Texas Health and Human Services · 8 hours ago
Reimbursement Analyst V
Austin, TX
Contract
Hybrid
Senior Level
$5,797/mo - $9,508/moTexas Health and Human Services Commission (HHSC) is committed to positively impacting the lives of Texans. The Reimbursement Analyst V serves as the lead reimbursement analyst for the Acute Care Services Payment Comparison team, responsible for compliance with federal payment rate requirements and reporting, as well as mentoring other analysts and managing workflow.
Health Care
No H1B
Responsibilities
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned
Drafting, Review, and Publishing – Keeps reports, documents, and other deliverables on schedule. Completes detailed analysis of payment rates, claims data, and financial data. Interprets federal and state statute and regulations to understand applicability and requirements. Drafts documents as assigned, reviews work of others for accuracy, creates templates, provides feedback to other analysts and leadership. Prepare documents for, meets with and briefs executive staff on proposed initiatives. Ensures deliverable and publication dates are met. (35%)
Coordination and Communication – Interfaces with various Provider Finance staff, provider industry representatives, HHS Enterprise staff, federal staff, legal staff, advisory committees, workgroups, contracted providers, provider representatives, client advocates, and other interested parties concerning payment rate policy issues affecting program delivery, reporting, and compliance documents. Provides day‑to‑day guidance, mentoring, and technical support to staff on analytical methods, data evaluation, and policy interpretation. (20%)
Workflow Management – Proactively manage workflow to meet all required notices, submission, and publication of state and federal reports, State Plan Amendments (SPA), and Texas Administrative Code (TAC) updates. Review work of other analysts to ensure accuracy and quality of work. Respond to legislative inquiries, complete bill analysis, draft and estimate fiscal impacts, meet with legislative staff and/or attend hearings as required. Ensures team adherence to established procedures, quality standards, and deliverable timelines. (20%)
Processes and Procedures – Create, define, and document processes and procedures (P&Ps). P&Ps should facilitate team consistency, quality, knowledge retention, training, efficiency, and productivity. Maintain P&P documents to reflect current-state processes and continuous improvement. Ensure team is knowledgeable and comply with P&Ps. (20%)
Performs other work as assigned or required to maintain and support the office and HHSC operations. (5%)
Qualification
Required
Graduation from an accredited four-year college or university with a bachelor's degree in social science; business, including accounting and statistics; mathematics; physics; economics; health-related field; political science; or other closely related field
Education and work experience can be substituted for one another on a year-for-year basis
Advanced Microsoft Office (Excel, Word, PowerPoint), business objects, TMHP Software, claims processing engines, and data querying/analysis tools such as SQL, R, SAS, Python
Data analysis, statistics, data visualization, medical claims data, methods of funding, program rules, Medicare, and Medicaid
Reimbursement methodologies
Texas legislative process
Health and human service programs, services, and procedures
Data quality and integrity processes
Process improvement or quality assurance systems
Managing multiple and competing priorities
Identifying problems, evaluating alternatives, and implementing solutions
Working collaboratively and cooperatively with diverse groups
Communication and public speaking
Interpret data and develop effective operating procedures
Work with large datasets efficiently
Organize and present information effectively, both orally and in writing to technical and non-technical audiences
Establish goals and objectives
Train and provide constructive feedback to staff
Establish effective working relationships with staff at all levels of an organization, agencies, providers, and stakeholders
Exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political developments
Preferred
Experience with Medicaid and/or healthcare finance
Benefits
100% paid employee health insurance for full-time eligible employees
Defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement
Company
Texas Health and Human Services
Texas Health and Human Services is an agency that focuses on improving health, safety and well-being.
Founded in 1907
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Dr. Napoleon Broughton
Chief Executive Officer: Life Enhancement Solutions
John F. Palermo
CTO Strategic Analyst VI
Recent News
Help Net Security
2025-04-09
Fort Worth Star-Telegram
2024-04-01
Company data provided by crunchbase