Business Analyst IV (Senior LTC Claims Product Owner)

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. Job Details Functional Title: Business Analyst IV (Senior LTC Claims Product Owner) Job Title: Information Technology BA IV Agency: Health & Human Services Comm Department: Claims Support Services Posting Number: 19789 Closing Date: 08/19/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Range: $7,015.16 - $9,439.83 Pay Frequency: Monthly Salary Group: TEXAS-B-27 Shift: Day Additional Shift: 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: 701 W 51ST ST Other Locations: MOS Codes: 8846,8848,8858,14NX,15AX,16KX,181X,182X,1D7X1,255A,25B,26B,62E,681X,682X,781X,782X,CYB10,CYB11,ISM,IT,Z Prefix Brief Job Description The Medicaid and CHIP Services (MCS) department seeks a qualified technical candidate to fill the position of Business Analyst (BA) IV for the Long-Term Care Products (LTCP) unit. This position reports to the LTC Production Support Manager within the LTC Products and Business Automation Support (BAS) team. This position leads work on complex service authorization, claims adjudication, and claims payment initiatives and escalations. The IT Business Analyst IV provides leadership on projects that may cross multiple program areas, teams, and vendors. The position oversees the work efforts of other resources performing business analysis tasks such as research, user acceptance testing, reference data entry, operational tasks, and implementation coordination. The IT BA IV performs liaison activities bringing IT, Program, and Operational areas together to facilitate translation of business needs into system requirements or to coordinate communication and resolution of production issues. This position performs senior-level Product Owner responsibilities in an Agile development environment. The resource acts as a subject matter expert on LTC systems and team processes identifying opportunities for improvement and approving updates. Essential Job Functions (EJFs) Operations and Production Support (30%) – Oversees and provides consult/feedback/approvals to other business analysts performing the daily operational business activities of monitoring LTC systems, triaging and troubleshooting claim and payment escalations received by the LTC mailbox and supporting Program/Operational activities required to pay providers accurately or respond to audits. Communicates effectively to LTC BAS team, program staff, HHSC leadership, and other stakeholders for the business needs and issues; and provides technical claims support assistance. Defines and enforces standards, policies, and procedures used by the team. In addition to technical assistance, mentors and coaches junior team resources. Project Management Team/Senior Product Owner (30%) – Oversees LTC BAS projects and leads business analysts on various initiatives. Coordinates with state program areas, IT, and vendors to determine priorities of project tasks, activities required to complete tasks, resource allocation for tasks, and impact on end users. Anticipates and escalates risks and issues. Plans, scopes, develops benchmarks/timelines, consolidates business user requirements, and manages communications across BAS and HHSC Programs. Coordinates development of project work plans and supports all aspects of projects and/or assigned tasks according to scope, budget, and schedules. Product Owners are responsible for overseeing the development and prioritization of user stories. The Product Owner ensures that implemented features meet the business need. Product Owners manage the product backlog. Analysis and Research (20%) – Oversees business analysis and research across multiple systems impacting LTC claims payments. Performs senior-level research and analysis within LTC systems to identify, troubleshoot, and oversee resolution of issues that impact provider claims payments and service authorizations. Verifies and approves proposed business requirements, scope, timelines, business plans, or enhancements for LTC systems. Business User Acceptance Testing (10%) – Coordinates and approves user acceptance testing within LTC systems for LTC BAS prior to completion and implementation of projects impacting LTC provider claims payments and service authorizations. Oversee the development of business scenarios that test changes made to automated systems. Monitors the incorporation of system changes into the applications to be tested in the test environment and the testing of those changes to ensure that business requirements have been met. Monitors business end user testing and reviews feedback from users and results to ensure required system modifications meet business requirements. Tracks progress and status of testing and communicates risks and issues to management. Liaison (10%) – Facilitates collaborative work across MCS to identify innovative and effective solutions for clients and staff. Serves as a liaison between teams, vendors, BAS, program and policy areas, and HHSC IT. Coordinates and facilitates the analysis and determination of business needs and requirements for enhancement projects and modifications to complex automated LTC systems and applications such as TMHP CMS, LTC Provider, SAS, and TMHP LTC Online Portal. Coordinates with business analysts to meet with impacted business users to gather and document user needs and translates into business user requirements. Reviews expected outcomes to ensure that desired system results are achieved. Facilitates analysis meetings with business users to determine the business needs that can be translated into the business system requirements and works with business users to establish system modification priorities. Knowledge, Skills and Abilities (KSAs) Knowledge of: Texas Medicaid claims management payment systems. Information technology for business applications. Agile Methodology. Skill in: Coordinating and solving complex problems. Analyzing data needs, issues, and gaps impacting LTC service authorization and claim payment. Eliciting information needed to create user stories and groom the product backlog. Ability to: Plan, assign, and oversee the work of others. Work collaboratively across MCS to accomplish objectives. Communicate effectively, both orally and in writing, with clients/customers to gather requirements and/or explain technical information. Registrations, Licensure Requirements or Certifications N/A Initial Screening Criteria Graduation from an accredited four-year college or university with major course work in a related field is generally preferred. Experience working with HHSC Medicaid Long-Term Care programs. Experience working as a Product Owner in an Agile Development environment. Experience in user acceptance testing. Experience working with Texas Medicaid & Healthcare Partnership (TMHP). Experience working with payment processing systems and their supporting systems. Additional Information Job histories must demonstrate how you meet the initial selection criteria at a minimum. Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the HHSC Human Resources compensation policy. Interviews may be conducted online via Microsoft Teams. Applicants should have the ability to meet using virtual meeting tools. Out-of-state resumes will not be accepted. Selected candidates must be able to work onsite in the Austin office as needed. 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 View phone number on click.appcast.io. 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. #J-18808-Ljbffr TX-HHSC-DSHS-DFPS