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Functional Title: LTSS Senior Policy Advisor 
Job Title: Program Specialist VII 
Agency: Health & Human Services Comm 
Department: Program Policy Spec B 
Posting Number: 21101 
Closing Date: 09/18/2026 
Posting Audience: Internal and External 
Occupational Category: Community and Social Services 
Salary Range: $5,797.66 - $9,508.25 
Pay Frequency: Monthly
Salary Group: TEXAS-B-25 
Shift: Day 
Additional Shift: Days (First) 
Telework:  
Travel: Up to 5% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
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 
 
 
 

Brief Job Description

The Program Policy team within the Medicaid and CHIP Services (MCS) Office of Policy is seeking a Long-term Services and Supports (LTSS) Senior Policy Advisor (PSVII) who is passionate about improving independence and choice for fellow Texans with disabilities. We are looking for a highly motivated individual who will serve as a team lead for the LTSS Special Projects Team. The selected individual will report to the manager of the LTSS Special Projects Team in the Office of Policy.

LTSS Special Projects work aligns with state and federal policy initiatives, including but not limited to the Home and Community Based Services (HCBS) Settings Rule, person-centered practices and planning, the CMS Access Rule, and LTSS quality measures. The focus of the LTSS Special Projects team shifts depending on agency and division priorities, so the LTSS Senior Policy Advisor workload will shift to accommodate these changes. The selected candidate will have experience with policy and program development in long-term services and supports provided through both fee-for-service and managed care.

This position will be directly involved in developing and implementing public policy which will positively impact millions of current and future Medicaid members through initiatives that emphasize access to community life. The ideal candidate:

• Thrives in a fast-paced, dynamic work environment that will allow you to learn and grow with the position.
• Is able to analyze complex state and federal polices and identify impacts to current Medicaid LTSS and propose recommendations.
• Is able to work collaboratively as part of a team and independently, and function effectively as a team lead.
• Has strong critical thinking skills;
• Has excellent communication skills, and is able to present complex information in a manner that is clear and easy to understand for a general audience.
• Is organized and has strength in project management skills such as tracking project progress and deliverables, developing project charters, conducting project kick-off activities, and working on multiple tasks and projects at a time. 
• Is a self-starter, able to plan and initiate projects even with limited direction.

The position is not supervisory, but will train, lead, and prioritize the work of others on the team. The applicant selected for this position will work closely with project stakeholders and other agency partners and have exposure to other Medicaid programs and services. Interest in and ability to work collaboratively with internal and external stakeholders is essential for this position.

Essential Job Functions (EJF)

(25%) Develops, implements, and manages projects and initiatives related to LTSS Special Projects.

(20%) Leads advanced research, analysis, and evaluation of complex policy issues and initiatives related to Medicaid LTSS Special Projects

(15%) Leads and participates in workgroups and meetings with internal and external stakeholders as a LTSS and special projects  subject matter expert or team lead.

(15%) Develops presentations and training material and provides education and outreach for internal and external stakeholders on LTSS Special Projects.

(15%) Develops high-quality written project updates, summaries, reports, executive presentations, bill analyses, and other documents, and provides briefings as needed.

(10%) Supports the manager with overseeing the daily operations of the unit team including planning, prioritizing, and reviewing and assigning work to others.

Registrations, Licensure Requirements or Certifications

N/A

Knowledge Skills and Abilities

Knowledge of:

• Best practices for managing and negotiating competing interests of multiple parties, resolving conflicts, and establishing and maintaining effective working relationships; and
• Texas Medicaid LTSS programs and policies.

Skill in:

• Developing and implementing creative and workable solutions to complex problems;
• Implementing project management and organizational principles to maintain and track implementation milestones, identify risks, and ensure changes to project scope are efficiently communicated and vetted.
• Verbal and written communication.
• Researching and analyzing Medicaid LTSS state and federal policies and programs

Ability to:

• Exercise sound judgment and work independently with limited direction in a leadership role;
• Work cooperatively and effectively in a team environment;
• Participate in strategic planning with manager of Program Policy;
• Synthesize complicated and technical information and translate it into easily understandable and concise documents and/or presentations; and
• Negotiate competing interests of multiple parties, resolve conflicts, and establish and maintain effective working relationships.

Initial Screening Criteria:

Required:

• Graduation from an accredited four-year college or university. 
• Experience developing or overseeing advanced (senior-level) deliverables, reports, or other technical writing work products.
• At least four years’ experience in working on policy, program, or quality initiatives in Medicaid LTSS programs and services, such as 1915(c) Medicaid waiver programs and community first choice services

Preferred:

• Master’s degree

Additional Information

State of Texas employees participate in outstanding benefits:

• Excellent health benefits,
• Defined Benefit Retirement Plan, and
• Generous leave benefits.

Additional benefits of joining the MCS Office of Policy include:

• Leadership commitment to invest in and foster your professional growth and knowledge of the Texas Medicaid program and your career advancement.
• The ability to impact the lives of thousands of Medicaid clients that depend on Medicaid services throughout Texas.
• Being on the ground level of healthcare policy implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, managed care organizations, and other healthcare contractors.
• Engagement with the Texas legislative process, including the opportunity to analyze and inform legislators of potential impact of proposed bills.
• Being part of a team at the forefront of interpreting, implementing, and developing policies with statewide impact.

The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal and state Medicaid partnerships and other activities related to the administration of the Medicaid program.

Note: The salary range posted for this position is the State Auditor’s Office minimum to maximum for salary group B25. Factors including but not limited to Human Resources policies, budgetary limitations, qualifications, and experience will inform the final salary offer. 

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Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.