Contract Specialist IV
Texas Health and Human Services, San Antonio, Texas, United States, 78208
Overview
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:
Contract Specialist IV
Job Title:
Contract Specialist IV
Agency:
Health & Human Services Comm
Department:
HCS/TxHmL Enroll & CLASS/DBMD
Posting Number:
13233
Closing Date:
02/10/2026
Posting Audience:
Internal and External
Occupational Category:
Community and Social Services
Salary Group:
TEXAS-B-22
Salary Range:
$4,801.16 - $7,761.50
Pay Frequency:
Monthly
Shift:
Day
Telework:
Eligible for Telework
Travel:
Up to 50%
Regular/Temporary:
Regular
Full Time/Part Time:
Full time
FLSA Exempt/Non-Exempt:
Nonexempt
Job Location City:
SAN ANTONIO
Job Location Address:
1067 BANDERA RD
Other Locations:
Austin; San Antonio
Job Purpose The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Contract Specialist IV. MCS is driven by its mission to deliver quality, cost-effective services to Texans. The ideal candidate thrives in an environment that emphasizes teamwork, excellence, accountability, curiosity, critical thinking, and integrity. This position performs contract monitoring reviews for Medicaid Waiver Programs such as the Community Living Assistance and Support Services (CLASS) and Deaf-Blind with Multiple Disabilities (DBMD) providers. It provides senior-level consultative and technical assistance to HHSC program and contract management staff, program providers, contractors, consumers, family members and guardians, and advocates. It may plan, assign, and supervise the work of others, works under minimal supervision, and may train others.
Essential Job Functions (EJFs)
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
EJF 1 (40%) : Prepares, leads and conducts contract and fiscal compliance monitoring reviews of contracted CLASS and DBMD providers to determine compliance with program guidelines, rules, laws and/or statutes. Works with program staff in determining trends and resolving technical problems. Responsible for completing sample selection and all other functions necessary for monitoring and review activity. Ensures any correspondence or forms are accurate and concise. Provides accurate information related to recovery of identified overpayments. Communicates effectively with internal and external stakeholders regarding provider correspondence items (Demand Letters, Payment Plans, etc.). Accurately evaluates providers’ eligibility for payment plans.
EJF 2 (20%) : Prepares written reports and tracks CLASS and DBMD performance measurements. Provides tracking for all corrective action plans and recoupments including reporting and compliance with HHSC’s provisions for tracking, letters, and communications. Effectively communicates with internal and external stakeholders.
EJF 3 (20%) : Assists in preparing justifications for the implementation of procedural or policy changes. Assists in the review of CLASS and DBMD program area functions and operations, identifies areas of needed changes, and develops plans to improve or initiate programs or to address areas of concern. Analyzes business practices related to fiscal and contract compliance to develop corrective action. Develops and performs quality assurance oversight activities for the provider monitoring unit as assigned.
EJF 4 (10%) : Acts as liaison with individuals receiving services, agencies and internal program staff to explain and provide technical assistance on agency and program statutory requirements for CLASS and DBMD. Collaborates on analysis and documentation of CLASS and DBMD program policies. Provides technical assistance and training to CLASS and DBMD providers regarding billing guidelines and Texas Administrative Code to facilitate compliance with contract requirements. Prepares justifications for procedural changes pertaining to CLASS and DBMD. Prepares administrative reports, studies, and specialized research projects.
EJF 5 (5%) : May recommend and coordinate activities to produce more effective CLASS and DBMD programs. May develop policy and procedure manuals.
EJF 6 (5%) : Produces high quality products within timeframes specified by supervisor. Identify and request training appropriate to job functions, as needed. May train others. Performs related work as assigned.
Knowledge, Skills and Abilities (KSAs) Knowledge In
Knowledge of local, state, and federal laws related to Medicaid Long Term Care waiver programs.
Knowledge of CLASS and DBMD waiver programs.
Knowledge of public administration and management techniques.
Knowledge of statistical analysis processes and research techniques.
Knowledge of program planning and implementation.
Knowledge of technical assistance and administrative techniques.
Knowledge of project management practices and implementation.
