Reimbursement Analyst I (Non-Medicaid and DFPS Rates)

FALL CREEK FARM & NURSERY; Austin (TX); Hybrid; USD 50,000 - 81,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time off

Job summary

Health & Human Services Commission (HHSC) in Austin seeks a Reimbursement Analyst I to join the Long-Term Services and Supports division. The role analyzes reimbursement rates, develops rate-setting methodologies, and prepares cost surveys and reports under supervision.

Telework is eligible with in-office presence twice weekly. Eligibility includes a bachelor’s degree (master’s preferred) and strong Excel/word processing skills, with duties spanning policy, financial analysis, and executive

Qualifications

• Graduation from an accredited four-year college or university is required.
• Master's degree preferred or substituted experience may be considered.

Responsibilities

• Participates in policy and financial analysis to determine and evaluate payment rates for Non-Medicaid programs, including DFPS and TJJD.
• Designs and studies cost surveys and analyses to evaluate rate structure options and regulatory impact.
• Prepares memoranda, reports, and summaries for Executives and Stakeholders.

Skills

Data analysis

MS Excel

Written and verbal communication

Team collaboration

Education

Bachelor's degree

Master's degree preferred

Tools

Microsoft Excel

MS Word

Job description

Career Opportunities: Reimbursement Analyst I (Non-Medicaid and DFPS Rates) (20554)

Posting ID20554-Posted -Health & Human Services Comm-SP26 DFPS Rate Setting-Business and Financial Operations-Eligible for Telework-b. $3000 - $4999 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: Reimbursement Analyst I (Non-Medicaid and DFPS Rates)

Job Title: Reimbursement Analyst I

Agency: Health & Human Services Comm

Department: SP26 DFPS Rate Setting

Posting Number: 20554

Closing Date: 10/25/2026

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: None

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: None

MOS Codes: No military equivalent

Brief Job Description:

The Reimbursement Analyst I (RA I) works as part of the Non-Medicaid and DFPS Rates team within the Long-Term Services and Supports (LTSS) section of the Provider Finance Department (PFD) and performs entry-level rate analysis focused on the reimbursement payment rates and rate setting methodologies. This position works under direct supervision of the Manager of the team. Work includes developing and implementing policy and financial analysis to determine and evaluate payment rates and rate setting methodologies and other related policies and regulations; preparing cost surveys, instruments, and instructions; and planning, developing, and presenting recommendations and reports.

Essential job functions (EJFs):

• Participates in the development and implementation of policy and financial analysis to determine and evaluate payment rates for various Non-Medicaid programs and services, including rate setting for the Department of Family and Protective Services (DFPS) and the Texas Juvenile Justice Department (TJJD). Participates in the development, implementation, and maintenance of rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates. (45%)
• Participates in the design and study of special cost, statistical research, cost surveys and analysis to evaluate the feasibility and cost implications regarding payment structure options, new program initiatives, and new regulations. Contributes to cost report or cost surveys to support rate methodology or programmatic changes as needed. Interprets analysis results and develops recommendations for internal and external audiences. (25%)
• Participates in rate setting and implementation activities, including preparing memoranda for Executive Leadership, legislative reports, and drafting and reviewing of documents to ensure compliance with state and federal regulations and policies. Assists in developing and processing policy documents relating to payment rate and methodology determination, including state administrative rules, processes and procedures, templates, etc. (15%)
• Actively contributes to the continuous improvement of department processes though ongoing initiatives including: solutions to automate; building efficiencies; maintaining consistency across multiple calculations, models, and rules, promoting reliable analysis techniques and methods. Assists in creating and updates policies and procedures for documenting internal processes and resources, including standard forms and templates. (15%)

Knowledge, Skills and abilities (KSAs):

• Ability to analyze or evaluate data, calculations and findings, including experience using Microsoft Excel or statistical software.
• Ability to establish and maintain effective work relationships in a team setting.
• Ability to differentiate between various professional circumstances and communicate effectively in writing, in speaking, and non-verbally
• Ability to sound independent decisions by applying policies and procedures and using available resources.
• Self-starter while working well in a strong team environment.
• Experience of working with MS Excel and MS Word is preferred.

Registrations, Licensure Requirements or Certifications:

N/A.

Initial Selection Criteria:

• Graduation from an accredited four-year college or university is required. Master's degree preferred. Experience in Provider Finance, reimbursement rate setting, or cost reporting may be substituted for education on a one-to-one basis.
• Major coursework in accounting, business administration, finance, economics, statistics, or a related field is preferred.

Additional Information:

Telework flexibility may be available in accordance with agency policy; in-office presence is currently required two days a week but may be modified based on business need.

Occasional travel may be required for meetings, trainings, or stakeholder engagement.

Military occupation specialty (MOS) codes related to this position are available through the Texas State Auditor's Office Military Crosswalk.

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 tothose 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 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.

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.