Director of Provider Relations

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Functional Title: Director of Provider Relations
Job Title: Director III
Agency: Health & Human Services Comm
Department: MCS Chief Office
Posting Number: 10613
Closing Date: 11/07/2025
Posting Audience: Internal and External
Occupational Category: Community and Social Services
Salary Group: TEXAS-B-28
Salary Range: $7,716.66 - $13,051.00
Pay Frequency: Monthly
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: 4601 W GUADALUPE ST
Other Locations: Austin
MOS Codes: 8003,8040,8041,8042,10C0,111X,112X,113X,114X,20C0,30C0,40C0,611X,612X,631X,641X,648X,90G0,91C0,91W0
97E0,SEI15

Brief Job Description

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) Office seeks a highly qualified candidate to fill the position of Director of Provider Relations (Director III). MCS is driven by its mission to deliver quality, cost-effective services to Texans. This director is a key leadership position with a broad range of strategic responsibilities related to MCS’ goal to encourage providers to participate in the Medicaid program, thus making a significant contribution to the division’s mission.

Reporting to the Deputy State Medicaid Director (DSMD), a major focus of responsibility will be strengthening relationships and business operations through proactive engagement with provider associations and individual providers. This role will support providers through the implementation of significant program changes and develop solutions to systemic issues.

The Director of Provider Relations will lead projects to address systematic issues identified through provider engagement, and data analysis. Additionally, the Director will collaborate with provider stakeholders to evaluate policy, process, and technology changes for potential impacts, provide leadership on effectively managing the identified impacts, and monitor implementation of key initiatives. The Director of Provider Relations will also work with the DSMD on strategic, cross-divisional initiatives that impact providers.

The ideal candidate will be an innovative thinker with demonstrated leadership experience, knowledge of managed care best practices, experience driving strategic partnerships and improvements, and excellent communication skills. The individual in this position must be an expert collaborator adept at maintaining and fostering relationships with providers, key stakeholders, HHSC staff, and other agencies.

Works under minimal supervision with extensive latitude for the use of initiative and independent judgment.

Essential job functions:

• Drives the vision for engaging providers to strengthen collaboration on the overall goals of the Texas Medicaid program.
• Oversees the development and deployment of solutions to systemic provider issues and ensures effective feedback or problem resolution is provided.
• Coordinates and participates in relevant provider forums and meetings to ensure discussions facilitate improved relationships between providers, HHSC and managed care organizations.
• Directs and serves as a key internal advisor to other MCS units regarding provider perspectives and supports ensuring providers have accurate and timely information.
• Liaisons with HHSC Information Technology (IT) and contracted state vendors to ensure provider-related technology system changes prioritize the user experience and consider innovative approaches to reduce administrative burden.
• Researches and stays abreast of emerging provider issues within the Medicaid program in Texas and nationally.
• Develops and implements procedures necessary to support effective and efficient provider relations across HHSC departments and within MCS.
• Conducts regular assessments of provider communication methods and recommends improvements that support clear, concise, and timely information.
• Performs other related duties as assigned and attends work on a regular and predictable schedule in accordance with agency leave policy.

Registrations, Licensure Requirements or Certifications:

N/A

Knowledge, skills, and abilities:

Knowledge of:

• Texas Medicaid and CHIP services, provider priorities and concerns, public and private health care systems, state and federal laws, program requirements and financing; and
• State and federal legislative process.

Ability to

• Establish effective internal controls that promote adherence to applicable state/federal laws and HHSC Medicaid/CHIP program requirements.
• Understand and effectively interpret agency and program rules, policies, and to navigate agency procedures and processes to reach desired outcomes.
• Communicate effectively orally and in writing.
• Coordinate activities among public, private, and professional groups; express ideas clearly and concisely; address audiences effectively; and exercise judgment in evaluating situations, making decisions, and negotiating solutions.
• Direct the work of others.
• Work independently with minimal supervision.

Skill in

• Gathering, synthesizing and evaluating highly complicated and technical information and translating it into easily understandable and concise documents and oral presentations for agency executives, elected officials, and the public.
• Complex problem solving and analysis.

Initial screening criteria:

Graduation from an accredited university with a bachelor’s degree (required) or master’s degree (preferred), with a minimum of 7 years of relevant government, consulting or health industry experience. Experience related to health care provider relationship management or direct experience with Medicaid and CHIP is preferred.

Additional Information

N/A

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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.