Quality Management Program Specialist

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Employee Benefits:

DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page.

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Functional Title: Quality Management Program Specialist 
Job Title: Program Specialist I 
Agency: Dept of State Health Services 
Department: TX Ctr for Infectious Disease 
Posting Number: 12938 
Closing Date: 07/17/2026 
Posting Audience: Internal and External 
Occupational Category: Healthcare Support 
Salary Group: TEXAS-B-17 
Salary Range: $4,583.00 - $5,372.41 
Pay Frequency: Monthly
Shift: Compressed Weekend 
Additional Shift: Days (First) 
Telework: Not Eligible for Telework 
Travel:  
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location: Texas Center for Infectious Disease 
Job Location City: SAN ANTONIO 
Job Location Address: 2303 SE MILITARY DR 
Other Locations: San Antonio 
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS 
 
 
 

Brief Job Decription:

Under the supervision of the Director of Quality Management, the Program Specialist I in Quality Management (QM) assists in coordinating the compliance, evaluation, and continuous improvement of healthcare services and programs within the hospital. This position supports hospital compliance with Joint Commission, Centers for Medicare & Medicaid Services (CMS), and applicable state and departmental regulatory standards.

Primary responsibilities include researching regulatory standards, developing and maintaining hospital policies and procedures, conducting routine audits and mock tracers, supporting mock survey activities, and assisting with the development and monitoring of Plans of Correction (POCs) for identified compliance gaps. The Program Specialist I works closely with the Quality Management team, hospital leadership, medical staff, and operational departments to support accreditation readiness and ongoing quality improvement efforts.

This position works under limited supervision with latitude for initiative and independent judgment within established guidelines.

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy. [5%]

Assists in monitoring hospital compliance with Joint Commission, CMS, and applicable state regulatory standards, including tracking compliance status and identifying gaps. [20%]

Researches Joint Commission, CMS, and state regulatory requirements and develops, revises, and maintains hospital policies and procedures to ensure alignment with current standards and regulatory expectations. [20%]

Participates in and conducts mock tracers, mock surveys, and routine compliance audits in collaboration with the Quality Management team to assess readiness for accreditation and regulatory surveys. Assists with documentation review, staff interviews, identification of compliance gaps, and tracking of corrective actions. [15%]

Prepares reports, dashboards, and presentations that inform quality improvement and regulatory compliance efforts for Executive Leadership, Medical Staff Executive Committee, Governing Body, and Quality Management committees. [15%]

Assists with the coordination, documentation, and follow-up of activities related to the Medical Staff Executive Committee and Governing Body, ensuring compliance-related items are appropriately tracked and addressed. [10%]

Serves on hospital committees and workgroups as assigned, contributing quality, patient safety, and compliance support. [10%]

Performs other duties as assigned, including participation in disaster response, emergency preparedness, and Continuity of Operations (COOP) activities. [5%]

Knowledge, Skills and Abilities (KSAs):

Knowledge of or experience with Joint Commission and CMS accreditation standards and healthcare regulatory requirements.

Knowledge of policy and procedure development, revision, and document control processes.

Knowledge of performance improvement and quality management principles.

Strong written and verbal communication skills.

Proficiency in Microsoft Word, Excel, and PowerPoint.

Skill in preparing reports and tracking compliance and corrective actions.

Ability to work collaboratively with multidisciplinary teams.

Ability to interpret and apply regulatory requirements in operational and clinical settings.

Ability to analyze data and present findings clearly and accurately.

Ability to conduct or participate in mock tracers, mock surveys, and compliance audits in a hospital or clinical environment.

Registrations, Licensure Requirements or Certifications:

None required

Initial Screening Criteria:

Bachelor’s degree from an accredited university.

Experience related to healthcare quality management, accreditation, regulatory compliance, policy development, or performance improvement activities.

Experience may be substituted for education.

Additional Information:

Comply with a Tobacco Free Campus and all employment checks and testing.

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 for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com.

Salary Information, Pre-employment Checks, and Work Eligibility:

• The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds.
• Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
• DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work.  Download the I-9 form