Quality Analyst Job Austin area,Texas USA,Healthcare

Overview

Date:
Jan 22, 2026

Location:

AUSTIN, TX

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 HHSC webpage.

Job Information

Functional

Title:

Quality Analyst
Job Title: Program Specialist VII
Agency: Health & Human Services Comm
Department: Quality Assurance
Posting Number: 13038
Closing Date: 02/05/2026
Posting Audience: Internal and External
Occupational Category: Community and Social Services
Salary Group: TEXAS-B-25
Salary Range: $5,797.66 - $9,508.25
Pay Frequency: Monthly
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: Exempt
Job Location City: AUSTIN
Job Location Address: 701 W 51ST ST
Other Locations: Austin
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Job Description

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of Program Specialist VII. The Program Specialist VII reports to the Managed Long Term Services and Supports (MLTSS) Quality Manager and works as part of the Quality Assurance team within Quality and Program Improvement to improve health outcomes for Texas Medicaid and CHIP members.

This position works under minimal supervision with extensive latitude for the use of initiative and independent judgment. The Program Specialist VII performs highly advanced consultative and technical work, including developing and implementing healthcare quality initiatives and evaluating the performance of contracted managed care organizations (MCOs).

MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by using data-driven evidence-based approaches to hold Medicaid and CHIP MCOs accountable, ensure access to high-quality care, and drive quality-based innovation. The ideal candidate thrives in an environment that emphasizes: teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy.

Essential

Job Functions

20% Works with program staff in determining trends and resolving technical problems. Coordinates with staff across areas and agencies and with contractors; acts as a liaison with agencies and internal programs to explain and provide technical assistance on agency and program statutory requirements. Recommends and coordinates activities to produce more effective programs.

20% Researches and analyzes the implications of new state and federal policies and legislation related to healthcare quality. Analyzes state legislation related to quality initiatives delivered through managed care and suggests changes to legislative language. Implements quality-related legislative initiatives. Prepares legislative reports.

20% Prepares high-quality research, analyses, summaries, and other documents as assigned. Develops materials for preparation or follow up to work groups and meetings conducted for internal and external stakeholders. Interprets agency rules and federal and state laws. Oversees compliance with program policies, procedures, statutes, and rules and takes corrective action if needed. Develops reports, policies and procedures, and analysis tools.

20% Develops and manages highly complex initiatives that evaluate and directly impact the performance of managed care organizations within the Medicaid and CHIP managed care programs. Plans, develops, coordinates, and implements quality related program and operational policy changes and initiatives. Develops recommendations relating to changes in programs and operational policies related to managed care and provides input related to health quality initiatives.

20% Reviews and analyzes quality performance information including technical reports, datasets, and analyses completed by Texas’s external quality review organization. Works with other areas of MCS to review and improve understanding of quality metrics and reports and develops strategies to improve health plan performance. Provides consultative services and technical recommendations to MCOs on applicable topics and works with MCOs’ staff to resolve technical and operational issues.

Works closely with other program areas within HHSC enterprise, and associated vendors, to ensure operational processes and systems are…


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