Quality Management Program Specialist

Overview

Date:
Jan 16, 2026

Location:

SAN ANTONIO, TX

DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas. If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us.

Employee Benefits DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page. Review our Top 10 Tips for Success when Applying to State of Texas Jobs.

Functional Title: Quality Management Program Specialist

Job Title: Program Specialist I

Agency: Dept of State Health Services

Department: TX Ctr for Infectious Disease

Posting Number: 12938

Closing Date: 07/17/2026

Posting Audience: Internal and External

Occupational Category: Healthcare Support

Salary Group: TEXAS-B-17

Salary Range: $4,583.00 - $5,372.41

Pay Frequency: Monthly

Shift: Compressed Weekend

Additional Shift: Days (First)

Telework: Not Eligible for Telework

Travel: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location: Texas Center for Infectious Disease

Job Location City: SAN ANTONIO

Job Location Address: 2303 SE MILITARY DR

Other Locations: San Antonio

MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Under the supervision of the Director of Quality Management, the Program Specialist I in Quality Management (QM) assists in coordinating the compliance, evaluation, and continuous improvement of healthcare services and programs within the hospital. This position supports hospital compliance with Joint Commission, Centers for Medicare & Medicaid Services (CMS), and applicable state and departmental regulatory standards.

Primary responsibilities include researching regulatory standards, developing and maintaining hospital policies and procedures, conducting routine audits and mock tracers, supporting mock survey activities, and assisting with the development and monitoring of Plans of Correction (POCs) for identified compliance gaps. The Program Specialist I works closely with the Quality Management team, hospital leadership, medical staff, and operational departments to support accreditation readiness and ongoing quality improvement efforts.

This position works under limited supervision with latitude for initiative and independent judgment within established guidelines.

• Attends work on a regular and predictable schedule in accordance with agency leave policy. [5%]
• Assists in monitoring hospital compliance with Joint Commission, CMS, and applicable state regulatory standards, including tracking compliance status and identifying gaps. [20%]
• Researches Joint Commission, CMS, and state regulatory requirements and develops, revises, and maintains hospital policies and procedures to ensure alignment with current standards and regulatory expectations. [20%]
• Participates in and conducts mock tracers, mock surveys, and routine compliance audits in collaboration with the Quality Management team to assess readiness for accreditation and regulatory surveys. Assists with documentation review, staff interviews, identification of compliance gaps, and tracking of corrective actions. [15%]
• Prepares reports, dashboards, and presentations that inform quality improvement and regulatory compliance efforts for Executive Leadership, Medical Staff Executive Committee, Governing Body, and Quality Management committees. [15%]
• Assists with the coordination, documentation, and follow-up of activities related to the Medical Staff Executive Committee and Governing Body, ensuring compliance-related items are appropriately tracked and addressed. [10%]
• Serves on hospital committees and work groups as assigned, contributing quality, patient safety, and compliance support. [10%]
• Performs other duties as assigned, including participation in disaster response, emergency preparedness, and Continuity of Operations (COOP) activities. [5%]

• Knowledge of or experience with Joint Commission and CMS accreditation standards and healthcare regulatory requirements.
• Knowledge of policy and procedure development, revision, and document control processes.
• Knowledge of performance improvement and quality management principles.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Word, Excel, and PowerPoint.
• Skill in preparing reports and tracking compliance and corrective actions.
• Ability to work collaboratively with multidisciplinary teams.
• Ability to interpret and apply regulatory requirements in operational and clinical settings.
• Ability to analyze data and present findings clearly and accurately.
• Ability to conduct or participate in mock tracers, mock surveys, and compliance audits in a hospital or clinical…