Skill In
Formulating written communication for various audiences.
Managing cross-organizational projects.
Managing competing priorities using personal computing devices.
Data analysis, report development, and use of performance metrics to drive outcomes.
Operating a computer and applicable software, specifically Excel, SharePoint, PowerPoint, and Word, at an intermediate skill level.
Ability To
Analyze, synthesize and summarize proposed changes to state laws, program rules and regulations.
Gather, assemble, and correlate facts.
Make decisions and devise solutions to problems and provide leadership and staff advice.
Express oneself clearly orally and write or compile concise strategic or operational reports, legislative reports, studies and presentations as needed.
Write and evaluate procedures.
Support the work of others.
Work with diverse groups, stakeholders, agency departments and leaders.
Intermediate skill level using MS Excel, Word, and PowerPoint, required.
Registrations, Licensure Requirements Or Certifications To maintain employment as a Contract Specialist, this position will require an applicant to obtain specialized certification as a Certified Texas Contract Manager (CTCM). If not currently a CTCM, the selected candidate must obtain CTCM certification within 12 months of hire date unless otherwise approved by supervisor and maintain certification throughout employment. Position requires a valid Texas driver’s license.
Initial Screening Criteria
Graduation from an accredited four-year college or university with major course work in a human service-related, business, or legal field, plus 4 years relevant work experience conducting auditing, compliance oversight, case management, or fiscal monitoring.
Experience with 26 TAC Chapter 52 Community Services programs, and interpretation of an organization’s policies and procedures, guidelines, handbooks, laws, rules and/or statutes, preferred.
Experience in conducting auditing, financial oversight, fiscal or contract compliance monitoring, or other types of relevant oversight activities, required.
Experience Developing And Implementing Policies And Procedures, Required.
Ability to travel at least 50% of the time with some travel including overnight stays, required.
Qualified Intellectual Disability Professional (QIDP) preferred.
Additional Information HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. Duties will require extensive statewide travel including overnight as required to perform assigned duties. As an employee, it will be necessary to have a valid Texas driver's license to perform duties. 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.
Nearest Major Market: San Antonio
#J-18808-Ljbffr
Functional Title:
Contract Specialist IV
Job Title:
Contract Specialist IV
Agency:
Health & Human Services Comm
Department:
HCS/TxHmL Enroll & CLASS/DBMD
Posting Number:
13233
Closing Date:
02/10/2026
Posting Audience:
Internal and External
Occupational Category:
Community and Social Services
Salary Group:
TEXAS-B-22
Salary Range:
$4,801.16 - $7,761.50
Pay Frequency:
Monthly
Shift:
Day
Telework:
Eligible for Telework
Travel:
Up to 50%
Regular/Temporary:
Regular
Full Time/Part Time:
Full time
FLSA Exempt/Non-Exempt:
Nonexempt
Job Location City:
SAN ANTONIO
Job Location Address:
1067 BANDERA RD
Other Locations:
Austin; San Antonio
Job Purpose The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Contract Specialist IV. MCS is driven by its mission to deliver quality, cost-effective services to Texans. The ideal candidate thrives in an environment that emphasizes teamwork, excellence, accountability, curiosity, critical thinking, and integrity. This position performs contract monitoring reviews for Medicaid Waiver Programs such as the Community Living Assistance and Support Services (CLASS) and Deaf-Blind with Multiple Disabilities (DBMD) providers. It provides senior-level consultative and technical assistance to HHSC program and contract management staff, program providers, contractors, consumers, family members and guardians, and advocates. It may plan, assign, and supervise the work of others, works under minimal supervision, and may train others.
Essential Job Functions (EJFs)
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
EJF 1 (40%) : Prepares, leads and conducts contract and fiscal compliance monitoring reviews of contracted CLASS and DBMD providers to determine compliance with program guidelines, rules, laws and/or statutes. Works with program staff in determining trends and resolving technical problems. Responsible for completing sample selection and all other functions necessary for monitoring and review activity. Ensures any correspondence or forms are accurate and concise. Provides accurate information related to recovery of identified overpayments. Communicates effectively with internal and external stakeholders regarding provider correspondence items (Demand Letters, Payment Plans, etc.). Accurately evaluates providers’ eligibility for payment plans.
