Provider Enrollment Business Analyst

Provider Enrollment Business Analyst (18135)

Posting
- Health & Human Services Comm
- Daily Operations Claims Admin
- Business and Financial Operations
- Eligible for Telework - c. $5000 - $6999 per month

Job Title:

Information Technology BA III

Agency:
Health & Human Services Comm
Department:
Daily Operations Claims Admin
Closing Date: 07/02/2026
Full Time:
Yes
Occupation Category:
Business and Financial Operations
Salary Range: $5,797.66-$9,508.25 per month
Telework:
Eligible for Telework
Travel:
Up to 10%
FLSA:
Exempt

Location:

Austin, TX (701 W 51ST St)

The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Business Analyst III (BA III) in the Provider Enrollment (PE) unit. Healthcare providers who want to participate in Texas Medicaid must enroll in the program and periodically revalidate their enrollment. The PE unit oversees the policies, operations, and systems that support the provider enrollment process.

This position will support PE systems including the Provider Enrollment Management System (PEMS).

The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when the correct course is difficult.

• Agile Management – Serves as the technical lead for PE technology projects; works with agile/scrum teams of contracted software vendors to implement system enhancements, maintenance, and changes through the Scaled Agile Framework (SAFe Agile) or other methodologies; develops, refines, and prioritizes epics, user stories, and product backlog items; documents project work through reporting tools; consults with subject matter experts to get input on technology changes;
  
  monitors scrum throughput and sprint cycles to meet performance targets. (30%)
• Business Analysis – Performs analysis of multiple interrelated systems and business processes to ensure alignment with business operations; coordinates with internal and external stakeholders to develop system requirements and business processes that align with strategic goals; recommends and oversees development and integration of new operational or systematic methods to improve the program; reviews system functionality against documented requirements; assesses system defects and verifies that solutions comply with requirements;
  
  ensures defects are tested before production and resolved per contractual SLAs. (25%)
• Analysis and Requirement Development – Oversees and coordinates development of business requirements for Provider Enrollment; analyzes PE systems data, claims processing systems, and related systems to identify and recommend updates or new projects; develops or assists with project intake requests and system change requests. (20%)
• Stakeholder Liaison & Communications – Represents the PE unit in stakeholder work groups to elicit requirements and present solutions; responds to inquiries; prepares and approves written reports for department leadership; ensures communication related to PE. (10%)
• Special Projects – Assists staff with technical research to resolve complaints and provider escalations; communicates directly with stakeholders to troubleshoot issues and provide resolution; reviews PE policies, procedures, training deliverables, and other PE activities. (10%)
• Complaints and Escalations – Assists the HHSC Agency with provider enrollment related complaints, escalations, and requests for information; provides accurate, comprehensive and timely responses. (5%)

• Knowledge – Healthcare IT systems, standard business analysis concepts and practices, agile software development life cycle.
• Skills – Analyzing and evaluating complex program and policy issues; developing and documenting business requirements; presenting complex information to stakeholders; facilitating meetings; eliciting business needs from subject matter experts.
• Abilities – Identify and analyze system issues…