Why This Role Exists The healthcare system is a fragmented maze, and patients are often left to navigate it alone. This isn't a role for someone who wants to check boxes or file paperwork. We are looking for a high-agency operator who views case management as a strategic mission. You exist to bridge the gap between clinical intent and actual patient outcomes, ensuring that no patient "falls through the cracks" due to systemic friction. What You’ll Be Responsible For (Outcomes) We measure success by the friction you remove and the health milestones your patients achieve. Your focus will be on: - Clinical Path Mastery: You don't just "monitor" care; you drive it. You ensure every patient follows an optimized, evidence-based trajectory, preempting complications before they require emergency intervention - Systemic Efficiency: You will identify bottlenecks in the referral and authorization process and dismantle them, ensuring that administrative hurdles never delay life-critical care - Resource Synthesis: You will curate and deploy a bespoke network of community, clinical, and financial resources for each case, treating every patient’s recovery as a high-stakes project - Stakeholder Alignment: You act as the "single source of truth" between doctors, insurers, and families, ensuring 100% alignment on the care objective Who You Are - High Agency: When you hit a "no," you find the "yes." You don’t wait for permission to solve a patient's problem - Outcome-Obsessed: You care more about whether the patient got better than whether the form was filled out (though you know the form is a means to that end) - Strategic Communicator: You can speak "medical" to a surgeon, "benefits" to an insurance adjuster, and "empathy" to a grieving family member - Radically Organized: You thrive in the chaos of a 30+ case load because your personal systems are bulletproof Who This Is NOT For - The "Clock-Puncher": If you are looking for a role where you can passively wait for the next task to be assigned, this isn't it. - The Bureaucrat: If you prefer hiding behind "policy" rather than solving a human problem, you will be frustrated here. - The Non-Tech-Savvy: If navigating new software or using data to drive your day feels like a chore, you won't keep up with our pace. What Success Looks Like - Day 30: You have audited your full caseload, identified the top 10% highest-risk patients, and initiated proactive intervention plans for each. - Day 90: You have significantly reduced the "time-to-care" for your patients, successfully navigating insurance barriers faster than the previous benchmark. - Year 1: Your patient cohort shows a measurable decrease in ER utilization and a marked increase in patient satisfaction scores. You have become a key contributor to our operational "playbook."

Why This Role Exists The healthcare system is a fragmented maze, and patients are often left to navigate it alone. This isn't a role for someone who wants to check boxes or file paperwork. We are looking for a high-agency operator who views case management as a strategic mission. You exist to bridge the gap between clinical intent and actual patient outcomes, ensuring that no patient "falls through the cracks" due to systemic friction. What You’ll Be Responsible For (Outcomes) We measure success by the friction you remove and the health milestones your patients achieve. Your focus will be on: - Clinical Path Mastery: You don't just "monitor" care; you drive it. You ensure every patient follows an optimized, evidence-based trajectory, preempting complications before they require emergency intervention - Systemic Efficiency: You will identify bottlenecks in the referral and authorization process and dismantle them, ensuring that administrative hurdles never delay life-critical care - Resource Synthesis: You will curate and deploy a bespoke network of community, clinical, and financial resources for each case, treating every patient’s recovery as a high-stakes project - Stakeholder Alignment: You act as the "single source of truth" between doctors, insurers, and families, ensuring 100% alignment on the care objective Who You Are - High Agency: When you hit a "no," you find the "yes." You don’t wait for permission to solve a patient's problem - Outcome-Obsessed: You care more about whether the patient got better than whether the form was filled out (though you know the form is a means to that end) - Strategic Communicator: You can speak "medical" to a surgeon, "benefits" to an insurance adjuster, and "empathy" to a grieving family member - Radically Organized: You thrive in the chaos of a 30+ case load because your personal systems are bulletproof Who This Is NOT For - The "Clock-Puncher": If you are looking for a role where you can passively wait for the next task to be assigned, this isn't it. - The Bureaucrat: If you prefer hiding behind "policy" rather than solving a human problem, you will be frustrated here. - The Non-Tech-Savvy: If navigating new software or using data to drive your day feels like a chore, you won't keep up with our pace. What Success Looks Like - Day 30: You have audited your full caseload, identified the top 10% highest-risk patients, and initiated proactive intervention plans for each. - Day 90: You have significantly reduced the "time-to-care" for your patients, successfully navigating insurance barriers faster than the previous benchmark. - Year 1: Your patient cohort shows a measurable decrease in ER utilization and a marked increase in patient satisfaction scores. You have become a key contributor to our operational "playbook."

