Specialty Health Quality Assurance Specialist Job Austin area,Texas USA,Quality Assurance

Date:
Jan 20, 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 HHS webpage.

Functional

Title:

Specialty Health Quality Assurance Specialist

Job Title: Quality Assurance Spec III

Agency: Health & Human Services Comm

Department: Title V MOE CSHCN

Posting Number: 13039

Closing Date: 02/19/2026

Posting Audience: Internal and External

Occupational Category: Community and Social Services

Salary Group: TEXAS-B-20

Salary Range: $4,263.16 - $5,521.16

Pay Frequency: Monthly

Shift: Day

Additional Shift: Days (First)

Telework is noted;
Travel: Regular/Temporary

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility

Location:

Austin

Job Location City: AUSTIN

Job Location Address: 701 W 51ST ST

Other Locations: Austin

MOS Codes: No military equivalent

Brief

Job Description

The Quality Assurance Specialist reports directly to the Administrative Services Manager for Specialty Health (SH). The role performs advanced quality assurance (QA) activities across SH program operations, including assessments and improvements related to call center performance, eligibility processing, provider enrollment, and reimbursement functions. The Quality Assurance Specialist will serve as a subject-matter resource for reviewing service delivery, analyzing performance metrics, and identifying opportunities for improvement.

The Quality Assurance Specialist develops and presents clear reports, dashboards, and recommendations for improving operations to SH programs and leadership. This role collaborates with program staff and partners to design quality measures, conduct monitoring, and support improvement initiatives that enhance program efficiency, consistency, accuracy, and client experience.

Essential Job Functions (EJFs)

Plans, coordinates, and executes quality monitoring plans for call center operations, eligibility processing, provider enrollment, and reimbursement functions. Conduct quality reviews of SH program functions, including call evaluation, application and redetermination processing, and claims and payment activities on a regular schedule. Reviews, refines, and optimizes quality monitoring procedures and tools to ensure accuracy and alignment with program goals. Performs data collection, analysis, and interpretation from quality reviews and operational reports.

Prepares detailed, actionable reports and dashboards that identify patterns, risks, and performance gaps. Summarizes and communicates quality findings to SH leadership and program teams. Assist team members with quality reviews and consolidate results into clear summaries and recommendations.

Collaborates with SH program areas to establish meaningful quality improvement metrics that reflect program expectations and client needs. Plans, initiates, and manages improvement initiatives resulting from monitoring findings, patterns, and data trends. Conducts root-cause analyses and supports development of improvement plans. Oversee the full lifecycle of assigned quality assurance projects, including planning, execution, monitoring, and reporting. Maintains and updates project documentation such as project plans, process maps, results summaries, and gap analyses.

Provides clear recommendations to leadership and program areas on opportunities for improvement and areas needing further review. Tracks outcomes of improvement activities to ensure intended results are achieved.

Serves as a point of contact and subject-matter resource for quality assurance and improvement activities. Works with programs to understand operational processes and areas where additional quality review or monitoring may be needed. Develops and updates documentation, guidance materials, checklists, review tools, and training resources related to quality standards and monitoring expectations. Communicates review findings, improvement needs, and quality expectations in a clear and accessible manner.

Provides technical assistance to staff and leadership to support implementation of improvement recommendations. Supports consistency across SH program areas by clarifying expectations and sharing quality insights with internal teams.

Other Duties as Assigned. May include participating in disaster response or recovery operations, supporting continuity of operations efforts, and assisting the agency in emergent needs consistent with the responsibilities of this position.

Knowledge, Skills, And Abilities (KSAs)

Knowledge of local, state, and federal laws related to the program areas and, public administration; of quality assurance…


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