AMVETS Jobs

Job/Position DescriptionTexas Health and Human Services Commission (HHSC) seeks a highly qualified candidate to fill the position of Health Texas Women (HTW) Nurse Policy Analyst (Nurse IV). HHSC is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to HHSCand#146;s mission by performing complex medical benefits policy analysis, development, and consultation. The position requires excellent writing skills and strong research skills, including experience conducting comprehensive literature reviews using a variety of resources such as PubMed/Medline, Hayes, and other health literature electronic databases; must be able to synthesize findings for clinical and lay audiences, and apply findings to medical benefit policy development in the HTW program. These findings must be interpreted correctly in accordance with the HTW program's requirements.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. The HTW Nurse Policy Analyst (Nurse IV) position reports to the Medical and Dental Benefits Policy (MDBP) Manager in the Office of Policy, Medicaid and CHIP Services Department. The Nurse Policy Analyst in this position must be proactive in seeking input from other staff in the Medicaid and CHIP Services and Family Health Services (FHS) departments and demonstrate the ability to work as an effective team member with other divisions within HHSC and other HHS agencies. The Nurse Policy Analyst in this position will be asked to participate in internal workgroups and must work well with peers.Essential Job Functions(30%) Clinical Review of the Literature and#150; Researches, analyzes, evaluates, and synthesizes peer-reviewed literature and evidence-based practices for application to HTW medical and mental health benefit policy. Synthesizes complex technical medical information verbally or in writing to nonclinical audiences. Consults with stakeholders to address HTW program benefit policy issues. (30%) Develops policies and#150; Reviews and updates current benefits and develops new benefits for HTW medical policy. Identifies eligibility standards and authorization requirements for benefit policy. Collaborates, as needed, with MDBP staff as well as HHSC staff in other programs and other State agencies, and the claims system administrators for program benefit policy development, planning, and implementation. Develops, reviews, and provides comments on HTW materials intended for use by vendors, providers, managed care organizations, and other partners. (20%) Quality Assurance - Participates in quality assurance activities through the development and review of HTW program medical and mental health benefits, including: reviewing documentation, reviewing and approving medical benefits language for internal and forward-facing publications, documenting and tracking research, reviewing policy development, discussions, and draft program benefit policy changes. Assists in the review and referral of complaints concerning medical and other providers and services. (15%) Special Projects and Workgroups - Leads or participates in workgroups and public meetings engaged in research, analysis, and evaluation of policy issues or initiatives. Positively represents department, agency, and State https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/job_profile.cfm?szOrderID=620417 Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.