Research Specialist V; Rate Research and Implementation

Career Opportunities:
Research Specialist V (Rate Research and Implementation) (20278)

Posting 20278
-Posted
- Health & Human Services Comm

- HHSC & HHS Rate Analysis LTC

- Business and Financial Operations

- Eligible for Telework
-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:

Research Specialist V (Rate Research and Implementation)
Job Title:Research Specialist V
Agency:Health & Human Services Comm
Department:HHSC & HHS Rate Analysis LTC
Posting Number:20278
Closing Date:10/23/2026
Posting Audience:Internal and External
Occupational Category:Business and Financial Operations
Salary Range:$5,425.33-$8,886.16
Pay Frequency:Monthly
Salary Group:TEXAS-B-24
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: ,,,8850,15AX,35F,38A,49A,683X,783X,CYB
14,IS,ISS,OSS

Brief Job Description

Research Specialist (RS) 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 advanced (senior-level) research and rate setting work, including evaluation of existing, new or alternative rate methodologies for Medicaid and non-Medicaid services. The work involves research of state and federal regulations, analysis of Texas rate setting and reimbursement methodologies, and those used in other states, and general policyresearch and other research projects as assigned.
RS V serves as a team lead and subject matter expert in LTSS rates and methodologies, including updating pro-forma rate models and ratecalculations. Under the direction and assistance of the RRI Manager, RS V will mentor junior staff, perform reviews on peer’s work, engage in staff training on research methods and LTSS rate methodologies, and help to ensure workis completed accurately and meets required deadlines.
This position works under minimal direction with extensive latitude for the use of initiative and independent judgment. RS Vdevelops and implements research and analytical procedures to assess the validity ofmethods and/or procedures for appropriate application. RS Valso prepares a variety of reports, studies or other deliverables for internal and external audiences containing research results related to the rate setting process. This position is expected to make presentations related to research andrate setting work and represent the PFD in meetings with internal and external stakeholders.

RS V prepares memorandums and white papersregarding the research and analysis performed for Executive leadership. The RS V performs other duties necessary to achieve the mission of the Health and Human Services Commission (HHSC).

Essential job functions:

• Analysis and Development of existing, new and alternative rate methodologies:
  Performs advanced research related to HHSC’s Medicaid and non-Medicaid rate methodologies necessary to develop LTSS reimbursement rates and supplemental payment programs. Contributes to LTSS rate setting work by refining LTSS pro-forma rate models to ensure that they align with State and Federal guidelines and regulations, Texas Administrative Code, and industry’s best practices. Provides consultation and technical advice on research methods and techniques to staff on the research team and other rate analysts in the department.
  
  Reviews, analyzes, and evaluates the impact of legislation, regulations, and policies affecting reimbursement rates and healthcare finance, reports results and…