Reimbursement Analyst III Job Listing at Texas Health and Human Services in Austin, TX (Job ID 14005-en_US)

Description

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: Reimbursement Analyst III 
Job Title: Reimbursement Analyst III 
Agency: Health & Human Services Comm 
Department: HHSC & HHS Rate Analysis M/C 
Posting Number: 14005 
Closing Date: 08/20/2026 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Range: $5,098.66 - $8,304.83 
Pay Frequency: Monthly
Salary Group: TEXAS-B-23 
Shift: Day 
Additional Shift: Days (First) 
Telework: Eligible for Telework 
Travel: Up to 5% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 4601 W GUADALUPE ST 
Other Locations: Austin 
MOS Codes: No military equivalent 
 
 
 

Brief Job Description:

This position is hybrid with (currently) two in-office days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire.

The Reimbursement Analyst III (RAIII) position reports to the Manager of Acute Care Services Payment Comparison and serves as a senior reimbursement analyst for the Acute Care Services Payment Comparison team. This team is responsible for the design, development, and overall compliance of federal payment rate requirements and reporting. Work involves maintaining complex applications, spreadsheets, and databases used in the determination of comparative payment rates and reporting to support business strategies. The RAIII supports the preparation and validation of routine and ad hoc reports to ensure accuracy, completeness, and compliance with established state and federal rules and regulations.  RAIII compiles, analyzes, and summarizes data for internal reports. Responsibilities include conducting data reviews and quality assurance processes to ensure accurate and timely deliverables. This role supports program operations by executing assigned analytical tasks, monitoring reporting timelines, and identifying data discrepancies for escalation to lead analysts or management. Work is performed under general supervision and receives routine guidance on priorities, standards, and methodologies to support team goals and deadlines, with moderate latitude for the use of initiative and independent judgment.    

Essential Job Functions (EJFs)

Attend work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Operate in close collaboration with senior leadership as critical role in data-driven decisions.

Prepare and Maintain Required Reports –Data drafting, review, and publishing. Compile, validate, and produce recurring and ad hoc reports reflecting actual payment rates, reimbursement activities, and related financial data to support federal and state reporting requirements. Maintain reporting tools and data files. Update and maintain spreadsheets, databases, and reporting applications used in tracking actual payment data and producing required deliverables. Document reporting processes and procedures. (35%)

Perform Data Reconciliation and Quality Assurance – Reviewsource data, reconcile variances, identify discrepancies, and escalate issues to senior analysts or management to ensure accuracy and completeness of reporting information. Coordination and communication. Maintain clear and organized documentation of data sources, report logic, and standard operating procedures to support continuity and audit readiness. Compiles requested documents. (20%)

Documentation and Research– Create, define, and document payment rate comparisons.  Identify source materials and define routine analysis in support of report creation. Manage workflows. Conduct background research, create regulatory summaries, produce financial tables, and explain methodologies.  Support compliance documentation.  Assist in preparing documentation, data summaries, and supporting material to demonstrate compliance with state and federal payment rate regulations. Research to respond requests from internal staff, providers, and stakeholders regarding payment data, methodologies, and reporting results under guidance as needed.  (20%)

Process and Procedures– Create, define, and document processes and procedures (P&Ps).  P&Ps should facilitate team consistency, quality, knowledge retention, training, efficiency, and productivity.  Maintain P&P documents to reflect current-state processes and continuous improvement. Ensure team is knowledgeable and comply with P&Ps. Conduct preliminary analyses. Identify and flag discrepancies. Conduct root cause analysis. Quantify financial impacts. Support audit readiness and review activities. Assist in monitoring reporting timelines. (20%)

Perform other work as assigned or required to maintain and support the office and HHSC operations. (5%)

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

1. Advanced Microsoft Office (Excel, Word, PowerPoint), business objects, TMHP Software, claims processing engines, and data querying/analysis tools such as SQL, R, SAS, Python.
2. Data analysis, statistics, data visualization, medical claims data, methods of funding, program rules, Medicare, and Medicaid.
3. Reimbursement methodologies.
4. Texas legislative process.
5. Health and human service programs, services, and procedures.
6. Data quality and integrity processes.
7. Process improvement or quality assurance systems

Skill in:

1. Managing multiple and competing priorities.
2. Identifying problems, evaluating alternatives, and implementing solutions.
3. Working collaboratively and cooperatively with diverse groups.
4. Communication and public speaking.

Ability to:

1. Identify discrepancies, determine root cause, evaluate alternatives, and implement solutions.
2. Work with large datasets efficiently.
3. Organize and present information effectively, both orally and in writing to technical and non-technical audiences.
4. Execute goals and objectives.
5. Provide constructive feedback to staff.
6. Establish effective working relationships with staff at all levels of an organization, agencies, providers, and stakeholders.
7. Exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political development.

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

Graduation from an accredited four-year college or university with a bachelor's degree in social science; business, including accounting and statistics; mathematics; physics; economics; health-related field; political science; or other closely related field. Education and work experience can be substituted for one another on a year-for-year basis. Experience with Medicaid and/or healthcare finance preferred.

Additional Information:

N/A

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 on-line 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.