Reimbursement Analyst I - Rate Research and Implementation Team

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

Benefits offered by this job

Telework eligible

Job summary

The Reimbursement Analyst I at the Texas Health and Human Services Commission evaluates long-term care reimbursement rates and methodologies. You will work on rate research, cost surveys, and policy analysis under supervision, developing reports and recommendations for rate setting.

Telework may be available; in-office presence is required at times based on business needs. Ideal candidates hold a four-year degree with strong analytical skills, Excel proficiency, and the ability to communicate

Qualifications

• Graduation from an accredited four-year college or university required.
• Major coursework in accounting, business administration, finance, economics, statistics, or related field preferred.
• Practical experience may substitute for major coursework.

Responsibilities

• Develop and implement policy and financial analyses to determine and evaluate payment rates.
• Design and study cost surveys; prepare ad hoc analyses and fiscal estimates.
• Participate in rate adoption activities and prepare documents for federal approval as needed.
• Contribute to process improvements and create/update internal policies and templates.

Skills

Data analysis

Excel

Teamwork

Communication

Independent thinking

MS Word

Education

Bachelor's degree

Tools

Statistical software

MS Word

Job description

Career Opportunities: Reimbursement Analyst I - Rate Research and Implementation Team (20329)

Posting ID20329-Posted -Health & Human Services Comm-HHSC & HHS Rate Analysis LTC-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 - Rate Research and Implementation Team
Job Title:Reimbursement Analyst I
Agency:Health & Human Services Comm
Department:HHSC & HHS Rate Analysis LTC
Posting Number:20329
Closing Date:10/23/2026
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 Rate Research and Implementation (RRI) 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. Thos position works under direct supervision of the Magager of RRI 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:

• Participates in the development and implementation of policy and financial analysis to determine and evaluate payment rates for various long-term care programs and services. Participates in the development, implementation, and maintenance of rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates. (35%)
• 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. (35%)
• Participates in rate and rule adoption activities, including preparing memorandums for Executive Leadership, and drafting and reviewing of documents to ensure federal approval and authorization in a timely manner as necessary. Assists in developing and processing policy documents relating to payment rate and methodology determination, including state administrative rules, state plan amendments, waiver amendments, 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 required.
• Major coursework in accounting, business administration, finance, economics, statistics, or a related field is preferred. Note: practical experience in these fields may be substituted for major coursework

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 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.