COO Jobs at Texas Health and Human Services Commission with Visa Sponsorship
COO jobs at Texas Health and Human Services Commission sit at the intersection of public health administration and large-scale operational leadership. The agency has a track record of sponsoring H-1B visas for senior roles, making it a realistic target for internationally qualified healthcare executives pursuing long-term careers in U.S. public health.
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Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Area Coordinator
Job Title: Administrative Asst III
Agency: Health & Human Services Comm
Department: Food Svs Opers
Posting Number: 17787
Closing Date: 06/22/2026
Posting Audience: Internal and External
Occupational Category: Office and Administrative Support
Salary Range: $2,953.25 - $4,365.66
Pay Frequency: Monthly
Salary Group: TEXAS-A-13
Shift: Day
Additional Shift: Days (First)
Telework: Not Eligible for Telework
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location: Rusk State Hospital
Job Location City: RUSK
Job Location Address: 805 N DICKINSON DR
Other Locations:
MOS Codes: 0100,0111,0170,3372,3381,4430,6046,15P,3F5X1,420A,42A,56M,68G,741X,8A200,AZ,LS,LSS,MC,PERS,PS,RP,SN
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Brief Job Description:
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
Under direct supervision, the Administrative Assistant III - Area Coordinator position performs journey level administrative duties and/or technical program assistance work to support operations of the unit. Work involves establishing, tracking, and maintaining internal record-keeping systems, ensuring all files are accurate, up-to-date, and securely stored. Serves as a key point of contact by communicating professionally and effectively with the public, internal staff, government agencies, and private organizations. Organizes and coordinates meetings, conferences, and seminars by scheduling, preparing agendas, arranging logistics, and ensuring all necessary materials are available. Handles travel arrangements, requests, and vouchers for reimbursement. Maintains structured and efficient filing systems to support easy retrieval and secure storage of documents. Works under general supervision with moderate latitude for the use of initiative and independent judgment. This position requires regular and solid attendance, will not involve remote or teleworking, and will be normal working hours.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Essential Job Functions (EJFs):
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Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
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Establish, track, and maintain internal record-keeping systems, ensuring all files are accurate, up-to-date, and securely stored. Manage confidential documents with discretion, facilitating the creation, transmission, reproduction, and appropriate distribution of records in compliance with agency policies and regulations. 20%
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Serve as a key point of contact by communicating professionally and effectively with the public, internal staff, government agencies, and private organizations. Provide timely responses to inquiries regarding agency rules, regulations, policies, and procedures while maintaining a positive and service-oriented approach to stakeholder engagement. 15%
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Obtains equipment, services, and supplies needed by the department by maintaining an inventory of office supplies, furniture, and equipment, determining the appropriate method to pay for goods or services purchased by the department following policy and procedures, and utilizing the appropriate process. 15%
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Organize and coordinate meetings, conferences, and seminars by scheduling, preparing agendas, arranging logistics, and ensuring all necessary materials are available. Facilitate communication before, during, and after events, providing documentation and follow-ups to support successful outcomes. Handles travel arrangements, requests, and vouchers for reimbursement. Monitor and initiate purchases of office supplies, training materials, conference registrations. 15%
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Gather, review, and analyze documents and data to provide technical assistance and administrative support. Prepares and routes reports and forms to Director and/or Area leadership to obtain approval, via electronic signature. Compiles and reviews studies and other documents to ensure quality, accuracy, and compliance with facility and department guidelines. Assist in compiling information for audits, compliance checks, and other reporting needs. 15%
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Maintain structured and efficient filing systems to support easy retrieval and secure storage of documents. Manage incoming and outgoing communications by answering phone calls, distributing mail, and directing inquiries to appropriate personnel. Coordinate workflow between different organizational units, order office supplies and equipment, and ensure the office environment remains organized and functional. 15%
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Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. 5%
Knowledge, Skills and Abilities (KSAs):
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Knowledge of office practices and administrative procedures.
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Knowledge of business English, spelling and grammar.
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Knowledge of state travel policy and procedure.
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Knowledge of record keeping and filing systems.
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Knowledge of HIPPA laws.
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Skilled in written communications.
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Skilled in proofreading and editing.
