Encounter Data BA III – Telework-Eligible & Impactful Analytics

Texas Health and Human Services; Austin (TX); Hybrid; USD 65,000 - 106,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time off benefits

Career advancement opportunities

Job summary

The Texas Medicaid and CHIP Services (MCS) department seeks an Information Technology Business Analyst III (BA) to join the Encounters and File Support team. The role supports MES with a primary focus on oversight, evaluation, and improvement of encounter and file submissions from MCOs and DMOs.

Ideal candidates are self-starters who work independently, solve complex data and operational problems, and collaborate with multiple stakeholders to ensure data quality and compliance.

Qualifications

• Three or more years of progressive experience in the areas of leading technical initiatives, business analysis, or project management.
• Documented experience as a business analyst or systems analyst, including requirements gathering, issue analysis, or data evaluation.
• Experience researching and interpreting policies, operational rules, or technical documentation.

Responsibilities

• Oversees the processing of assigned MCO and DMO encounter submissions. Ensures the accuracy and quality of encounter data through HIPAA and business validation rules.
• Leads the analysis of encounter data trends and anomalies. Plans and facilitates workgroup and stakeholder meetings to resolve data issues and improve reporting outcomes.
• Represents the Encounters team on workgroups, meetings, and project initiatives with MCS, IT, MCOs, DMOs, and TMHP. Assesses program policies and procedures for their impact on encounter processing and data warehouse functions.
• Gathers, develops, and documents user requirements for system enhancements and automation. Prepares project deliverables, including Lean Business Cases (LBCs).
• Evaluates vendor performance for compliance and service readiness. Provides subject matter expertise and technical assistance during readiness and operational reviews of Medicaid and CHIP encounter processing and reporting.
• Performs other assigned duties, including administrative support and oversight of projects, assignments, and special initiatives.

Skills

Agile methodologies

Contract performance monitoring

Health care industry

Medicaid/CHIP domain

Automated systems concepts

HHSC policies

Education

Bachelor's degree in a related field

Tools

Microsoft Office

Job description

The Texas Medicaid and CHIP Services (MCS) department seeks an Information Technology Business Analyst III (BA) to join the Encounters and File Support team. The role supports MES with a primary focus on oversight, evaluation, and improvement of encounter and file submissions from MCOs and DMOs.

Ideal candidates are self-starters who work independently, solve complex data and operational problems, and collaborate with multiple stakeholders to ensure data quality and compliance.