Provider Services Management Analyst

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 .

Provider Services Management Analyst

Management Analyst IV

Health & Human Services Comm

Prov Resol and Admin Appeals

20751

09/10/2026

Internal and External

Business and Financial Operations

$5,797.66-$9,508.25

Monthly

TEXAS-B-25

Day

None

Eligible for Telework

Up to 5%

Regular

Full time

Exempt

AUSTIN

701 W 51ST ST

None

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The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate for the position of Management Analyst IV, reporting to the Director of Provider Services within MCS Operations Management.

The Provider Services area performs and oversees operations that support healthcare providers that participate in the Medicaid program. The primary functions of Provider Services include:

• Oversight of claims processing, payment, appeals and recoupments;
• Management of provider enrollment;
• Management of electronic visit verification; and
• Operation of a call center to assist providers with service authorizations.

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 what is right is not easy.

This position supports Provider Services by managing priority assignments, advising on emerging issues, and ensuring deliverables meet agency standards. It also serves as a key liaison across MCS, HHSC, and external stakeholders to coordinate complex assignments, represent Operations Management in cross-agency efforts, and support timely decision-making. In addition, the position leads and monitors projects, analyzes legislative and regulatory impacts, identifies policy and operational risks, recommends solutions, collects and analyzes data in areas such as workload, operational, business, and managerial practices, and contributes to process improvements and policy development.

Interprets policies, procedures, rules, regulations and standards related to the program. Performs legislative bill analysis. Interfaces with other areas in HHSC, other State agencies, vendors, and CMS to help interpret rules and policy. Provides technical and analytical assistance to the Provider Services area. Reviews processes and workflows to identify and recommend areas for improvement. Conducts root cause analysis and helps to develop corrective action plans when undesired situations occur.

Provides consultation and recommendations to division leadership that align with organizational objectives, policies and practices. Works with internal and external stakeholders, including contracted vendors, to research and disposition complex provider questions and complaints.

Provides senior-level support to the Director of Provider Services and the Provider Services area. Prepares executive‑level briefings, decision documents, memoranda, legislative responses, formal correspondence, presentations, and talking points. Reviews deliverables submitted to the Director of Provider Services for completeness and conformance with agency…