Reimbursement Analyst V

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 V 
Job Title: Reimbursement Analyst V 
Agency: Health & Human Services Comm 
Department: HHS Provider Finance SHARS 
Posting Number: 12261 
Closing Date: 01/16/2026 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-25 
Salary Range: $5, $9,508.25 
Pay Frequency: Monthly
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:

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.

Reimbursement Analyst V (RA V) position reports to the Manager of Acute Care Services Fees, Data, and Research and serves as lead reimbursement analyst for Acute Care services Fees team. The RAV conducts detailed data analysis, generates and summarizes recommendations (both written and financial), conducts executive briefings, interacts and responds to executive staff requests, conducts rate hearings, reviews, trains, and mentors RAIV -  RAI rate analysts to ensure high quality work products and responds to inquiries from providers and other staff as required. Provides guidance for operational and tactical planning, program development, and data analysis and evaluation related to services and issues. Work involves establishing goals and objectives to address reviewing guidelines, procedures, rules, and regulations; establishing priorities, standards, measurement tools, and reporting systems for determining progress in meeting goals; coordinating and evaluating program activities; providing training and consultation for staff and directing the development of reports and analytical materials. Works under minimal supervision, with extensive latitude for the use of 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.
Reimbursement Rate Reviews – Keeps rate reviews and rate hearing steps on schedule. Review analysts' fiscal estimates, identify and correct issues, and provide recommendations as needed. Review and complete required notices, postings, and publications for public rate hearings and rate implementations.  Prepare documents for, meet with and brief executive staff on proposed initiatives. (35%)

Fiscal Analysis – Complete detailed fiscal analysis, pricing reviews, methodology recommendations for provider reimbursement for a variety of programs administered by HHSC.  Work includes compiling information from a variety of datasets, with varying degrees of size and complexity.  Includes special projects, ad-hoc requests, and agency-directed initiatives. (20%)

Federal and State Compliance – Proactively manage workflow to meet all required notices and submission of State Plan Amendments (SPA) and Texas Administrative Code (TAC) updates.  Review work of other analysts to ensure accuracy of work related to SPA and TAC updates related to changes to reimbursement rates.  Respond to legislative inquiries, complete bill analysis, draft and estimate fiscal impacts, meet with legislative staff and/or attend hearings as required. (20%)

Team Representation – Approve biennial workplan, deadline extensions, issues, resolving errors in information received, and implementation status with state contractor(s).  Represent team as a Subject Matter Expert in collaborative efforts with other teams internal to the agency and external stakeholders. (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:

1. Advanced Microsoft Office (Excel, Word, PowerPoint), business objects, TMHP Software, claims processing engines, and data querying/analysis tools such as SQL, R, SAS, Python.
2. Data analysis, statistics, data visualization, medical claims data, methods of funding, program rules, Medicare, and Medicaid.
3. Reimbursement methodologies.
4. Texas legislative process.
5. Health and human service programs, services, and procedures.
6. Data quality and integrity processes.
7. Process improvement or quality assurance systems

Skill in:

1. Managing multiple and competing priorities.
2. Identifying problems, evaluating alternatives, and implementing solutions.
3. Working collaboratively and cooperatively with diverse groups.
4. Communication and public speaking.

Ability to:

1. Interpret data and develop effective operating procedures.
2. Work with large datasets efficiently.
3. Organize and present information effectively, both orally and in writing to technical and non-technical audiences.
4. Establish goals and objectives.
5. Train and provide constructive feedback to staff.
6. Establish effective working relationships with staff at all levels of an organization, agencies, providers, and stakeholders.
7. 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 can be substituted for one another on a year-for-year basis.  Experience with Medicaid and/or healthcare finance preferred.  Experience with SQL-based data querying software preferred.

Additional Information:

N/A

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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 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.