Research Specialist V (Rate Research and Implementation)

Career Opportunities: Research Specialist V (Rate Research and Implementation) (20278) Posting ID 20278 -Posted - Health & Human Services Comm - HHSC & HHS Rate Analysis LTC - 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, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Research Specialist V (Rate Research and Implementation) Job Title: Research Specialist V Agency: Health & Human Services Comm Department: HHSC & HHS Rate Analysis LTC Posting Number: 20278 Closing Date: 10/23/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Range: $5,425.33-$8,886.16 Pay Frequency: Monthly Salary Group: TEXAS-B-24 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: 0231,0531,4505,4591,8051,8825,8850,15AX,35F,38A,49A,683X,783X,CYB14,IS,ISS,OSS Brief Job Description Research Specialist (RS) V reports to the Manager of the Rate Research and Implementation (RRI) team within the Long-Term Services and Supports (LTSS)section of the Provider Finance Department (PFD) and performs advanced (senior-level) research and rate setting work, including evaluation of existing, new oralternative rate methodologies for Medicaid and non-Medicaid services. The workinvolves research of state and federal regulations, analysis of Texas rate setting andreimbursement methodologies, and those used in other states, and general policyresearch and other research projects as assigned. RS V serves as a team lead and subject matter expert in LTSS rates and methodologies, including updating pro-forma rate models and ratecalculations. Under the direction and assistance of the RRI Manager, RS V will mentor junior staff, perform reviews on peer’s work, engage in stafftraining on research methods and LTSS rate methodologies, and help to ensure workis completed accurately and meets required deadlines. This position works under minimal direction with extensive latitude for the use of initiative and independent judgment. RS Vdevelops and implements research and analytical procedures to assess the validity ofmethods and/or procedures for appropriate application. RS Valso prepares a variety of reports, studies or other deliverables for internal andexternal audiences containing research results related to the rate setting process. This position isexpected to make presentations related to research andrate setting work and represent the PFD in meetings with internal and externalstakeholders. RS V prepares memorandums and white papersregarding the research and analysis performed for Executive leadership. The RS V performs other duties necessary to achieve the mission of theHealth and Human Services Commission (HHSC). Essential job functions: Analysis and Development of existing, new and alternative rate methodologies: Performs advanced research related to HHSC’s Medicaid and non-Medicaid rate methodologies necessary to develop LTSS reimbursement rates and supplemental payment programs. Contributes to LTSS rate setting work by refining LTSS pro-forma rate models to ensure that they align with State and Federal guidelines and regulations, Texas Administrative Code, and industry’s best practices. Provides consultation and technical advice on research methods and techniques to staff on the research team and other rate analysts in the department. Reviews, analyzes, and evaluates the impact of legislation, regulations, and policies affecting reimbursement rates and healthcare finance, reports results and makes recommendations to PFD Leadership, Executive staff, including the Executive Commissioner and other key personnel. Formulates and monitors long-term research objectives, programs, and priorities needed to develop new reimbursement techniques and to evaluate how reimbursement rates are influencing HHSC’s outcomes goals for clients; communicates to and advises the Director of LTSS Finance regarding the progress towards the long-term research objectives upon request. (35%) Draft Documents for Approval and Presentation: Drafts memorandums, white papers, state plan amendments, rule amendments based on analyses, conducts public hearings; prepares independent reports and presentations on analyses results to other staff and department leadership on a routine basis; delivers oral presentations and reports on financial programs and initiatives to various provider and stakeholder organizations and to HHSC leadership; communicates complex results in a manner that can be easily understood by various audiences including public stakeholders. Represents programs in committees, regional workgroups, and projects to meet research and data analysis needs. Represents the state at the national level on research and data analysis issue. Prepares information and reports for professional organizations, stakeholders, federal personnel, other governmental entities, Executive staff, and the public regarding the long-term research objectives and outcomes of that research. (35%) Serve as Team Lead: Provides guidance to PFD LTSS staff on research and analytical methods used in support of rate methodologies and/or research projects. Assists in hiring and conducts training of junior staff, including regularly participating in training new hires on various technical aspects of their positions, as well as participating in interview and selection teams as needed. Assists with consulting other staff about policy guidelines and rule requirements. Serving as a subject matter expert of LTSS rates and reimbursement methodologies, RS V is expected to contribute to internal training effort. (15%) Promote Improvement and Innovation: Actively contributes to the continuous improvement of department processes through ongoing initiatives including: solutions to automate; building efficiencies; maintaining consistency across multiple models and rate calculations. Creates and updates policies and procedures for documenting internal processes and resources. (10%) Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations. (5%) Knowledge, Skills and abilities (KSAs) Ability to analyze or evaluate research data and findings. Ability to establish and maintain effective work relationships in a team setting. Ability to differentiate between various professional circumstances and communicate effectively in writing, in speaking, and nonverbally. Ability to edit narrative reports. Ability to learn and effectively apply new procedures and techniques. Ability to follow established guidelines and find ways to improve internal processes. Ability to organize, track, work independently, and complete simultaneous difficult/complex tasks with varying deadlines. Ability to exercise good judgement in evaluating situations and making recommendations. Ability to communicate complex information to various audiences. Knowledge of research methods, principles, techniques. Knowledge of principles for calculating fiscal estimates is preferred. Knowledge of reimbursement rate development is preferred. Registrations, Licensure Requirements or Certifications: N/A. Initial Selection Criteria Graduation from an accredited four-year college or university, required. Major coursework in accounting, business administration, finance, economics, statistics, or a related field is preferred. Note: practical experience in these fields may be substituted for major coursework. At least two years of experience in accounting, Medicaid/Medicare, healthcare business, statistics, finance, or other relevant fields. 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. 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 tothose 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 FALL CREEK FARM & NURSERY