Reimbursement Analyst I

Texas Health and Human Services; Austin (TX); Hybrid; USD 50,476 - 80,954; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement

Job summary

Texas Health and Human Services Commission (HHSC) is seeking a Reimbursement Analyst I in Austin, TX. This entry-level role supports the design, development, and compliance of federal payment rate requirements, maintaining applications and databases used in payment determinations and reporting.

The position emphasizes data collection, validation, and collaboration with team members to improve reimbursement processes.

Qualifications

• Graduation from a four-year college or university with relevant fields such as business, accounting, statistics, economics, or health-related area.
• Experience with data analysis, healthcare programs, Medicaid, reimbursement, or related analytics is preferred.

Responsibilities

• Assist with drafting, reviewing, and maintaining reports, analyses, and deliverables.
• Support analysis of payment rates, claims data, and financial information.
• Communicate with stakeholders and participate in workgroups to improve processes.
• Maintain workloads, track deadlines, and assist with legislative requested information.

Skills

Microsoft Office

Data analysis

Salesforce

Business objects

TMHP Software

Claims processing engines

Education

Bachelor’s degree

Tools

TMHP Software

Claims processing engines

Job description

Date: Jul 27, 2026

Location: AUSTIN, TX

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 IJob Title: Reimbursement Analyst IAgency: Health & Human Services CommDepartment: HHSC & HHS Rate Analysis M/CPosting Number: 14296Closing Date: 01/25/2027Posting Audience: Internal and ExternalOccupational Category: Business and Financial OperationsSalary Range: $4,523.26 - $7,253.83Pay Frequency: Monthly

Salary Group: TEXAS-B-21Shift: DayAdditional Shift: Days (First)Telework: Eligible for TeleworkTravel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Exempt

Facility Location: Job Location City: AUSTINJob Location Address: 4601 W GUADALUPE STOther Locations: AustinMOS 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. The Reimbursement Analyst I (RAI) reports to the Manager of Acute Care Services Payment Comparison and serves as an entry-level analyst on the Acute Care Services Payment Comparison team. This team is responsible for supporting the design, development, and compliance of federal payment rate requirements and reporting. The RAI assists with maintaining applications, spreadsheets, and databases used in payment rate determinations and reporting activities. The position supports data collection, validation, analysis, documentation, and reporting efforts to ensure compliance with state and federal requirements. The RAI prepares written materials, participates in meetings, responds to routine inquiries, and assists with special projects related to reimbursement and payment policy activities. The RAI works collaboratively with team members to support operational activities, maintain documentation, and contribute to program improvement initiatives. Work is performed under moderate supervision with opportunities to exercise initiative and develop 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.

Drafting, Review, and Reporting (35%)

Assists with the preparation, review, and maintenance of reports, analyses, and other deliverables. Supports the analysis of payment rates, claims data, and financial information. Reviews state and federal regulations to understand program requirements and assists in documenting findings. Drafts routine correspondence, reports, and supporting documentation for review by senior staff. Assists in ensuring assigned deliverables are completed accurately and on schedule.

Coordination and Communication (20%)

Communicates with Provider Finance staff, providers, HHS Enterprise staff, contractors, and other stakeholders regarding payment rate and reporting activities. Responds to routine inquiries and requests for information. Participates in workgroups and meetings and provides analytical support as needed. Collaborates with team members to resolve issues and improve processes.

Workflow Management (20%)

Maintains assigned workloads and project activities to support timely completion of reports, notices, submissions, and other required deliverables. Tracks assignments and deadlines, identifies potential issues, and communicates concerns to management. Assists with gathering information for legislative requests, fiscal analyses, and other program activities as assigned.

Processes and Procedures (20%)

Assists with developing, documenting, and maintaining process and procedure documentation. Follows established procedures to promote consistency, quality, knowledge retention, and operational efficiency. Identifies opportunities for process improvements and communicates recommendations to management.

Other Duties (5%)

Performs other work as assigned or required to support the office and HHSC operations.

Knowledge Of

Knowledge, Skills and Abilities (KSAs)

• Advanced Microsoft Office (Excel, Word, etc.), business objects, TMHP Software, claims processing engines, and Salesforce.
• Data analysis, statistics, data visualization, medical claims data, methods of funding, program rules, Medicare, and Medicaid.
• Business administrative processes.
• Database and spreadsheet applications.
• Data quality and integrity processes.
• Process improvement or quality assurance systems

Skill In

• Managing multiple assignments and priorities.
• Organizing and analyzing data.
• Problem solving and attention to detail.
• Working collaboratively and cooperatively with diverse groups.
• Written and verbal communication.

Ability To

• Learn reimbursement methodologies and payment systems.
• Interpret and apply policies, procedures, and regulations.
• Organize and present information effectively, both orally and in writing to technical and non-technical audiences.
• Establish and maintain effective working relationships.
• Meet deadlines and adapt to changing priorities.
• Prepare reports and summarize findings.

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.

Experience with data analysis, healthcare programs, Medicaid, reimbursement, financial reporting, or related analytical work is preferred.

Additional Information

N/A

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.

Nearest Major Market

Austin