Provider Experience Business Analyst

FALL CREEK FARM & NURSERY; Austin (TX); On-site; USD 65,000 - 79,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement opportunities

Job summary

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services division seeks a skilled Provider Experience Business Analyst to translate provider feedback into actionable IT requirements. You will support enrollment, revalidation, and provider-facing systems modernization while collaborating with program staff, tech partners, and vendors.

Reporting to the Director of Provider Experience, the role emphasizes improving provider experiences, workflow efficiency, and operational

Qualifications

• Graduation from an accredited four-year college or university with major coursework in IT, CS, healthcare administration, or a related field.
• Three years of experience in business analysis, systems analysis, or related areas is preferred.
• Experience evaluating provider-facing systems and healthcare operations is a plus.

Responsibilities

• Gathers, analyzes, and documents business needs related to provider enrollment, system usability, workflow efficiency, and operational performance.
• Translates provider feedback into actionable requirements for system enhancements and operational improvements.
• Supports planning and implementation of IT projects from requirements through post-implementation evaluation.
• Communicates clearly with stakeholders and maintains documentation of requirements, risks, and timelines.
• Keeps leadership informed with status updates and decision logs.

Skills

Business analysis

Requirements gathering

Process mapping

Stakeholder communication

Data analytics

Education

Bachelor's degree in IT/CS/Healthcare Admin

Tools

PEMS

Job description

Career Opportunities: Provider Experience Business Analyst (21121)

Posting ID21121-Posted09/08/2026-Health & Human Services Comm-Modernize MES EI4 89R 75/25-Business and Financial Operations-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: Provider Experience Business Analyst
Job Title: Information Technology BA III
Agency: Health & Human Services Comm
Department: Modernize MES EI4 89R 75/25
Posting Number: 21121
Closing Date: 09/22/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $5,797.66-$7,083.33
Pay Frequency: Monthly
Salary Group: TEXAS-B-25
Shift: Day
Additional Shift: None
Telework:
Travel: Up to 10%
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: 8846,8848,8858,14NX,15AX,16KX,181X,182X,1D7X1,255A,25B,26B,62E,681X,682X,781X,782X,CYB10,CYB11,ISM
IT,Z Prefix

Brief Job Description:

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate for the position of Provider Experience Business Analyst (IT Business Analyst III), reporting to the Director of Provider Experience for Operations. The MCS Operations department delivers infrastructure for both the managed care and fee-for-service delivery models within Texas Medicaid, one of the largest healthcare programs in the country, serving approximately 4 million Texans. Key department deliverables include claims resolution, acute care claims processing, provider enrollment, IDD Waiver Programs, Vendor Drug Program, and management of Medicaid Modernization. MCS is driven by its mission to deliver high quality, cost-effective services to Texans.

The IT Business Analyst III, Provider Experience serves as the liaison between business and technical teams to ensure provider experience needs are clearly understood, documented prioritized, and incorporated into projects, system enhancements, and operational improvements. This position supports the Director of Provider Experience by translating provider feedback, business needs, and operational priorities into actionable requirements that improve systems, processes, and services within Medicaid and CHIP Services.

The role focuses on provider-facing systems and processes, including provider enrollment, revalidation, re-enrollment, maintenance activities, and future Medicaid technology modernization efforts. The Business IT Analyst works closely with program staff, technology teams, vendors, policy partners, quality teams, and other stakeholders to support a more seamless, consistent, and responsive provider experience.

Essential Job Functions (EJFs):

(30%) Serves as a liaison between provider experience business teams, technology teams, vendors, and operational stakeholders. Facilitates communication to ensure business needs are accurately understood and reflected in system enhancements. Translates experience goals into business requirements, functional requirements, personas, and process documentation. Supports alignment between provider experience priorities, MCS operational goals, and HHSC technology modernization efforts.

(25%) Gathers, analyzes, and documents business needs related to provider enrollment, system usability, provider communication, workflow efficiency, and operational performance. Reviews provider feedback, surveys, help desk trends, audit findings, quality reviews, and stakeholder input to identify improvement opportunities. Develops current-state and future-state process maps, journey maps, workflow diagrams, and gap analyses.

(20%) Supports projects and system enhancements from planning through implementation. Participates in requirements sessions, design reviews, testing activities, implementation planning, and post-implementation evaluation.

(15%) Participates in meetings, workgroups, and project activities related to provider experience, system enhancement, Medicaid modernization, and operational improvement. Builds collaborative working relationships and provides timely responses to requests for information.

(5%) Prepares clear documentation, presentations, decision logs, and status updates for leadership and project teams. Helps ensure stakeholders understand system changes, business impacts, timelines, risks, and implementation expectations.

(5%) Other duties as assigned.

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

• The general framework of state and federal laws and regulations relevant to publicly funded healthcare services such as Medicaid and CHIP.
• Knowledge of healthcare IT systems.
• Business process analysis, workflow evaluation, system usability review, and continuous improvement methods.

Skill in:

• Establishing plans and setting objectives and goals that support an overall business strategy.
• Identifying problems, evaluating alternatives, and implementing effective solutions.
• Research and analysis of policies and processes to ensure compliance with applicable regulations and standards.
• Communicating complex findings in a clear and professional manner.
• Establishing and maintaining effective working relationships with program staff, technology partners, vendors, and stakeholders.

Ability to:

• Conduct audits, reviews, and evaluations of provider facing systems and business processes.
• Analyze complex information and translate findings into practical recommendations.
• Assess provider experience concerns through process data, provider feedback, usability information, and operational measures.
• Identify risks, root causes, and opportunities for improvement.
• Prepare accurate reports, summaries, presentation, and corrective action updates.
• Manage multiple assignments and meet deadlines.

Registrations, Licensure Requirements or Certifications:

Preferred: Lean Six Sigma Green or Black Belt certification, or related certification.

Initial Screening Criteria:

Graduation from an accredited four-year college or university with major coursework in any one or more of the following: information technology, computer information systems, business administration, public administration, healthcare administration, accounting, auditing, data analytics, or a related field. Related experience may be substituted for education on a year-for-year basis.

At least three years of experience in one or more of the following areas: business analysis, systems analysis, project coordination, process improvement, or requirements development.

Experience evaluating technology systems, provider facing systems, customer experience processes, Medicaid operations, healthcare operations, enrollment processes, or public sector programs.

Experience using journey maps, process maps, dashboards, personas, surveys, or provider feedback tools preferred.

Additional Information:

The HHSC Provider Experience Team will focus on ensuring a positive and seamless experience for providers when engaging with HHSC and the Medicaid program, with an initial focus on enrollment and the Provider Enrollment Management System (PEMS) application. PEMS is a tool for providers to enroll, revalidate, re-enroll, or maintain their participation in Texas Medicaid or other state health-care programs. The purpose of the provider enrollment process is to ensure people and organizations who deliver Medicaid services have the appropriate qualifications for the services they deliver, are in good standing with relevant regulatory entities, are legally recognized entities