Nurse IV (Manager)

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Nurse IV (Manager)

Job Title: Nurse IV

Agency: Health & Human Services Comm

Department: Medical&Dental Benefits Policy

Posting Number: 19040

Closing Date: 07/29/2026

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Range: $6,377.50 - $10,785.83

Pay Frequency: Monthly

Salary Group: TEXAS-B-26

Shift: Day

Additional Shift: Days (First)

Telework:

Travel: Up to 10%

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: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

NURSE IV (Manager of Team C in MDBP)

Brief Job Description

The Medical and Dental Benefit Policy (MDBP) Team within the Medicaid and CHIP Services (MCS) Office of Policy is seeking a Nurse IV Manager who is passionate about improving critical services for fellow Texans and leading a team of dedicated clinical and non-clinical staff.

The Nurse IV Manager supervisory position is responsible for overseeing a team, primarily comprised of nurses, but also includes other professionals. The team is one of six Medical and Dental Benefits teams and develops and updates the medical and dental benefits used in Texas Medicaid.

Texas Medicaid is one of the largest Medicaid programs in the country with annual budget of over $35 billion and a responsibility to provide services to over 4 million Texans. The top applicant will ensure the proper functioning of benefits essential to the safety and independence of millions of children and adults in Texas that depend on vital services.

The Medical and Dental Benefits Policy Nurse IV Manager reports to the Director of Medical and Dental Benefits Policy in the Office of Policy. This position performs highly advanced (senior-level) managerial work administering daily operations and activities related to the development of clinically complex policies for Medicaid medical benefits. The work conducted and overseen by this position is multifaceted, technical, and requires high-level analytical skills and outstanding interpersonal skills as well as clinical knowledge. The position involves effective facilitation and negotiation within MDBP, with other areas within the Division, HHS, business operations, claims administrator contractors, other vendors, and various external stakeholder groups in addition to program and applications maintenance and development.

The position must be able to effectively synthesize evidence-based clinical information from a variety of sources (current practice, literature and evidence, other states, and federal and state guidance, etc.) when providing direction to staff. This position must have outstanding interpersonal skills, excellent clinical competence, and be able to effectively lead a team as well as be a team player.

The Nurse IV Manager works under the general direction of the Medical and Dental Benefits Policy Director with extensive latitude for the use of initiative and independent judgment.

Essential Job Functions

(30%) Plans, assigns, and supervises the work of staff in the development of clinically complex policies for Texas Medicaid medical and dental benefits. Provides leadership and support to staff for the development of those policies. Incorporates coaching, support, and appropriate delegation to ensure staff and business area success. Oversight and leadership functions include tracking assigned tasks, meeting deadlines, identifying available resources for new assignments, and reviewing and approving all team's work products. Organizing and developing materials such as research papers, summaries, presentations, and reports in response to requests for program and clinical information from providers, stakeholders, legislative or executive staff, and others.

(30%) Facilitates communication within the Office of Policy, Office of Medical Director, other MCS areas, and areas within HHS and other agencies, vendors, and stakeholders. Assists with negotiations and problem-solving to ensure quality of work and that work is performed within time frames. Identifies areas of needed change and makes recommendations to improve operations. Remains solution oriented. Informs the Director of activities and emerging issues and proposes remedies.

(20%) Ensures staff are trained to complete assigned work. Motivates staff through positive and constructive feedback and communication related to work performance and communicating expectations. Motivates staff through positive and constructive feedback, fostering professional development, collaboration among and between teams, and promoting constructive interpersonal communication within their team. Assists staff in constructively dealing with change, as appropriate. Establishes goals and standards for the team and develops measurement tools for determining progress for meeting goals/standards, such as performance evaluations, progress plans, and spreadsheet tracking. Continuously works toward excellence, process improvement, and professional development of self and team. Performs human resource requirements including approval of time and leave, recruiting potential staff, interviewing, hiring, and advising staff.

(15%) Leads or participates in agency work groups as necessary for successful implementation of projects, policies, and initiatives. Works with and speaks to community and professional groups, other HHSC programs, other state agencies, legislative staff, and public stakeholders, to provide information, technical assistance, identify needs and resolve issues. Makes presentations and offers recommendations to executive and leadership staff. Reviews and approves staff responses to legislative, provider, and other stakeholder requests for information.

(5%) Performs other duties as assigned to support and meet the needs of the agency.

Knowledge, Skills, and Abilities

Knowledge of:

• How to research clinical, scholarly, academic, and peer-reviewed literature.
• Effective leadership, motivational techniques, and best practices working with multiple stakeholders.
• Healthcare systems and policy development

Skill in:

• Written and oral communication.
• Making public presentations, writing technical information in an understandable organized format, and producing sophisticated research reports.
• Managing competing priorities and establishing and maintaining effective working relationships.
• Using personal computer application software such as Outlook, Teams, Microsoft Word, Power Point, Excel, and other similar programs.

Ability to:

• Effectively plan, assign, and supervise the work of others.
• Clearly communicate and adhere to deadlines.
• Communicate effectively by leading and motivating staff.
• Apply a coaching management style to include active listening, asking questions, providing constructive/collaborative feedback, building trust, and setting SMART goals.
• Engage with staff, addressing staffs needs, communications, individual styles, and work products in real-time, while using a supportive and even-handed approach.
• Manage multiple staff at multiple levels of experience, backgrounds, and expertise while maintaining a positive attitude.
• Evaluate and consider alternatives to issues to propose effective recommendations to leadership.
• Work cooperatively and collaboratively as a team-member in a rapid-paced, deadline-oriented environment.
• Lead project teams while working with multiple stakeholders to set clear goals, boundaries, and expectations across diverse groups and audiences.
• Identify problems, assemble and analyze facts, to collaboratively and independently devise solutions to problems.
• Exercise good judgment and work independently with minimum supervision.

Registrations, Licensure Requirements, or Certifications

Requires a current license to practice as a Registered Nurse (RN) in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

Initial Selection Criteria

Required: Current license to practice as a Registered Nurse (RN) in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

Required: Supervisory, team-lead, or senior advisor experience.

Required: Medicaid or other governmental healthcare or related healthcare policy experience.

Required: Experience in leading or overseeing projects, as well as analyzing, utilizing, and applying evidenced-based research in work products.

Required: A bachelors degree is required; a nursing degree is preferred but other bachelor's degrees may be considered.

Preferred: Master's degree in nursing is preferred, but master's degree in other areas such as public health, health policy, biology or other health fields, may be considered.

Preferred: Experience working with Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes.

Additional Information

Benefits of joining the MCS Office of Policy include:

• Leadership commitment to invest in and foster your professional growth or knowledge of the Texas Medicaid program and your career advancement.
• Having a profound impact on the lives of thousands of Medicaid clients that depend on Medicaid Services throughout Texas.
• Being on the ground level of medical and dental benefits implementation, including the opportunity to work closely with stakeholders such as federal partners, providers, advocates, professional organizations, managed care organizations, and other healthcare contractors.
• Engagement with the Texas legislative process to analyze and inform legislators of potential impact of proposed bills.
• Being part of a team at the forefront of interpreting, implementing, and developing policy that has statewide impact.
• The opportunity to learn and engage with multiple domains of the healthcare delivery system, including managed care, fee-for-service, federal/state Medicaid partnerships and other activities related to the administration of the Medicaid program.
• Selected candidates may be asked to complete an inbox exercise as part of the interview process.

Note: Factors including but not limited to HR Policies, budgetary limitations, qualifications, experience, and tenure will determine 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 Auditors 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.