Reimbursement Analyst V

Posting ID 13069 - Health & Human Services Comm - HHSC & HHS Rate Analysis M/C - Business and Financial Operations - Eligible for Telework - c. $5000 - $6999 per month 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, and numerous opportunities for career advancement. Functional Title: Reimbursement Analyst V Job Title: Reimbursement Analyst V Agency: Health & Human Services Comm Department: HHSC & HHS Rate Analysis M/C Posting Number: 13069 Closing Date: 07/23/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Group: TEXAS-B-25 Salary Range: $5,797.66-$9,508.25 Pay Frequency: Monthly Shift: Day Additional Shift: None 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: None MOS Codes: No military equivalent Brief Job Description This position is hybrid with two in‑office days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire. The Reimbursement Analyst V (RAV) reports to the Manager of Acute Care Services Payment Comparison and leads the Acute Care Services Payment Comparison team. The team designs, develops, and ensures compliance with federal payment rate requirements and reporting. The RAV maintains complex applications, spreadsheets, and databases used for determining payment rates and reporting. They generate and summarize documentation to comply with state and federal rules, conduct executive briefings, respond to inquiries from providers and staff, review work products, train and mentor analysts, and guide operational and tactical planning. The RAV establishes goals, drafts and maintains policies and procedures, and ensures work products meet deadlines, consulting on priorities and measurement tools. The role functions with minimal supervision, exercising initiative and independent judgment. Essential Job Functions (EJFs) Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Drafting, Review, and Publishing – Keeps reports, documents, and other deliverables on schedule. Completes detailed analysis of payment rates, claims data, and financial data. Interprets federal and state statute and regulations to understand applicability and requirements. Drafts documents, reviews work of others for accuracy, creates templates, provides feedback to other analysts and leadership. Prepares documents for meetings with and briefs executive staff on proposed initiatives. Ensures deliverable and publication dates are met. (35%) Coordination and Communication – Interfaces with Provider Finance staff, provider industry representatives, HHS Enterprise staff, federal staff, legal staff, advisory committees, workgroups, contracted providers, client advocates, and other interested parties concerning payment rate policy issues. Provides day‑to‑day guidance, mentoring, and technical support to staff on analytical methods, data evaluation, and policy interpretation. (20%) Workflow Management – Proactively manages workflow to meet all required notices, submissions, and publications of state and federal reports, State Plan Amendments (SPA), and Texas Administrative Code (TAC) updates. Reviews work of other analysts to ensure accuracy and quality. Responds to legislative inquiries, completes bill analysis, drafts and estimates fiscal impacts, meets with legislative staff and attends hearings as required. Ensures team adherence to established procedures, quality standards, and deliverable timelines. (20%) Processes and Procedures – Creates, defines, and documents processes and procedures (P&Ps) to facilitate team consistency, quality, knowledge retention, training, efficiency, and productivity. Maintains P&P documents to reflect current processes and continuous improvement. Ensures team is knowledgeable and compliant. (20%) Performs other work as assigned or required to maintain and support the office and HHSC operations. (5%) Knowledge, Skills and Abilities (KSAs) Knowledge of: Advanced Microsoft Office (Excel, Word, PowerPoint), business objects, TMHP Software, claims processing engines, and data querying/analysis tools such as SQL, R, SAS, Python. Data analysis, statistics, data visualization, medical claims data, methods of funding, program rules, Medicare, and Medicaid. Reimbursement methodologies. Health and human service programs, services, and procedures. Data quality and integrity processes. Process improvement or quality assurance systems. Skill in: Managing multiple and competing priorities. Identifying problems, evaluating alternatives, and implementing solutions. Working collaboratively and cooperatively with diverse groups. Communication and public speaking. Ability to: Interpret data and develop effective operating procedures. Work with large datasets efficiently. Organize and present information effectively, both orally and in writing to technical and non‑technical audiences. Establish goals and objectives. Train and provide constructive feedback to staff. Establish effective working relationships with staff at all levels of an organization, agencies, providers, and stakeholders. Exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political developments. Registrations, Licensure Requirements or Certifications N/A Initial Screening Criteria Graduation from an accredited four‑year college or university with a bachelor’s degree in social science, business (including accounting and statistics), mathematics, physics, economics, health‑related field, political science, or other closely related field. Education and work experience may be substituted on a year‑for‑year basis. Experience with Medicaid and/or healthcare finance preferred. Active Duty, Military, Reservists, Guardsmen, and Veterans Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include, but are not limited to those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified. 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. 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 FALL CREEK FARM & NURSERY