Reimbursement Analyst I

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Functional Title: Reimbursement Analyst I 
Job Title: Reimbursement Analyst I 
Agency: Health & Human Services Comm 
Department: HHS Provider Finance M/C Admin 
Posting Number: 9809 
Closing Date: 10/15/2025 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-21 
Salary Range: $4,523.16 - $7,253.83 
Pay Frequency: Monthly
Shift: Day 
Additional Shift: Days (First) 
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: Austin 
MOS Codes: No military equivalent 
 
 
 

Brief Job Description:

The Reimbursement Analyst I position performs work for the Provider Finance Department (PFD) under the supervision of the Director of the Payments Team. This position works with a team to ensure the accuracy and compliance in the collection of intergovernmental transfers and administration of payments for supplemental or directed payment programs administered by PFD. The RAI works closely with an RAIII, but has considerable latitude for the use of initiative and independent judgment to ensure the proper operation of specific payment programs. Duties include: planning, review, development and implementation of payment processes, which may include coordinating with other teams within PFD and external stakeholders; reconciling data; designing or updating instructions / processes and procedures; conducting data analysis to ensure accurate collection of local funding and issuance of payments; and providing technical assistance to individuals both internal and external to the agency.

This role develops, modifies, and maintains complex spreadsheets using large databases to perform payment analysis. The RAI may participate in the development of policy guidelines, agency rules, state plan amendments, and other associated documents relating to payments, as directed. The RAI position reviews policies and procedures for job duties and updates documents as necessary to conform to best practices and performs peer reviews. Please note this position is eligible for telework with required in-office time of 2 days per week. This requirement for in-office time may change as dictated by HHSC Agency policy. 

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Performs work on specific Medicaid supplemental and directed payment programs. Coordinates closely with the RAIII, assigned Team Lead and Director of the Payments Team to ensure program payment objectives are met in a timely and efficient manner. Provides input to other analysts to develop and maintain consistency through standard procedures when processing payments. Works collaboratively to collect, organize, analyze, and prepare materials in response to requests for information and reports. (25%)

Develops and implements data analysis to facilitate and coordinate payments for Medicaid programs. Designs and conducts statistical research and analysis to evaluate payments by entity, program initiative or enhancement, implements special payment rate initiatives, and analyzes new regulations. Develops, modifies, and maintains complex spreadsheets using large databases to perform payment analysis. (35%)

Communicates high-level Medicaid program 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 supplemental and directed payment programs. (20%)

Develops and updates policy documents to clearly outline process steps, resources required, and instructions to be used for both staff training and audit responses. Makes recommendations to enhance existing processes and procedures to reflect best practices. (15%)

Performs other work as assigned or required to maintain and support the office and HHSC operations (5%)

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

Knowledge of accounting, business, and management principles, practices, and procedures.
Knowledge of reimbursement methods and payment fees, formulas, and procedures.

Skill in:

Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
Skill in problem solving, identification of issues and development of creative solutions

Ability to:

Ability to analyze laws, regulations, program policies, and issues.
Ability to exercise independent judgement, set priorities, meet deadlines, and adapt to shifting technical and political developments.
Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

Graduation from an accredited four-year college or university is preferred. Work experience may be substituted for education on a one-to-one basis.

Experience with Excel.

Additional Information:

N/A

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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.