Location: Southwest Field Office
Department: Medicaid - D
Area:District Wide
Contract Months:12
Salary Range: $65,000.00 – $85,000.00
Academic Year: 25-26
The Program Manager 2 – Medicaid Services serves as the subject matter expert for the School Health and Related Services (SHARS) and eSHARS systems, providing expert guidance and support to Houston ISD and client district staff. This position facilitates training for Houston ISD and client school districts on Medicaid program policies, implementation procedures, and service delivery reimbursement processes. The Program Manager also certifies Medicaid compliance requirements for HISD and each client district’s Medicaid revenue programs and oversees account management (aging of accounts) by monitoring, analyzing, and coordinating ongoing operations to maximize Medicaid revenue while ensuring full compliance with state and federal regulations.
1. Coordinates, monitors and ensures medical claiming and SHARS policy guidelines are followed. Analyzes daily operations, resolves issues, and prioritizes assignments. Provides training to client district administrators, clinicians, and health and related service providers on the eSHARS system, as well as Medicaid regulatory and audit compliance requirements.
2. Routinely travels with in HISD and/or across Texas to facilitate training, coordinate and provide support on Medicaid program policies, regulations, and the eSHARS system. Meets with assigned campuses or districts to review infrastructure, ongoing operations, cloud-based data systems, and other support services to ensure maximum Medicaid revenue and program compliance.
3. Coordinates and actively supports the resolution of client district customer concerns and issues by serving as a primary point of contact. Investigates and assesses reported problems, collaborates with relevant teams or stakeholders to identify effective solutions, and ensures timely follow-up to address and resolve issues. Provides guidance, resources, and training as needed to prevent recurring challenges and enhance overall client satisfaction. Maintains detailed records of concerns, resolutions, and best practices to inform process improvements and support continuous service quality.
4. Acquires, compiles, and maintains current program operations data and criteria to ensure infrastructure operations effectiveness to applicable policies and performs HISD and client district program audits to meet state/federal compliance.
5. Facilitates effective communication with the technology team regarding reported issues and system bugs to support timely resolution. This includes reproducing errors, assisting with system testing, and participating in quality assurance activities prior to software production releases.
6. Prepares and files required reports to ensure client districts compliance with state and federal Medicaid requirements, including mission-critical Medicaid, SHARS Cost Reports, Certification of Expended Funds (COEF) and Maintenance of Effort (MOE) compliance to USHHS Office of Inspector General (OIG) disclosures.
7. Conducts regular Medicaid compliance status meetings, providing updates to key stakeholders while addressing any concerns, risks, or issues to ensure ongoing adherence to program requirements.
8. Fosters strong relationships with Houston ISD and client district stakeholders, promoting engagement, collaboration, and effective partnership to support program success.
9. Stay informed about industry trends, emerging technologies, and account management practices to enhance knowledge and skills.
10. Perform other duties as assigned
Bachelor's degree
Proven experience 1-3 years
• Strong understanding of account management principles, methodologies, and tools.
• Excellent organizational and time management skills, with the ability to manage multiple projects simultaneously.
• Demonstrated ability to lead and motivate cross-functional teams towards achieving project goals and deliverables.
• Excellent communication and interpersonal skills, with the ability to effectively collaborate with stakeholders at all levels.
• Strong problem-solving and decision-making abilities, with a proactive and solutions-oriented mindset.
• Proficient in account management, eSHARS software and tools for planning, tracking, and reporting.
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
• Strong attention to detail and quality, ensuring high standards of project deliverables.
• Flexibility and adaptability to changing project requirements and priorities.
• Strong analytical and critical thinking skills, with the ability to identify and mitigate project risks.
• Ability to travel as required.
Work Leadership. Provides day-to-day direction to staff; may become directly involved, as required, to meet schedules and resolve problems. Leading and directing typically involves monitoring work and providing guidance on escalated issues. Most of work time is spent performing many of same duties they are leading.
Work involves the application of moderately complex procedures and tasks that are quite varied. Independent judgment is often required to select and apply the most appropriate of available resources. Ongoing supervision is provided on an "as needed" basis.
No budget development activity is required.
Decisions are made on both routine and non-routine matters with some latitude, but are still subject to approval. Job is occasionally expected to recommend new solutions to problems and improve existing methods or generate new ideas.
Decisions have minor, small and possibly incremental impact on the department or facility. Errors are usually discovered in succeeding operations where most of the work is verified or checked and is normally confined to a single department or phase of the organizational activities resulting in brief inconvenience.
Collaborate and solve problems - works with others to resolve problems, clarify or interpret complex information/policies, and provide initial screening/negotiations without approval authority. Interactions are typically with customers, senior level professional staff, and managers.
Takes routine or required customer actions to meet customer needs. Responds promptly and accurately to customer complaints, inquiries and requests for information and coordinates appropriate follow-up. May handle escalated issues passed on from coworkers or subordinates.
Work is normally performed in a typical interior work environment which does not subject the employee to any hazardous or unpleasant elements. Must be able to travel to HISD Campuses or client districts.
Ability to carry and/or lift less than 15 pounds.
Houston Independent School District is an equal opportunity employer.
The Houston Independent School District is the largest public school system in Texas and the eighth largest in the United States. Its schools are dedicated to giving every student the best possible education through an intensive core curriculum and specialized, challenging instructional and career programs. HISD is empowers students to become critical thinkers, visionary leaders, and active contributors in their community, fostering a pathway to success for limitless opportunities in a competitive global landscape.
