by service type
- Use data to improve billing accuracy, strengthen compliance, and maximize allowable SHARS reimbursement.
- Interagency Coordination and Communication
- Serve as HISD's primary liaison with:
- Texas Medicaid & Healthcare Partnership (TMHP)
- Texas Health and Human Services Commission (HHSC)
- Education Service Centers (ESCs)
- External auditors and consultants
- Oversee SHARS vendor contracts, monitor performance, and ensure contract compliance.
- Other duties as assigned.
Qualifications
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Job Qualifications
EDUCATION
Bachelor's degree in accounting, finance, or related field Master's Degree Preferred Active CPA Preferred
WORK EXPERIENCE
7+ years progressive accounting/finance experience, including: Medicaid program administration Internal controls and audit support Budgeting/forecasting and variance analysis Experience in public sector / school district finance (Texas preferred).
TYPE OF SKILL AND/OR REQUIRED LICENSING/CERTIFICATION
Software Oracle SAP Microsoft Office Certifications/Licensure Certified Public Accountant (CPA) Equipment Office equipment (e.g., computer, copier) Deep knowledge of GAAP-based accounting operations, internal controls, and audit standards. Strong command of budgeting, forecasting, and executive financial storytelling Knowledge of TEA, FASRG, and GASB/FASB compliance Ability to operate in a high-accountability environment with multiple stakeholders and time-sensitive deliverables. High discretion, strong judgment, and ability to escalate issues with clear recommendations. Strong strategic thinking and analytical skills, with the ability to translate vision into actionable plans. Demonstrated track record of successfully leading and managing teams, fostering a high-performance culture. Excellent communication and interpersonal skills, with the ability to effectively engage and influence stakeholders at all levels. Strong financial acumen, with experience in budget planning, financial management, and resource allocation. Proven ability to develop and implement strategic initiatives that drive organizational growth and impact. Exceptional problem-solving and decision-making abilities, with the capacity to navigate complex challenges. Demonstrated ability to build and maintain positive relationships with internal and external stakeholders. Strong project management skills, with the ability to manage multiple priorities and meet deadlines. Knowledge of relevant industry regulations, compliance standards, and best practices. Ability to adapt to change and lead teams through organizational transitions. Commitment to diversity, equity, and inclusion principles and practices. Strong ethical standards and integrity in decision-making. Professional certifications or memberships relevant to the industry or leadership role are desirable.
LEADERSHIP RESPONSIBILITIES
Directs two or more levels of management in the development, deployment and ongoing management of key initiatives covering multiple major disciplines with direct accountability for results in terms of effectiveness, costs, methods, and employees. Establishes operational objectives and assignments for multiple disciplines/functional areas and possibly departments. Evaluates recommendations of others, deciding on course of action in ambiguous situations, and oversee the deployment of innovative solutions. Collaborates with senior leadership to develop strategies and broad departmental objectives; establishes methods, techniques and evaluation criteria for projects, programs, and people in the achievement of strategic objectives.
WORK COMPLEXITY/INDEPENDENT JUDGMENT
Work is non-standardized and widely varied, involving many complex and significant variables including significant time spent planning, evaluating complex solutions and issues, and negotiating outcomes. Strong analytic ability and inductive thinking are frequently required to devise new approaches to situations where previously accepted solutions have proven inadequate. Position regularly makes recommendations to management on areas of significance to the division. Supervision received typically consists of providing periodic coaching, advice, and feedback.
BUDGET AUTHORITY
Compiles and organizes data and figures. Analyzes and interprets data and figures. Specifies requirements for a plan and/or budget. Participates in a group plan and/or budget development. Approves budgets.
PROBLEM SOLVING
Decisions are made with greater freedom and discretion, including recommendations that are subject to approval on matters that may affect multiple departments across HISD. Job is frequently expected to recommend new solutions to problems, to improve existing methods/procedures/services and generate new ideas. May also review decisions made by other individuals on more routine matters.
IMPACT OF DECISIONS
Decisions have considerable impact to multiple divisions or the organization causing risks or improvements to relationships, significant efficiencies, or delays in operations, and/or significant financial gains or expenses. Errors are serious and difficult to discover, normally involve decisions not subject to detailed review and will result in excessive costs and/or significant project delays.
COMMUNICATION/INTERACTIONS
Negotiate and influence - interpret department strategies and services, resolves conflicts, influences outcomes on matters of significance for the division, conducts final negotiations and coordinates approvals/decision making below the executive level. Interactions are typically with customers and Top Management.
CUSTOMER RELATIONSHIPS
Regularly assesses and diffuses complex and escalate customer issues. Takes personal responsibility and accountability for solving systemic customer service problems. Regularly explores alternative and creative solutions to meeting the needs of the customer within HISD's policies and guidelines.
WORKING/ENVIRONMENTAL CONDITIONS
Work is normally performed in a typical interior work environment which does not subject the employee to any hazardous or unpleasant elements.
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Benefits
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About Houston ISD
Sourced by ZipRecruiter
Industry
Education programs administration
Company size
10,000+ Employees
Headquarters location
Houston, TX, US
Year founded
1879