EJF 2 (20%) : Prepares written reports and tracks CLASS and DBMD performance measurements. Provides tracking for all corrective action plans and recoupments including reporting and compliance with HHSC’s provisions for tracking, letters, and communications. Effectively communicates with internal and external stakeholders.
EJF 3 (20%) : Assists in preparing justifications for the implementation of procedural or policy changes. Assists in the review of CLASS and DBMD program area functions and operations, identifies areas of needed changes, and develops plans to improve or initiate programs or to address areas of concern. Analyzes business practices related to fiscal and contract compliance to develop corrective action. Develops and performs quality assurance oversight activities for the provider monitoring unit as assigned.
EJF 4 (10%) : Acts as liaison with individuals receiving services, agencies and internal program staff to explain and provide technical assistance on agency and program statutory requirements for CLASS and DBMD. Collaborates on analysis and documentation of CLASS and DBMD program policies. Provides technical assistance and training to CLASS and DBMD providers regarding billing guidelines and Texas Administrative Code to facilitate compliance with contract requirements. Prepares justifications for procedural changes pertaining to CLASS and DBMD. Prepares administrative reports, studies, and specialized research projects.
EJF 5 (5%) : May recommend and coordinate activities to produce more effective CLASS and DBMD programs. May develop policy and procedure manuals.
EJF 6 (5%) : Produces high quality products within timeframes specified by supervisor. Identify and request training appropriate to job functions, as needed. May train others. Performs related work as assigned.
Knowledge, Skills and Abilities (KSAs) Knowledge In
Knowledge of local, state, and federal laws related to Medicaid Long Term Care waiver programs.
Knowledge of CLASS and DBMD waiver programs.
Knowledge of public administration and management techniques.
Knowledge of statistical analysis processes and research techniques.
Knowledge of program planning and implementation.
Knowledge of technical assistance and administrative techniques.
Knowledge of project management practices and implementation.
Skill In
Formulating written communication for various audiences.
Managing cross-organizational projects.
Managing competing priorities using personal computing devices.
Data analysis, report development, and use of performance metrics to drive outcomes.
Operating a computer and applicable software, specifically Excel, SharePoint, PowerPoint, and Word, at an intermediate skill level.
Ability To
Analyze, synthesize and summarize proposed changes to state laws, program rules and regulations.
Gather, assemble, and correlate facts.
Make decisions and devise solutions to problems and provide leadership and staff advice.
Express oneself clearly orally and write or compile concise strategic or operational reports, legislative reports, studies and presentations as needed.
Write and evaluate procedures.
Support the work of others.
Work with diverse groups, stakeholders, agency departments and leaders.
Intermediate skill level using MS Excel, Word, and PowerPoint, required.
Registrations, Licensure Requirements Or Certifications To maintain employment as a Contract Specialist, this position will require an applicant to obtain specialized certification as a Certified Texas Contract Manager (CTCM). If not currently a CTCM, the selected candidate must obtain CTCM certification within 12 months of hire date unless otherwise approved by supervisor and maintain certification throughout employment. Position requires a valid Texas driver’s license.
Initial Screening Criteria
Graduation from an accredited four-year college or university with major course work in a human service-related, business, or legal field, plus 4 years relevant work experience conducting auditing, compliance oversight, case management, or fiscal monitoring.
Experience with 26 TAC Chapter 52 Community Services programs, and interpretation of an organization’s policies and procedures, guidelines, handbooks, laws, rules and/or statutes, preferred.
Experience in conducting auditing, financial oversight, fiscal or contract compliance monitoring, or other types of relevant oversight activities, required.
Experience Developing And Implementing Policies And Procedures, Required.
Ability to travel at least 50% of the time with some travel including overnight stays, required.
Qualified Intellectual Disability Professional (QIDP) preferred.
Additional Information HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. Duties will require extensive statewide travel including overnight as required to perform assigned duties. As an employee, it will be necessary to have a valid Texas driver's license to perform duties. 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.
Nearest Major Market: San Antonio
#J-18808-Ljbffr