Reimbursement Analyst V; Rate Research and Implementation

Date:
Aug 24, 2026

Location:

AUSTIN, TX
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Nearest Major Market:
Austin

Functional

Title:

Reimbursement Analyst V
Job Title: Reimbursement Analyst V
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis LTC
Posting Number: 20308
Closing Date: 10/23/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $5,797.66 - $9,508.25
Pay Frequency: Monthly
Salary Group: TEXAS-B-25
Shift: Day
Additional Shift 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:
MOS Codes: No military equivalent

Reimbursement Analyst V (RA V) reports to the Manager of the Rate Research and Implementation (RRI) team within the Long-Term Services and Supports (LTSS) section of the Provider Finance Department (PFD) and performs highly advanced (senior-level) rate analysis work on reimbursement payment rates. Work includes overseeing the development, financial evaluation, and implementation of reimbursement methodologies and payment rates for various Medicaid and non-Medicaid long-term care programs within regular biennial fee review cycle as well as based on changes in programmatic activity.

RA V oversees planning, analysis, development, and presentation of recommendations and reports and works under minimal supervision, with extensive latitude for the use of initiative and independent judgement. RA V serves as a senior analyst and subject matter expert in LTSS rates and methodologies. Under the direction and assistance of the RRI Manager, RA V mentors junior staff, engage in staff training and help to ensure work is completed accurately and meets required deadlines.

• Oversees the development and implementation of policy and financial analysis to determine and evaluate payment rates for various long-term care programs and services. Oversees the development, implementation and maintenance of rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates. (35%)
• Oversees 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. Interprets analysis results and develops recommendations for internal and external audiences. (25%)
• Oversees rate and rule adoption activities, including preparing memorandums and white papers for Executive Leadership, drafting and reviewing of documents to ensure federal approval and authorization in a timely manner as necessary. Develops and processes policy documents relating to payment rate and methodology determination, including state administrative rules, state plan amendments, waiver amendments, etc. (25%)
• Communicates and interfaces with internal and external parties to provide guidance and resolve problems concerning reimbursement rates or payments; rate methodology; rate determination and policy, guidelines, and rule requirements. Provides guidance to PFD LTSS staff on analytical methods used in support of rate methodologies and/or projects. Assists in hiring, mentoring, and training of junior staff. Serves as a subject matter expert of LTSS reimbursement methodologies, models, data, policies and procedures.
  
  (10%)
• 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. Creates and updates policies and procedures for documenting internal processes and resources, including standard forms and templates. (5%)

• Knowledge of Texas Medicaid reimbursement policy and rules is preferred.
• Knowledge of methods of quantitative and qualitative analysis, principles, techniques, preferred.
• Ability to analyze or evaluate data, calculations and findings, including expertise using Microsoft Excel or statistical software.
• Ability to establish and maintain effective work relationships in a team setting.
• Ability to communicate effectively in writing, in…