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: 16529
Closing Date: 05/14/2026
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:
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:
MOS Codes: No military equivalent
Job Description:
This job posting will be used to fill a position in the Chief Financial Officer (CFO) Division in the Provider Finance Department. The Reimbursement Analyst III is selected by and reports to the Supplemental Payments Program Manager. This position provides advanced technical guidance and oversees the design and implementation of complex methods and procedures.
Duties may include some or all of the following: Conducts complex data analysis to determine and evaluate payment rates; manages the development and implementation of reimbursement methodologies and payment rates; provides effective planning, organization and guidance to staff; analyzes cost report information, provides effective planning, organization, direction to staff; and identifies needed areas of change. The Reimbursement Analyst III also: oversees the collection of appropriate statistical and cost data necessary to determine payment rates; Manages the development, modification and maintenance of complex computer programs, spreadsheets and large databases used in determining payment rates; Develops alternative strategies and recommendations; implements new program initiatives or enhancements, and new regulations; interfaces with diverse groups, including other agency staff, provider associations, workgroups, advisory committees, legislative staff, client advocates, attorneys, state and federal auditors, and interested parties; Develops policy guidelines, agency rules, state plan amendments and other associated documents; Conducts public rate hearings; and, provides technical assistance to contracted providers, report/survey preparers and auditors. Performs other duties as assigned and required to maintain efficient program and agency operations.
Essential Job Functions:
1. Manages the development and implementation of complex data analysis to determine payment rates for Medicaid and other programs. Develops, modifies, and maintains complex computer programs, spreadsheets and large databases used in rate and/or payment analysis. (25%)
2. Provides advanced technical guidance, effective planning, organization, and direction to staff in the department to meet internal, legislative, State and/or Federal requirements. (20%)
3. Communicates complex information to internal and external parties to provide, exchange or verify information, answer inquiries address issues or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning payment rate policy issues affecting program delivery and payment rate determination. (20%)
4. Develops department policies and procedures as the subject matter expert for the team and processes policy documents (including but not limited to policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials, and hearing and other notices). (15%)
5. Develops and/or conducts surveys to collect cost data for use in payment analysis. Designs cost data collection instruments and detailed instruction manuals to collect cost data for feasibility of use in payment rate analysis. Provides technical assistance related to cost survey completion, policy guidelines and rule requirements. (10%)
6. Performs other work assigned or required to maintain and support the office and HHSC operations. (10%)
Registrations, Licensure Requirements or Certifications:
N/A
Knowledge Skills Abilities:
• Knowledge of health and human service programs, services, and procedures
• Knowledge of Medicaid reimbursement principles and policies
• Skill in interpersonal relationships, teamwork and establishing and maintaining effective working relationships with people at various levels of expertise.
• Ability to manage projects effectively and to produce quality work within short deadlines.
• Ability to work under limited supervision, exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political developments.
• Ability to communicate knowledge effectively to a variety of audiences, both verbally and in writing.
• Ability to prepare well written briefing documents and reports, and visually dynamic presentations.
• Ability to identify problems, evaluate alternatives, and implement effective solutions.
• Ability to learn and teach complex, detailed concepts.
• Knowledge of the Texas legislative appropriations process
• Knowledge of the HHSC rules process and procedures
• Knowledge of the HHSC Executive Memorandum and Correspondence style guide
Initial Screening Criteria:
Graduation from an accredited 4-year college or university required. Relevant experience (e.g., experience in the field of financial analysis, reimbursement analysis, rate development, financial examination, and accounting) may be substituted for education on a year-to-year basis.
Experience in managing large projects with numerous deadlines, preferred.
Experience in designing and conducting complex data analyses, preferred.
Experience with basic accounting principles, applying accounting or statistics, including use of statistical applications, preferred.
Experience in using word processing, spreadsheet, statistical and other software, preferred.
Experience in applying accounting or cost determination principles, reviewing and analyzing financial and statistical information, preferred.
Experience in state and federal laws and regulations relating to Medicaid reimbursement rates, preferred.
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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.
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