Texas HHSC operates a sprawling multi-agency health and benefits system (Medicaid, SNAP, TANF, long-term care) across 10,000+ employees. The tech stack reveals a mature, compliance-heavy infrastructure: Salesforce + PeopleSoft for core HR and case management, Oracle + SQL Server for financial and program data, Power BI + Informatica for reporting, AWS/Azure/GCP for cloud migrations, and clinical systems (Cerner, Dentrix). Active hiring (549 roles in 30 days, accelerating velocity) skews heavily toward healthcare (670 headcount), ops, and finance—mirroring the operational burden of managing multi-program eligibility, vendor oversight, and federal compliance.
Notable leadership hires: Chief Psychologist, Medical Director, Program Policy Director, Central Office Director, Director of Program
Texas HHSC is the state agency responsible for administering health and human services programs to eligible Texans, including Medicaid coverage for families and children, long-term care for older and disabled populations, SNAP food assistance, TANF cash benefits, and behavioral health services. The agency underwent a major structural transformation starting in 2016, consolidating programs and removing organizational silos to improve service discovery and program integration. HHS operates two agencies: the Health and Human Services Commission (headquartered in Austin) and the Department of State Health Services. Current operational focus includes rural health transformation, community engagement on child care regulation, SNAP eligibility assessment, and heightened monitoring programs.
Salesforce for case management and PeopleSoft for HR and personnel administration. Additional enterprise systems include Oracle, SQL Server, Informatica for data integration, and Power BI for reporting and analytics.
Medicaid for families and children, SNAP (food assistance), TANF (cash assistance), long-term care services, behavioral health services, and regulatory oversight of health and human services providers across the state.
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