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Skilled in verbal communications.
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Skilled in time keeping.
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Skilled in Microsoft office products.
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Ability to implement administrative procedures and to evaluate their effectiveness; to interpret rules, regulations, policies, and procedures; to communicate effectively and to train others.
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Ability to work independently and as a team member.
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Ability to manage multiple projects while meeting timelines.
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Ability to prepare correspondence, forms and requisitions.
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Ability to implement administrative procedures and to evaluate their effectiveness.
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Ability to communicate efficiently and effectively using both written and verbal skills.
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Ability to interpret complex rules, regulations, policies and procedures.
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Ability to maintain confidential information and secure documents.
Registrations, Licensure Requirements or Certifications:
None
Initial Screening Criteria:
At least two (2) years’ experience in a professional support role.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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 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.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS 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.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Tips for Finding COO Jobs at Texas Health and Human Services Commission
Align your credentials with Texas licensure requirements
Texas Health and Human Services Commission COO roles often require familiarity with state-specific regulatory frameworks. Verify that any foreign professional credentials or graduate degrees are evaluated by a NACES-recognized organization before you apply.
Target your application to public sector hiring cycles
State agency COO postings follow Texas state government hiring calendars, which differ from private sector timelines. Applications submitted outside active budget approval periods are less likely to move quickly through the approval chain.
Demonstrate fluency in Medicaid and CHIP operations
Texas HHSC administers Medicaid and CHIP at massive scale. Candidates who can show direct experience managing operations within these programs stand out, because the agency hires COOs who can lead without a long onboarding runway.
Clarify H-1B specialty occupation framing early
For a COO role at a state health agency, your H-1B petition must clearly establish that the position requires a specific bachelor's degree or higher in a specialized field. Work with your prospective employer to document the role's academic requirements before USCIS filing begins.
Plan around standard H-1B cap and filing windows
If you are not currently in H-1B status, registration opens in March for an October 1 start. Build your timeline backward from that date so your offer, Labor Condition Application filing with DOL, and I-129 petition are all sequenced correctly.
Use Migrate Mate to surface active COO openings
State agency postings are scattered across multiple job boards and often close quickly. Use Migrate Mate to find COO roles at Texas Health and Human Services Commission that are actively open for visa-sponsored candidates, so you are not chasing listings that have already filled.
Frequently Asked Questions
Does Texas Health and Human Services Commission sponsor H-1B visas for COOs?
Yes, Texas Health and Human Services Commission does sponsor H-1B visas for COO roles. As a state government agency, it is exempt from the annual H-1B cap, which means sponsorship is not tied to the March lottery window. That exemption gives qualified candidates a more predictable pathway than private sector employers subject to the cap.
How do I apply for COO jobs at Texas Health and Human Services Commission?
Applications go through the Texas state government's CAPPS Recruit portal, where roles are posted under the Health and Human Services Commission. Roles at this seniority level move through multiple review stages, including HR screening and executive panel interviews. Migrate Mate aggregates these openings in one place so you can identify which COO postings are currently active before starting your application.
Which visa types are commonly used for COO roles at Texas Health and Human Services Commission?
The H-1B is the primary visa used for COO roles at Texas HHSC. Because it is a government employer, it qualifies as a cap-exempt institution, removing lottery uncertainty. Candidates already holding TN visa, O-1 visa, or Green Card status can also apply, and the agency's HR team is experienced with the documentation required for each category.
What qualifications and experience are expected for a COO role at Texas Health and Human Services Commission?
The agency typically looks for senior leaders with a master's degree in public health, health administration, or a related field, combined with substantial experience managing large healthcare operations. Familiarity with Medicaid managed care, Texas state procurement rules, and multi-division budget oversight is treated as a functional requirement rather than a preference for most COO postings.
How do I estimate the timeline from job offer to starting work on an H-1B at Texas Health and Human Services Commission?
Because Texas HHSC is cap-exempt, your employer can file an H-1B petition at any point in the year. After you receive an offer, the employer files a Labor Condition Application with DOL, which takes up to seven business days, followed by the I-129 petition with USCIS. Standard processing runs three to five months, but premium processing reduces USCIS adjudication to 15 business days.