Reimbursement Analyst III

Date:
Aug 26, 2026

AUSTIN, TX

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: HHSC & HHS Rate Analysis LTC

Posting Number: 20666

Closing Date: 10/25/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $5,098.66 - $8,304.83

Pay Frequency: Monthly

Salary Group: TEXAS-B-23

Shift: Day

Telework:
Eligible for Telework
Travel:
Up to 5%
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

MOS Codes:
No military equivalent

The Reimbursement Analyst III position processes Medicaid and Non‑Medicaid cost reports under the supervision of the Manger of the Cost Report Team within the Long‑Term Services and Supports (LTSS) section of the Texas Health and Human Services Commission (HHSC) Provider Finance Department (PFD). The position entails complex (senior‑level) technical work in the development and processing of provider cost reports or financial compliance reports for Medicaid and other programs, including calculating reconciliations of cost reports for direct care and patient care expense ratios;

processing informal review requests and conducting financial reviews; developing new processes and process improvements; and maintaining cost report instructions, worksheets, and policies and procedure documentation. This position works under general supervision with moderate latitude for the use of initiative, prioritizing assigned tasks, and independent judgment.

• Cost and Financial Compliance Report Informal Reviews (25%):
  Conducts informal reviews on LTSS cost and financial compliance reports by evaluating the informal review request submitted by the provider and reconciling supporting financial documentation with the adjustments made during HHSC PFD Financial Examination. Ensures informal review adjustments are allowable and processed timely in accordance with Texas Administrative Code rules, program guidelines, and established processes and procedures. Coordinates with the Cost Report Review Unit regarding the results of the informal review.
  
  Communicates results of the informal review with stakeholders, including by representing the department in formal appeal hearings.
• Cost Report and Financial Compliance Report Reconciliation (20%):
  Conducts cost and financial compliance report reconciliations necessary to hold providers accountable to State and Federal requirements across programs and initiatives. Communicates results to providers. Maintains applicable reporting deadlines. Ensures cost and financial compliance reports are processed according to established policies and procedures and Texas Administrative Code rules.
• Cost Report Instructions and Policy Documentation (20%):
  Drafts instruction documentation for LTSS cost and financial compliance reports. Ensures documentation details how providers should use HHSC’s electronic cost reporting system to complete their cost or financial compliance report. Ensures documentation meets…