Job/Position DescriptionThe Deputy Chief Medical Director for the Medicaid and CHIP Services (MCS) division serves as a key clinical leader in the Office of the Medical Director (OMD). MCS is driven by its mission to deliver quality, cost-effective services to Texans. Among other functions, OMD provides clinical consultation and guidance to other areas within MCS, throughout the Agency, and to external stakeholder organizations. It works to provide a clinical vision for improving the health of Texans by aligning MCS programs with state public and population health priorities.In addition to providing clinical consultation and guidance, this role also leads the Waiver Eligibility Team. The Waiver Eligibility Team conducts medical necessity determinations for children and youth served by the Medically Dependent Children Program (MDCP). The work involved is highly advanced (senior-level) clinical and administrative work to include rendering medical necessity determinations, leading a team of clinical staff, and integrating knowledge of the Medicaid and CHIP programs with up-to-date healthcare practices and evidence-based clinical guidelines. Duties may include directing training and the provision of technical assistance to HHSC staff as well as provide clinical guidance and interpretation of HHSC policy. The position interfaces with a variety of stakeholders to include providers, advocates, vendors advisory committees, legislators, Medicaid managed care organizations, and other state agencies (e.g. Department of State Health Services). Reporting to the Chief Medical Director of MCS, this position works under minimal supervision with extensive latitude for the use of initiative and independent judgment. The Deputy Chief Medical Director serves as Acting Chief Medical Director for MCS when the Chief Medical Director is on leave or otherwise unavailable.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.Candidate must be in the Austin area. This is a hybrid telework eligible position that will initially require at least two in-office workdays per week and may later allow for more work from home days. Candidate must be willing to travel to State Office (North Austin Complex,4601 W Guadalupe St, Austin, TX 78751) based on business needs even if not on a scheduled in-office workday. Essential Job FunctionsLeads the Waiver Eligibility Team - Performs and supervises the review of assessments and associated documentation for determination of waiver eligibility, interprets complex state and federal laws, regulations, and rules related to the program, guides staff in the interpretation of medical policy, provides day to day clinical guidance, support and leadership for review activities and decisions, advises nurses and leaders in the clinical decision-making activities. (40%)Represents unit at fair hearings and administrative reviews regarding medical necessity determinations - Reviews documentation generated internally and submitted from external sources as part of the proceedings. (20%)Directs the provision of clinical consultation to Medicaid and CHIP, other HHSC areas and sister agencies on policies and program development - Advises on policy and clinical oversight for Medicaid and CHIP program recipients to includ https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/job_profile.cfm?szOrderID=619163 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.