Reimbursement Analyst III (Non-Medicaid and DFPS Rates)

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Functional Title: Reimbursement Analyst III (Non-Medicaid and DFPS Rates)

Job Title: Reimbursement Analyst III

Agency: Health & Human Services Comm

Department: SP26 DFPS Rate Setting

Posting Number: 20662

Closing Date: 10/25/2026

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

Brief Job Description:

Under direct supervision of the Manager of the Non‑Medicaid and DFPS Rates team within the Provider Finance Department (PFD) Long-Term Services and Supports (LTSS) section, Reimbursement Analyst III (RA III) performs advanced (senior-level) rate analysis focused on the reimbursement payment rates and rate setting methodologies. 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.

RA III plans, develops, and presents recommendations and reports and works under minimal supervision, with extensive latitude for the use of initiative and independent judgement.

RA III will serve as a senior analyst and subject matter expert in non-Medicaid rates and methodologies, as well as rate setting in support of HHSC's Memorandum of Understanding with the Department of Family and Protective Services (DFPS) and the Texas Juvenile Justice Department (TJJD) for rate-setting activities.

Essential Job Functions (EJFs):

• Supports development and implementation of policy and financial analysis to determine and evaluate payment rates for various non-Medicaid programs and services. Develops, implements, and maintains rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates. (35%)
• Supports 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. Interprets analysis results and develops recommendations for internal and external audiences. (25%)
• Prepares memoranda and white papers for Executive Leadership, drafting and reviewing of documents as necessary. Develops and processes policy documents relating to payment rate and methodology determination, including state administrative rules, etc. (15%)
• Serves as a subject matter expert of Non-Medicaid reimbursement methodologies, models, data, policies and procedures. Communicates and interfaces with internal and external parties to provide guidance and resolve problems concerning reimbursement rates or payments; rate methodology; rate determination and policy, guidelines, and rule requirements. Provides guidance to PFD LTSS staff on analytical methods used in support of rate methodologies and/or projects. Assists in hiring, mentoring, and training of junior staff. (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. Creates and updates policies and procedures for documenting internal processes and resources, including standard forms and templates. (10%)

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

• Financial analysis, accounting concepts, budgeting, cost allocation, and reimbursement principles.
• Data analysis methods and techniques (preferred).
• Principles and practices of rate setting and payment methodology development (preferred).
• Program evaluation, policy analysis, and report development.
• Applicable state and federal laws, regulations, policies, and procedures related to assigned programs.

Skill in:

• Analyzing complex financial, statistical, and programmatic information.
• Developing and maintaining spreadsheets, financial models, workpapers, and data files.
• Interpreting data and communicating findings to technical and nontechnical audiences.
• Preparing clear, accurate, and concise reports, correspondence, training materials, and presentations.
• Organizing workload, managing multiple projects, and meeting established deadlines.
• Using personal computers and standard business software, including Microsoft Excel, Word, PowerPoint, and Outlook.

Ability to:

• Apply sound judgment and independent decision-making to complex program and financial issues.
• Develop defensible rate-setting analyses and reimbursement recommendations.
• Explain technical financial and reimbursement concepts clearly to providers, program staff, leadership, and other stakeholders.
• Establish and maintain effective working relationships with internal and external stakeholders.
• Work effectively both independently and collaboratively in a team environment.
• Maintain confidentiality of sensitive provider, financial, and program information.

Registrations, Licensure Requirements or Certifications:

N/A.

Initial Screening Criteria:

Graduation from a four-year college or university required.

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.