The Texas Department of Family and Protective Services (DFPS) works to build on strengths of families and communities to keep children and vulnerable adults safe, so they thrive. We do this through investigations, services, and referrals. What You Get Beyond Your Paycheck When you join the State of Texas, your monthly paycheck is just one part of your real income. Our benefits provide extra value that many private employers simply don’t match—often adding hundreds of dollars each month to what you take home or save. Here’s what you get as a full-time employee: - 100% paid health insurance for you, and 50% paid for eligible family members—saving you hundreds every month in out-of-pocket medical costs - Retirement plans with lifetime monthly payments after five years of state service, plus options to save even more with 401(k) and 457 plans - Paid vacation, holidays, and sick leave so you can recharge and take care of life outside work (that’s time off you’re actually paid for) - Optional dental, vision, and life insurance—at rates much lower than most private plans - Flexible spending accounts for added tax savings on health and dependent care - Employee discounts on things like gym memberships, electronics, and entertainment You also might qualify for Public Service Loan Forgiveness, which could help you pay off federal student loans faster. You can see all the details here: ERS recruitment brochure Functional Title: IT-OPS O365/Exchange Administrator Job Title: Systems Administrator V Agency: Dept of Family & Protectve Svc Department: IT Operations-Operating Posting Number: 15923 Closing Date: 06/16/2026 Posting Audience: Internal and External Occupational Category: Computer and Mathematical Salary Range: $5,797.66 - $9,508.25 Pay Frequency: Monthly Salary Group: TEXAS-B-25 Shift: Day Additional Shift: Days (First) Telework: Eligible for 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: 4900 N LAMAR BLVD Other Locations: MOS Codes: 0605,0670,0671,0679,2651,5974,6049,6694,8858,17C,17C0,17DX,17S,17SX,181X,182X,1B4X1,1D7X1,255A,255N 255S,255Z,25B,25D,26A,26B,26Z,514A,5C0X1D,5C0X1N,5C0X1S,681X,682X,781X,782X,784X,CTI,CTM,CTT,CWT CYB10,CYB11,ISM,IT,ITS Brief Job Description: This position will serve as a System Analyst V – O365 Administrator reporting to the Server Operations Manager within the IT Operational Support Division of DFPS Information Technology Services. This position will perform advanced computer systems analysis work. Work for this position involves O365 administration, PowerShell scripting, data analysis and server administration. The work will be performed in a team environment where the individual will script, test, implement and support critical systems in support of the Department of Family and Protective Services (DFPS). The duties of this resource are vital to ensuring that systems using automated scripts are properly supported with expertise and skills at a high level. Applicant will support servers by performing hardware and software support along with assisting with data storage. Applicant will support e-Discovery requests as needed. The individual will work under minimal direction with considerable latitude for the use of initiative and independent judgment. Utilizes advanced technical skills to supply scripted automated solutions for simple and complex functionality in the way of deliverables related to the daily operations/maintenance, design, and implementation of applications with a wide range of client and agency specific functionality. The applicant will support cross agency business process analysis projects with all HHS agencies. The analyst will be on-call in a 24/7 environment. This position is 100% telework within the state of Texas and requires that the candidate maintain personal wi-fi and webcam capabilities during work hours to perform their duties. This position often works outside normal business hours, nights, and weekends. This position may, on rare occasions, be required to perform work onsite. This position is a full-time position that includes other State of Texas benefits as described in this SAO site: http://www.sao.texas.gov/SAOReports/ReportNumber?id=18-704 Essential Job Functions (EJFs): - Manages the agency’s O365/Exchange environment, processes eDiscovery requests, and develops and maintains custom scripts. - Develops and maintains related procedures, processes, and documentation as needed. - Investigates, develops, and implements solutions for agency issues and requirements. - Works Helpdesk tickets and troubleshoots email issues to resolution. - Documents results of all testing, including reasons for disapprovals when applicable. - Conducts and participates in intra- and inter-agency automation meetings, technical forums, and IT workgroups/committees. - Maintains all related installation and configuration parameters. - Recommends and conducts research of hardware and software that may prove beneficial to the agency’s mission. - Communicates directly with agency staff and outsourced vendors to provide guidance regarding installation, troubleshooting and configuration. - Coordinates posting of instructional documentation for technical and non-technical groups. - Keeps informed of the latest advancements in IT to ensure the smooth transition of the agency’s information technology and business requirements. - Adheres to all Texas Department of Family and Protective Services HR policies and performs related work as assigned to maintain operations. Knowledge, Skills and Abilities (KSAs): - Working knowledge of O365 configuration and management with preferred expert level understanding of MS Exchange, SMTP and .Net development, Teams, and other components of Office and M365 services - Working knowledge of best practices supporting O365/M365 implementations, with preference given to experience in large government organizations - Working knowledge of PowerShell scripting - Knowledge of single sign-on and multi-factor authentication - Knowledge of Microsoft Server System Administration, including Office365 and Active Directory - Skill in developing technical documentation - Strong analytical and problem-solving skills, good verbal, and written communication skills - Ability to work independently and within groups, and manage multiple activities and/or tasks simultaneously - Knowledge of IT operations, responsibilities, workflow processes, and procedures - Ability to apply local, state, and federal laws and regulations relevant to program areas and information technology; and of