Reimbursement Analyst I

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Functional Title: Reimbursement Analyst I

Job Title: Reimbursement Analyst I

Agency: Health & Human Services Comm

Department: HHS Provider Finance SHARS

Posting Number: 20497

Closing Date: 09/23/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $4,523.16 - $7,253.83

Pay Frequency: Monthly

Salary Group: TEXAS-B-21

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

The Reimbursement Analyst I performs moderately complex (journey-level) rate analysis work related to reimbursement payment rates, data development, and technical analysis under the supervision of the Manager of Cost Report Based Rate Methodology & Supplemental Payments within the Long-Term Services and Supports (LTSS) section in the Provider Finance Department (PFD).

The position serves as a subject matter expert on assigned payment programs and oversees the LTSS directed payment programs for Nursing Facilities; a supplemental payment program for Intermediate Care Facilities; directed and supplemental payment rate models; and the development, modification and maintenance of complex computer programs, spreadsheets, and large databases.

Essential Job Functions:

• DEVELOPMENT AND ANALYSIS (35%): Manages the development and implementation of complex data analysis to determine payments for assigned program. Develops, modifies and maintains complex computer programs, spreadsheets and large databases used in rate and/or payment analysis.
• OVERSIGHT OF PAYMENT PROGRAMS (20%): Oversees development, implementation, and processing for LTSS directed payment programs. Develops and maintains payment rate models used to make accurate and timely payments to program participants. Ensures program procedures and associated processes conform to Texas Administrative Code requirements, and state and federal statutes, rules and guidelines. Designs data collection instruments and detailed instruction manuals to collect eligibility and enrollment data from contracted providers for use determining compliance with applicable Texas Administrative Code requirements, and state and federal statutes, rules and guidelines.
• STAKEHOLDER AND STAFF COMMUNICATIONS (20%): Interfaces with various PFD staff, provider industry representatives, HHS Enterprise staff, legal staff, advisory committees, workgroups and other interested parties concerning program payments, eligibility and funding. 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 external entities including but not limited to: contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys and other interested parties concerning NF directed payment program. (20%)
• DRAFTS DOCUMENTS FOR APPROVAL AND PRESENTATION (20%): Develops department policies and procedures as the subject matter expert for the team and processes policy documents; Drafts policy guidelines, agency rules, state plan amendments and other associated documents. Develops and implements new program initiatives or enhancements, and new regulations.
• OTHER DUTIES (5%): Performs other duties as assigned and as required to maintain efficient program and agency operations.

Knowledge, Skills and Abilities:

• Advanced skill in Microsoft Excel.
• Skill in developing, implementing, interpreting and evaluating policies, procedures, regulations, and laws.
• Ability to exercise independent judgment, set priorities, meet deadlines and adapt to shifting technical and political developments.
• Ability to plan, organize, and coordinate the work of others.
• Ability to establish goals and objectives, coordinate the achievement of established goals and objectives and identify problems and develop creative solutions.
• Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.

Registration, Licensure Requirements or Certifications

None required.

Initial Screening Criteria:

Graduation from an accredited 4-year college or university. Experience within Provider Finance may be substituted for education on a year-to-year basis.

Experience in excellent written communicaitons as observed by detail and completeness of information provided on the state application.

At least one year of experience working with large amounts of data, developing payment rates, interpreting state and federal laws and regulations relating to Medicaid reimbursement rates, or supplemental payment programs 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 Auditors 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.