Reimbursement Analyst III (Non-Medicaid and DFPS Rates)

Texas Health and Human Services; Austin (TX); Hybrid; USD 57,000 - 93,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time off

Job summary

Texas Health and Human Services Commission (HHSC) in Austin, TX is seeking a Reimbursement Analyst III to advance non-Medicaid rate setting and policy analysis. You will develop and implement rate methodologies, prepare analyses, and present findings to senior leadership while working with the DFPS and TJJD partnerships.

The role requires Graduation from a four-year college, strong financial analysis skills, and the ability to communicate complex concepts to diverse audiences.

Qualifications

• Graduation from a four-year college or university required.
• Experience in financial analysis and rate setting preferred.
• Ability to communicate findings to diverse audiences.
• Telework may be available; in-office presence required two days weekly.

Responsibilities

• Supports development and implementation of policy and financial analysis to determine and evaluate payment rates for various non-Medicaid programs and services.
• Develops, implements, and maintains rate methodologies and rate calculations; prepares ad hoc analyses and fiscal estimates.
• Prepares memoranda and white papers for Executive Leadership and drafts policy documents related to rate setting.
• Serves as SME for Non-Medicaid reimbursement methodologies; interfaces with internal and external stakeholders to provide guidance on rates.
• Contributes to continuous improvement of department processes; creates and updates policies and procedures for documenting internal processes.

Skills

Financial analysis

Data analysis

Rate setting

Policy analysis

Report development

Communication

Education

Bachelor's degree

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Outlook

Job description

Date: Aug 26, 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 III (Non-Medicaid and DFPS Rates)

Job Title: Reimbursement Analyst III

Agency: Health & Human Services Comm

Department: SP26 DFPS Rate Setting

Posting Number: 20662

Closing Date: 10/25/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $5,098.66 - $8,304.83

Pay Frequency: Monthly

Salary Group: TEXAS-B-23

Shift: Day

Telework: Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Job Location City: AUSTIN

Job Location Address: 4601 W GUADALUPE ST

Brief Job Description

Under direct supervision of the Manager of the Non‑Medicaid and DFPS Rates team within the Provider Finance Department (PFD) Long-Term Services and Supports (LTSS) section, Reimbursement Analyst III (RA III) performs advanced (senior-level) rate analysis focused on the reimbursement payment rates and rate setting methodologies. 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.

RA III plans, develops, and presents recommendations and reports and works under minimal supervision, with extensive latitude for the use of initiative and independent judgement.

RA III will serve as a senior analyst and subject matter expert in non-Medicaid rates and methodologies, as well as rate setting in support of HHSC’s Memorandum of Understanding with the Department of Family and Protective Services (DFPS) and the Texas Juvenile Justice Department (TJJD) for rate-setting activities.

Essential Job Functions (EJFs)

• Supports development and implementation of policy and financial analysis to determine and evaluate payment rates for various non-Medicaid programs and services. Develops, implements, and maintains rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates. (35%)
• Supports 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. Interprets analysis results and develops recommendations for internal and external audiences. (25%)
• Prepares memoranda and white papers for Executive Leadership, drafting and reviewing of documents as necessary. Develops and processes policy documents relating to payment rate and methodology determination, including state administrative rules, etc. (15%)
• Serves as a subject matter expert of Non-Medicaid reimbursement methodologies, models, data, policies and procedures. Communicates and interfaces with internal and external parties to provide guidance and resolve problems concerning reimbursement rates or payments; rate methodology; rate determination and policy, guidelines, and rule requirements. Provides guidance to PFD LTSS staff on analytical methods used in support of rate methodologies and/or projects. Assists in hiring, mentoring, and training of junior staff. (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. Creates and updates policies and procedures for documenting internal processes and resources, including standard forms and templates. (10%)

Knowledge Of

Knowledge, Skills and Abilities (KSAs):

• Financial analysis, accounting concepts, budgeting, cost allocation, and reimbursement principles.
• Data analysis methods and techniques (preferred).
• Principles and practices of rate setting and payment methodology development (preferred).
• Program evaluation, policy analysis, and report development.
• Applicable state and federal laws, regulations, policies, and procedures related to assigned programs.

Skill In

• Analyzing complex financial, statistical, and programmatic information.
• Developing and maintaining spreadsheets, financial models, workpapers, and data files.
• Interpreting data and communicating findings to technical and nontechnical audiences.
• Preparing clear, accurate, and concise reports, correspondence, training materials, and presentations.
• Organizing workload, managing multiple projects, and meeting established deadlines.
• Using personal computers and standard business software, including Microsoft Excel, Word, PowerPoint, and Outlook.

Ability To

• Apply sound judgment and independent decision-making to complex program and financial issues.
• Develop defensible rate-setting analyses and reimbursement recommendations.
• Explain technical financial and reimbursement concepts clearly to providers, program staff, leadership, and other stakeholders.
• Establish and maintain effective working relationships with internal and external stakeholders.
• Work effectively both independently and collaboratively in a team environment.
• Maintain confidentiality of sensitive provider, financial, and program information.

Registrations, Licensure Requirements Or Certifications

N/A.

Initial Screening Criteria

Graduation from a four-year college or university required.

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 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