Business Analyst III (LTC Production Support)

Date: May 12, 2026 Location: AUSTIN, TX 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. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Business Analyst III (LTC Production Support) Job Title: Information Technology BA III Agency: Health & Human Services Comm Department: Claims Management (50/50) Posting Number: 16959 Closing Date: 05/26/2026 Pay Frequency: Monthly Salary Range: $5,797.66 - $9,508.25 Brief Job Description The Medicaid and CHIP Services (MCS) department seeks a qualified technical candidate to fill the position of Business Analyst (BA) III for the Long‑Term Care Products (LTCP) unit. This position reports to the Manager of the Long‑Term Care Production Support unit within the Operations Management Division. It will be responsible for analysis, research, and resolution of Long‑Term Care TIER 3 escalations received. The role performs advanced technical work identifying, communicating, and directing resolution of long‑term care system‑related issues, including those impacting service authorizations and timely, accurate provider payment. Essential Job Functions (EJFs) Operations and Production Support (35%) Coordinates with other analysts to perform the daily operational business activities of monitoring the LTC Medicaid Management Information Systems (MMIS), troubleshooting, and solving problems related to provider claims payments and service authorizations. Researches and analyzes authorization and claims payment issues, identifies the root cause, and engages the necessary resources to resolve the issues. Communicates business needs and issues with LTCP staff, program staff, and Texas Medicaid & Healthcare Partnership (TMHP). Provides technical claims support assistance to Operations and HHSC program staff. Research and Analysis (30%) Performs advanced business analysis and research for LTCP. Identifies and resolves data issues that impact provider claims payments and service authorizations within MMIS. Researches and analyzes business requirements, intake documents, or initiatives for enhancements and modifications for MMIS (includes TMHP CMS, Long‑Term Care Provider, Service Authorization System (SAS), and TMHP LTC Online Portal) impacting LTC Business Automation Support (BAS). Determines, develops, and documents business requirements, timelines, and scope for enhancements and modifications for projects that impact provider claims payments. Business User Acceptance Testing (20%) Coordinates and performs user acceptance testing within MMIS (TMHP CMS, LTC Provider, SAS, and TMHP LTC Online Portal) for BAS and TMHP prior to completion and implementation of projects impacting LTC provider claims payments and service authorizations. Coordinates 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. Project Management/Assignments/Liaison (15%) Coordinates with HHSC program areas, HHSC IT and TMHP to determine priorities of project tasks, activities required to complete tasks, resource allocation for tasks, and critical impact on end users through risk analysis. Plans project scope, develops benchmarks/timelines, consolidates business user requirements, and manages communications across BAS and HHSC program areas. Manages and completes all aspects of projects and/or assigned tasks according to schedules and project work plans. Serves as a liaison between BAS and program staff, HHSC IT, and TMHP. Reviews the analysis, determination and documentation of business needs and system requirements for enhancements and modifications to complex automated MMIS systems and applications such as TMHP CMS, LTC Provider, SAS, and TMHP LTC Online Portal. Knowledge Skills Abilities Knowledge of: Information technology frameworks for business applications. Long‑term care systems such as CMS and the LTC OP. TMHP operational and technology organization. User Acceptance Testing methodologies. Skill In Effective communication, both orally and in writing, with business users to gather requirements and/or explain technical information. Analyzing and organizing technical data. Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability To Exercise independent judgment, prioritize tasks, work under time constraints and show initiative. Interpret and present research findings. Coordinate with others to resolve complex technical problems. Conduct/review user testing of automated systems. Initial Screening Criteria (Required) Experience working on payment processing systems and their supporting systems. Experience working with Texas Medicaid programs and systems. Experience in user acceptance testing. Experience identifying, troubleshooting, and overseeing resolution of issues that impact systems or users. Preferred Graduation from an accredited four‑year college or university with major coursework in a related field is generally preferred. Five or more years’ experience in operations support for HHSC automated systems. Experience with Home and Community‑Based Services (HCS) and Texas Home Living (TxHmL) waiver programs. 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. Active Duty, Military, Reservists, Guardsmen, and Veterans All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. #J-18808-Ljbffr Texas Health and Human Services