Reimbursement Analyst III

FALL CREEK FARM & NURSERY; Austin (TX); Hybrid; USD 57,000 - 93,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Job summary

Health & Human Services Commission (HHSC) seeks a Reimbursement Analyst III to process Medicaid and Non-Medicaid cost reports under LTSS. The role requires senior-level technical work, including reconciliations, policy documentation, and process improvements within the Provider Finance Department.

The position emphasizes collaboration with stakeholders, adherence to Texas Admin Code rules, and the development of new cost reports to meet program changes. Strong Excel and Word skills are essential.

Qualifications

• Graduation from a four-year college with major in accounting or related field.
• Experience with financial analysis and reimbursement contexts preferred.
• Proficiency in MS Word and Excel for document formatting and data review.
• Familiarity with policy analysis and financial reporting standards.

Responsibilities

• Conduct informal reviews of LTSS cost and financial reports and reconcile supporting documents.
• Perform cost report reconciliations and ensure timeliness per policies.
• Draft cost reporting instructions and policy documentation for accessibility.
• Communicate complex information to internal and external stakeholders.
• Develop and update cost reports to meet changing requirements.
• Provide leadership and peer-review support to junior staff.
• Perform other duties to support HHSC operations.

Skills

Strong analytical skills

Interpersonal relationships

Clear written and verbal communication

Microsoft Excel (intermediate)

Microsoft Word (advanced)

Microsoft Office Suite (general)

SQL (basic)

Ability to exercise initiative

Education

Bachelor’s degree in accounting, business administration, finance, economics, statistics, or related field

Tools

MS Word

MS Excel

PowerPoint

Outlook

SharePoint

Visio

Job description

Posting ID18683-Posted08/21/2026-Health & Human Services Comm-HHSC & HHS Rate Analysis LTC-Business and Financial Operations-Eligible for Telework-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:Reimbursement Analyst III
Job Title:Reimbursement Analyst III
Agency:Health & Human Services Comm
Department:HHSC & HHS Rate Analysis LTC
Posting Number:18683
Closing Date:09/04/2026
Posting Audience:Internal and External
Occupational Category:Business and Financial Operations
Salary Range:$5,099.00-$8,304.00
Pay Frequency:Monthly
Salary Group:TEXAS-B-23
Shift:Day
Additional Shift:None
Telework:Eligible for Telework
Travel:
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 III position processes Medicaid and Non-Medicaid cost reports under the supervision of the Manger of the Cost Report Team within the Long-Term Services and Supports (LTSS) section of the Texas Health and Human Services Commission (HHSC) Provider Finance Department (PFD).

The position entails complex (senior-level) technical work in the development and processing of provider cost reports or financial compliance reports for Medicaid and other programs, including calculating reconciliations of cost reports for direct care and patient care expense ratios; processing informal review requests and conducting financial reviews; developing new processes and process improvements; and maintaining cost report instructions, worksheets, and policies and procedure documentation.

This position works under general supervision with moderate latitude for the use of initiative, prioritizing assigned tasks, and independent judgment.

ESSENTIAL JOB FUNCTIONS (EJF):

• Cost and Financial Compliance Report Informal Reviews (25%): Conducts informal reviews on LTSS cost and financial compliance reports by evaluating the informal review request submitted by the provider and reconciling supporting financial documentation with the adjustments made during HHSC PFD Financial Examination. Ensures informal review adjustments are allowable and processed timely in accordance with Texas Administrative Code rules, program guidelines, and established processes and procedures. Coordinates with the Cost Report Review Unit regarding the results of the informal review. Communicates results of the informal review with stakeholders, including by representing the department in formal appeal hearings.
• Cost Report and Financial Compliance Report Reconciliation (20%) : Conducts cost and financial compliance report reconciliations necessary to hold providers accountable to State and Federal requirements across programs and initiatives. Communicates results to providers. Maintains applicable reporting deadlines. Ensures cost and financial compliance reports are processed according to established policies and procedures and Texas Administrative Code rules.
• Cost Report Instructions and Policy Documentation (20%): Drafts instruction documentation for LTSS cost and financial compliance reports. Ensures documentation details how providers should use HHSC’s electronic cost reporting system to complete their cost or financial compliance report. Ensures documentation meets accessibility and plain language requirements and HHSC established communication guidelines. Drafts policy documents for external or internal audiences relating to LTSS cost reporting to ensure compliance with established procedures, requirements, laws, and regulations.
• Stakeholder and Staff Communication (10%): Communicates complex information to internal and external parties to provide, exchange, or verify information; answer inquiries; address issues; or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning payment rate policy issues affecting LTSS cost reporting. Participates in public meetings and records and summarizes public testimony regarding PFD initiatives.
• Cost Report Development (15%): Works with senior-level teammates to conduct cost report reviews and improvements. Updates cost reports as program and reporting requirements change. Develops new cost reports to meet data collection and reporting requirements for LTSS programs.
• Leadership & Oversight (5%): Conducts peer reviews and acts as a resource for junior staff in the completion of informal reviews and reconciliations. Coordinates among teammates to analyze processes and develop process improvements.
• Other Duties as Assigned (5%): Performs other work as assigned required to maintain and support the office and HHSC operations.
  

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:

None Required.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

Knowledge of:

• LTSS cost reporting and financial examination or auditing practices.
• The Texas Legislative process.
• Microsoft Word at an advanced level and the use of HHS accessible templates. (Use of Styles to format documents, Table Styles, HHS Reports tab to create and format reports, page and section breaks to format long documents with different page styles, embedding documents, and able to create accessible documents).
• Microsoft Excel at the intermediate level. (Set up footers, headers, align margins, sort and filter, conditional formatting, insert links, concatenation, able to convert to accessible Adobe Acrobat format).

Skill in:

• Strong analytical skills with the ability to collect, analyze, organize, and communicate significant amounts of complex information with attention to detail, accuracy, professionalism, and diplomacy.
• Strong critical thinking skills with the ability to evaluate and implement effective alternative solutions.
• Interpersonal relationships, teamwork, and establishing and maintaining effective working relationships with people at various levels of expertise.
• Communicating clearly and concisely, both verbally and in writing with attention to detail.
• Use of Microsoft Office Suite products (MS Word, Excel, PowerPoint, Outlook, SharePoint, Visio, and others).

Ability to:

• Perform and interpret numerical analyses to analyze, evaluate, and summarize financial and management records for accuracy and conformance to procedures, rules, and regulations.
• Collaborate and work well with others with professionalism and diplomacy.
• Exercise initiative, discretion, and good judgment.
• Work under limited supervision, exercise independent judgment, set priorities, meet deadlines and adapt to shifting technical and work environmental developments.
• Manage projects effectively and produce quality work within expected deadlines.
• Maintain accurate, detailed, and organized documentation of assignments and projects.

I NITIAL SCREENING CRITERIA:

• Graduation from a four-year college or university with major coursework in accounting, business administration, finance, economics, statistics, or a related field is required. Experience in Provider Finance or applicable organization may be substituted for education on a one-to-one basis.
• Experience with financial analysis is required.
• Experience in developing, compiling, analyzing, and interpreting statistical data for reimbursement analysis, preferred.
• Experience with policy analysis, preferred.
• Experience of working with MS Excel, MS Word, and SQL, preferred.

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.