Reimbursement Analyst III

Posting  
16391 - Posted
- Health & Human Services Comm
- HHS Provider Finance SHARS
- Business and Financial Operations - c. $5000 - $6999 per month

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

Job Title: Reimbursement Analyst III

Agency: Health & Human Services Comm

Department: HHS Provider Finance SHARS

Posting Number: 16391

Closing Date: 06/25/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $5,098.66‑$8,304.83 per month

Pay Frequency: Monthly

Salary Group: TEXAS-B-23

Shift: Day

Telework: Not specified

Travel: Up to 10%

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

This position is hybrid with (currently) two in‑office days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire.

• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned
• Reviews quarterly and annual cost reports and issues official settlement and reimbursement decisions (15%)
• Develops, modifies, and maintains complex data analysis and statewide time study results used in cost reimbursement and to determine payment rates. (35%)
• Communicates complex 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, work groups, attorneys, and other interested parties concerning financial methodology issues affecting program participation, delivery, and payment determination. (20%)
• Develops and processes policy documents (including policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials,) relating payment rate and payment methodology determination. Documents work processes and escalates issues as needed. (10%)
• Develops and conducts on‑line and/or classroom based educational training programs related to the completion of data collection instruments. (5%)
• Works with providers and HHSC legal on informal and formal appeals resulting from cost report disallowances. This includes extensive research and the ability to testify in court upon request from the HHSC legal department. (10%)
• Performs other work as assigned or required to maintain and support the office and HHSC operations (5%)

• Knowledge of health and human service programs, services, and procedures.
• Knowledge of accounting, business, and management principles, practices, and procedures.
• Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
• Knowledge of reimbursement methods and payment fees, formulas, and procedures.
• Knowledge of claims processing and/or cost report review and completion.
• Knowledge of Texas SHARS, MAC, RMTS, or other related programs.
• Skill in the development, implementation, and application of reimbursement methodologies and payment rates.
• Skill in the review of cost reports and processing of payments.
• Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
• Skill in problem solving, identification of issues and development of creative solutions
• Skill in mathematical calculations and use of associated software to calculate
• Ability to analyze laws, regulations, program policies, and issues.
• Ability to develop, evaluate, implement, and…