Reimbursement Analyst I - Rate Research and Implementation Team

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Functional Title: Reimbursement Analyst I - Rate Research and Implementation Team

Job Title: Reimbursement Analyst I

Agency: Health & Human Services Comm

Department: HHSC & HHS Rate Analysis LTC

Posting Number: 20329

Closing Date: 10/23/2026

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

Brief Job Description:

The Reimbursement Analyst I (RA I) works as part of the Rate Research and Implementation (RRI) Team within the Long-Term Services and Supports (LTSS) section of the Provider Finance Department (PFD) and performs entry-level rate analysis foscused on the reimbursement payment rates and rate setting methodologies. Thos position works under direct supervision of the Magager of RRI Team. Work includes developing and implementing policy and financial analysis to determine and evaluate payment rates and rate setting methodologies and other related policies and regulations; preparing cost surveys, instruments, and instructions; and planning, developing, and presenting recommendations and reports.

Essential job functions:

• Participates in the development and implementation of policy and financial analysis to determine and evaluate payment rates for various long-term care programs and services. Participates in the development, implementation, and maintenance of rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates. (35%)
• Participates in the design and study of special cost, statistical research, cost surveys and analysis to evaluate the feasibility and cost implications regarding payment structure options, new program initiatives, and new regulations. Contributes to cost report or cost surveys to support rate methodology or programmatic changes as needed. Interprets analysis results and develops recommendations for internal and external audiences. (35%)
• Participates in rate and rule adoption activities, including preparing memorandums for Executive Leadership, and drafting and reviewing of documents to ensure federal approval and authorization in a timely manner as necessary. Assists in developing and processing policy documents relating to payment rate and methodology determination, including state administrative rules, state plan amendments, waiver amendments, etc. (15%)
• Actively contributes to the continuous improvement of department processes though ongoing initiatives including: solutions to automate; building efficiencies; maintaining consistency across multiple calculations, models, and rules, promoting reliable analysis techniques and methods. Assists in creating and updates policies and procedures for documenting internal processes and resources, including standard forms and templates. (15%)

Knowledge, Skills and abilities (KSAs)

• Ability to analyze or evaluate data, calculations and findings, including experience using Microsoft Excel or statistical software.
• Ability to establish and maintain effective work relationships in a team setting.
• Ability to differentiate between various professional circumstances and communicate effectively in writing, in speaking, and non-verbally
• Ability to sound independent decisions by applying policies and procedures and using available resources.
• Self-starter while working well in a strong team environment.
• Experience of working with MS Excel and MS Word is preferred.

Registrations, Licensure Requirements or Certifications:

N/A.

Initial Selection Criteria

• Graduation from an accredited four-year college or university required.
• Major coursework in accounting, business administration, finance, economics, statistics, or a related field is preferred. Note: practical experience in these fields may be substituted for major coursework

Additional Information

Applicants must complete the online application in full and include a clear summary of experience that shows how they meet the initial screening criteria.

Telework flexibility may be available in accordance with agency policy; in-office presence is currently required two days a week but may be modified based on business need.

Occasional travel may be required for meetings, trainings, or stakeholder engagement.

Military occupation specialty (MOS) codes related to this position are available through the Texas State Auditor's Office Military Crosswalk.

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 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.