Reimbursement Analyst ; Non-Medicaid and DFPS Rates

Career Opportunities:
Reimbursement Analyst I (Non-Medicaid and DFPS Rates) (20554)

Posting 20554
-Posted
- Health & Human Services Comm

- SP26 DFPS Rate Setting

- Business and Financial Operations

- Eligible for Telework
-b. $3000 - $4999 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 I (Non-Medicaid and DFPS Rates)

Job Title: Reimbursement Analyst I

Agency: Health & Human Services Comm

Department: SP26 DFPS Rate Setting

Posting Number: 20554

Closing Date: 10/25/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $4,523.16-$7,253.83

Pay Frequency: Monthly

Salary Group: TEXAS-B-21

Shift: Day

Additional Shift: None

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: None

MOS Codes: No military equivalent

The Reimbursement Analyst I (RA I) works as part of the Non-Medicaid and DFPS Rates team within the Long-Term Services and Supports (LTSS) section of the Provider Finance Department (PFD) and performs entry-level rate analysis focused on the reimbursement payment rates and rate setting methodologies. This position works under direct supervision of the Manager of the team. Work includes developing and implementing policy and financial analysis to determine and evaluate payment rates and rate setting methodologies and other related policies and regulations;

preparing cost surveys, instruments, and instructions; and planning, developing, and presenting recommendations and reports.

• Participates in the development and implementation of policy and financial analysis to determine and evaluate payment rates for various Non-Medicaid programs and services, including rate setting for the Department of Family and Protective Services (DFPS) and the Texas Juvenile Justice Department (TJJD). Participates in the development, implementation, and maintenance of rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates.
  
  (45%)
• Participates in the design and study of special cost, statistical research, cost surveys and analysis to evaluate the feasibility and cost implications regarding payment structure options, new program initiatives, and new regulations. Contributes to cost report or cost surveys to support rate methodology or programmatic changes as needed. Interprets analysis results and develops recommendations for internal and external audiences. (25%)
• Participates in rate setting and implementation activities, including preparing memoranda for Executive Leadership, legislative reports, and drafting and reviewing of documents to ensure compliance with state and federal regulations and policies. Assists in developing and processing policy documents relating to payment rate and methodology determination, including state administrative rules, processes and procedures, templates, etc. (15%)
• Actively contributes to the continuous improvement of department processes though ongoing initiatives including: solutions to automate; building efficiencies; maintaining consistency across multiple calculations, models, and rules, promoting reliable analysis techniques and methods. Assists in creating and updates policies and procedures for documenting internal processes and resources, including standard forms and templates. (15%)

• Ability to analyze or evaluate data, calculations and findings, including experience using Microsoft Excel or statistical software.
• Ability to establish and maintain effective work relationships in a team setting.
• Ability to differentiate between various professional circumstances and communicate effectively in writing, in speaking, and non-verbally
• Ability to sound independent decisions by applying policies and procedures and…