Reimbursement Analyst I

Date: Jul 3, 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, numerous opportunities for career advancement and more. Functional Title Reimbursement Analyst I Job Title Reimbursement Analyst I Agency Health & Human Services Comm Department HHSC & HHS Rate Analysis M/C Posting Number 18625 Closing Date 07/17/2026 Posting Audience Internal and External Occupational Category Business and Financial Operations Salary Range $4,523.16 - $7,253.83 per month Pay Frequency Monthly Salary Group

TEXAS-B-21

Shift Day Telework Eligible for Telework Travel Up to 10% Regular/Temporary Regular Full Time/Part Time Full time FLSA Exempt/Non‑Exempt Exempt Job Location City

AUSTIN

Job Location Address

4601 W GUADALUPE ST

Brief Job Description This position is hybrid with (currently) 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 I performs highly complex rate analysis work for supplemental payment programs and the administration of School Health and Related Services (SHARS), Medicaid Administrative Claiming (MAC), and Random Moment Time Study (RMTS) programs. Work includes reviewing time study programs, developing and implementing data analysis to determine and evaluate payment rates, preparing cost surveys, instruments, and instructions, and planning, developing, and presenting recommendations and reports. The Analyst works under limited supervision with considerable latitude for initiative and independent judgment. Essential Job Functions Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Financial Modeling (40%) Develops and implements complex data analysis related to supplemental payment programs for acute care services, conducts special cost and statistical research, and evaluates feasibility and cost implications of payment rate structure options or new initiatives. Modifies and maintains complex computer programs, spreadsheets, and large databases used in payment rate analysis. Random Moment Time Study (RMTS) (30%) Develops and maintains complex data analysis and statewide time study results used in cost reimbursement and payment rate determination. Works with providers and HHSC legal on informal and formal appeals resulting from cost report disallowances, including research and the ability to testify in court. Responds to inquiries from providers, stakeholders, or internal staff, and assists with legislative analysis, open records requests, or other items as needed. Drafting, Publication, and Compliance (15%) Prepares monthly deliverables to communicate scorecard information on supplemental payment programs to providers and Medicaid managed care organizations. Responds to CMS inquiries and processes reimbursement aspects of policy documents, including policy guidelines, agency rules, state plan amendments, and other items related to payment rate methodology determination. Communication (10%) Communicates information internally and externally to provide, exchange, or verify information, address issues, and resolve problems or complaints. Interfaces with providers, patient advocates, attorneys, and other stakeholders concerning payment rate methodology issues. Records and summarizes public testimony, repeats service, and trains staff as needed. Other Work (5%) Performs additional work as assigned to support the office and HHSC operations. Knowledge, Skills, and Abilities (KSAs) Advanced Microsoft Office (Excel, Word, PowerPoint), business objects, TMHP Software, claims processing engines, SQL, R, SAS, Python. Data analysis, statistics, and data visualization. Medical claims data, methods of funding, program rules, Medicare, and Medicaid. Texas legislative process. Health and human service programs, services, and procedures. Data quality and integrity processes. Process improvement or quality assurance systems. Knowledge of Texas SHARS, MAC, RMTS, or other related programs. Skill In Managing multiple and competing priorities. Identifying problems, evaluating alternatives, and implementing solutions. Working collaboratively and cooperatively with diverse groups. Establishing goals and objectives. Developing, implementing, and applying reimbursement methodologies and payment programs. Ability To Interpret data and develop effective operating procedures. Serve as an impartial arbitrator, examining internal and external data to reach an independent conclusion. Work efficiently with large datasets. Organize and present information effectively, both orally and in writing to technical and non‑technical audiences. Analyze laws, regulations, program policies, and issues. 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. Prepare well‑written briefing documents and reports designed to convey complex detailed concepts. Communicate effectively both orally and in writing with a variety of agency staff, medical or provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues. 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 a closely related field. Education and work experience may be substituted on a year‑for‑year basis. Experience with Medicaid and/or healthcare finance, SQL‑based data querying software, or Salesforce is preferred. Active Duty, Military, Reservists, Guardsmen, and Veterans All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified for this position. ADA Accommodations In compliance with the Americans with Disabilities Act (ADA), HHSC will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. #J-18808-Ljbffr Texas Health and Human Services