Reimbursement Analyst V

Posting 19757
-Posted
08/06/2026

- Health & Human Services Comm

- HHSC & HHS Rate Analysis M/C
- 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 V

Job Title:

Reimbursement Analyst V Agency:
Health & Human Services Comm Department: HHSC & HHS Rate Analysis M/C Posting Number: 19757 Closing Date: 08/20/2026 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: None Telework:
Travel:
Up to 10% 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

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.

The Reimbursement Analyst V position performs highly advanced (senior-level) consultative services, oversight, policy and data development, and technical analyses work for the Provider Finance Department under the supervision of the SHARS/MAC/TS Manager within Acute Care. This position provides technical guidance and performs work in the administration of School Health and Related Services (SHARS), Medicaid Administrative Claiming (MAC), and Random Moment Time Study (RMTS) programs.

Duties are performed under limited supervision, with considerable latitude for the use of initiative and independent judgment. This position will act as a team lead and will function as a backup to their supervisor for program matters and this position.

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned

• 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%)
• Reviews quarterly and annual cost reports and issues official settlement and reimbursement decisions (15%)
• 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%)
• 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%)
• Develops and conducts on-line and/or classroom based educational training programs related to the completion of data collection instruments. (5%)
• Performs other work as assigned or required to maintain and support the office and HHSC operations (5%)

Knowledge,

Skills and Abilities

(KSAs):

• 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,…