Reimbursement Analyst I

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: Reimbursement Analyst I 
Job Title: Reimbursement Analyst I 
Agency: Health & Human Services Comm 
Department: HHS Provider Finance SHARS 
Posting Number: 19421 
Closing Date: 08/11/2026 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Range: $4,523.16 - $7,253.83 
Pay Frequency: Monthly
Salary Group: TEXAS-B-21 
Shift: Day 
Additional Shift:  
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:  
MOS Codes: No military equivalent 
 
 
 

Brief Job Description:

Reimbursement Analyst I position performs work for the Provider Finance Department under the supervision of the Manager of Fee Based Services.  Performs highly complex (senior-level) rate analysis work of reimbursement payment rates and pricing. Work includes 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. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Duties include: managing the payment rate development process including performing independent research and gathering information from multiple data sources; conducting complex data analysis to determine and evaluate Medicaid and other payment rates; summarizing analysis and findings in concise documentation; conducting and/or participating in public rate hearings; and providing timely responses to questions by providers and members of the public. Develops, modifies and maintains complex computer programs, spreadsheets and large databases used in payment rate analysis. Develops reimbursement policy guidelines, agency rules, state plan amendments and other associated documents relating to cost reporting and payment rate determination.

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Pricing Analysis - Works with team members and manager to develop and implement complex data analysis to determine payment rates for various Medicaid and non-Medicaid programs. Designs and conducts special cost and statistical research and analysis to evaluate the feasibility and the cost implications about payment rate structure options, new program initiatives or enhancements, special payment rate initiatives, and new regulations. Develops, modifies, and maintains complex computer programs, spreadsheets, and large databases used in payment rate analysis.  Utilizes Microsoft Excel proficiently. (40%)

Coordination - Communicates complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning payment rate methodology issues affecting program delivery and payment rate determination. Records and summarizes all forms of public testimony regarding proposed rates. (15%)

Stakeholder Communication - Responds to inquiries and questions from providers, stakeholders or internal staff. Providers information to answer questions, may complete or contribute to legislative analysis, open records requests or other items as needed. (15%)

Verification - Verifies the accuracy of contractor implementation of approved rates (10%)

Drafting & Review - Develops and processes reimbursement aspect of policy documents (including policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials, and hearing other notices) relating payment rate and payment methodology determination. (15%)

Performs other work as assigned or required to maintain and support the office and HHSC operations. (5%)

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

1. health and human service programs, services, and procedures.
2. accounting, business, and management principles, practices, and procedures.
3. state and federal laws and regulations relating to Medicaid reimbursement and public administration.
4. reimbursement methods and payment fees, formulas, and procedures.

Skill in:

1. the development, implementation, and application of reimbursement methodologies and payment rates.
2. interpersonal relationships and in establishing and maintaining effective working relationships.
3. analyzing laws, regulations, program policies, and issues.
4. use of personal computers and to use word processing, spreadsheet, statistical, and other software to develop payment rates.
5. use of complex formulas in spreadsheet software.
6. preparation of well-written briefing documents and reports designed to convey complex detailed concepts.
7. managing multiple projects with competing deadlines.

Ability to:

1. develop, evaluate, implement, and interpret policies, procedures, and rules.
2. exercise independent judgement, set priorities, meet deadlines, and adapt to shifting technical and political developments.
3. manage projects effectively and produce quality work within short deadlines.
4. communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.

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; economics; health-related field; political science; or other closely related field. Experience may be substituted on a year-for-year basis. Experience with Medicaid and/or healthcare finance preferred.  Experience with Business Objects or other SQL based data querying software preferred.

Additional Information:

N/A

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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 1-888-894-4747. 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.