the principles and practices of public administration and management - Skill in gathering information, resource organization, project/task prioritization and schedule development Registrations, Licensure Requirements or Certifications: N/A Initial Screening Criteria: - Graduation from an accredited four-year college or university with major course work in computer science, computer information systems, management information systems, or a related field is preferred. Education and experience may be substituted for one another. - Microsoft 365 certification is preferred - Experience in Office365 administration - Experience scripting utilizing PowerShell Additional Information: - Interview Requirements: Any candidate who is called to an agency for an interview must notify the interviewing agency in writing of any reasonable accommodation needed prior to the date of the interview. - Texas Administrative Code (TAC 206 and 213) requires state agencies to ensure all Electronic Information Resources (EIR) follow accessibility standards. Staff may be required to create accessible content including but not limited to; Microsoft Office documents, Adobe PDFs, webpages, software, training guides, video, and audio files. - Applicants must be authorized to work in the United States. DFPS is not considering applications from persons who require sponsorship for an employment visa. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. 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. You may also contact the DFPS Military Liaison at dfpsmilvets@dfps.texas.gov with additional questions. Applicants selected for hire must pass a background check and if applicable a driver’s record check. State of Texas employees are required to maintain the security and integrity of critical infrastructure as defined in Section 117.001(2), State of Texas Business and Commerce Code. Applicants selected for hire comply with this code by completing related training and abiding by agency cybersecurity and communications system usage policies. As a state agency, DFPS is required by Texas Administrative Code (TAC 206 and 213) to ensure all Electronic Information Resources (EIR) follow accessibility standards. The staff must be familiar with the WCAG 2.1 AA and Section 508 to create accessible content including but not limited to; Microsoft Office documents, Adobe PDFs, webpages, software, training guides, video, and audio files. DFPS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Employees must provide documentation to DFPS to show their identity and authorization to work in the US. Please review the following link for authorized documents: https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents . In compliance with the Americans with Disabilities Act (ADA), HHS/DFPS 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/DFPS 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.

Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $80,000.00 - $100,000.00 SalaryJob Category: OperationsPOSITION SUMMARY The Manager, Data Operations will be responsible for the implementation, integration, management, and delivery of data interchange with PBMs. The role will oversee the implementation and ongoing maintenance of PBM related processes including daily Rx claim files, medical accumulator files/questions related to, Rx data warehouse files, etc. The position will direct the day-to-day operations of PBM integrations including management, maintenance, reporting while developing and ensuring robust quality standards. ESSENTIAL FUNCTIONS Manages day to day operations and inquiries related to RxClaims data Reviews, prioritizes, and assists with reported discrepancies in claims data, accumulators, and member complaints Establishes SLAs for issue resolution and transparency on process Establishes and maintains relationships with the PBMs that Allied has connections with Oversees the daily processing of all inbound and outbound data processing Manages Data Analysts Demonstrates a strong understanding of the internal business needs and technical requirements Develops and implements new data management audits and quality assurance protocols Project manages PBM projects to completion Establishes data connections with trading partners Interfaces with Allied’s IT team on projects and data management strategies Ensures all PBM file changes are executed correctly and timely Builds strong, collaborative, cross functional teams and trusted business relationships Acts as Allied’s internal and external point of contact for data management issues Acts as a liaison between Allied’s internal team and external trading partners Acts as an escalated point of contact for data management issues Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent. Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed. Actively engage, coach, counsel and provide timely, and constructive performance feedback. Work on special projects, duties or tasks as assigned. EDUCATION Bachelor’s degree or equivalent work experience required Project Management Professional (PMP) certification desired EXPERIENCE AND SKILLS Minimum of 5 years of experience in similar role preferably data operations in healthcare and/or insurance. At least 3 years at a supervisor level and successfully demonstrated leadership competencies Previous project management experience. Required experience with the following applications: SQL, and Microsoft Power BI Working knowledge of data management, data warehousing, and coding languages Excellent knowledge of data integration program involving all components including source systems, ETL, data quality/integrity, database, and delivery mechanisms and EDI business processes, practices, and procedures within healthcare environment Strong work-ethic and positive attitude and exceptional ability to manage multiple projects across functional teams in a fast-paced environment Strong communication skills (both verbal and written) and an ability to provide recommendations on data integrations and applications Strategic, conceptual analytical thinking and decision-making skills. Ability to advise on complex technical matters to all stakeholders; ability to communicate effectively with senior management. POSITION COMPETENCIES Accountability Communication Action Oriented Timely Decision Making Building Relationships/Shaping Culture Customer Focus PHYSICAL DEMANDS This is an office environment requiring extended sitting and computer work. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.Qualifications