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HEALTH AND HUMAN SERVICES COMMISSION Quality Management Specialist in Austin, Texas

Job/Position DescriptionProgram Specialist VThis position is eligible for 100% telework consistent with the HHS telework policy. Travel to a regional HHS office for meetings and pick up or repair of HHS-issued equipment, may be required.The HHSC Behavioral Health Services Quality Management (QM) Specialist works under the supervision of the Quality Management Manager, or his/her designee, performing complex, advanced consultative and technical work requiring specialized knowledge in the evaluation and continuous improvement of services, programs and organizations. Works as a team member. Plans, develops, implements and functions as team member/leader for onsite and desk reviews and studies to determine service quality and compliance with contracts, grants, laws, regulations, policies, and procedures to continuously improve the quality and efficacy of services. Evaluates the services delivered to consumers and business functions for managing care, ensures the effective communication of findings to customers, evaluates providersand#146; plans of correction/improvement and conducts follow-up to determine if improvements have been made and maintained. Conducts highly advanced assessment of multifaceted compliance information from within the division, across the agency and from auditing information to determine monitoring needs and steps to bring a contractor into compliance. Leads, participates and contributes in cross-functional teams/workgroups, trainings and inter-agency and intra-agency work. Performs Lead role in Behavioral Health Services (BHS) and unit initiative implementation. Designs, develops and implements effective policies and protocols for evaluation and monitoring of business functions and service delivery; to include designing, collecting, synthesizing, analyzing and evaluating performance measures and other data. Work includes developing performance reports, conducting data analysis to evaluate the effectiveness of systems, standards, and policies. Collects, analyzes and performs complex interpretation of data to evaluate performance, utilization, compliance with laws, regulations, policies, procedures, contractual performance indicators, best practices, organizational risks and service delivery gaps and make recommendations to management and providers. Studies and analyzes operations and prepares reports of findings and recommendations, prepares administrative reports, studies, and specialized research projects. Participates in activities such as risk assessment to determine priorities for the evaluation and the development of standards and procedures for major departmental initiatives. Performs complex analysis and interpretation of data to identify trends and best practices, makes recommendations to management and providers. Produces professional, accurate communications, provides technical support and training related to compliance, quality management and identification of best practices, makes presentations and responds to inquiries from providers and the community. Works under limited supervision with considerable latitude for the use of initiative and independent judgment and sometimes supervises the work of others. Essential Job FunctionsEJF1. Plans, implements and functions as Review leader for onsite, desk, focused and statewide reviews to assess service quality and compliance with Behavioral Health contracts, grants, applicable Federal and state laws, regulations, policies, and procedures; and prepares the required reports or responses as appropriate. Maintain https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/job_profile.cfm?szOrderID=605727 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.

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