Business Analyst III; Encounter Analyst

Date:
Sep 8, 2026

Location:

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:

Business Analyst III (Encounter Analyst)
Job Title: Information Technology BA III Agency: Health & Human Services Comm Department: Claims Management (50/50)
Posting Number: 21163 Closing Date: 09/22/2026 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:
Travel: Up to 25%
Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt

Facility

Location:


Job Location City: AUSTIN Job Location Address: 701 W 51ST ST Other Locations:
MOS Codes: ,8858,14NX,15AX,16KX,181X,182X,1D7X1,255A,25B,26B,62E,681X,682X,781X,782X,CYB
10,CYB
11,ISM IT,Z Prefix

The Texas Medicaid and CHIP Services (MCS) department is seeking a highly qualified Information Technology Business Analyst III (BA) to join the Encounters and File Support team within the MCS Business Automation Support unit. The position reports to the Manager of Encounters and File Support and performs highly complex (senior-level) business analysis activities that support the Texas Medicaid Enterprise Systems (MES), with a primary focus on oversight, evaluation, and improvement of encounter and file submissions from Managed Care Organizations (MCOs) and Dental Maintenance Organizations (DMOs).

The Encounters and File Support team manages all technical activities related to encounter submissions, ensuring that encounter data received from MCOs and DMOs is complete, timely, and compliant with state and federal submission requirements. This work supports contract oversight, actuarial rate setting, program monitoring, and federal reporting.

The ideal candidate is a self-starter who exercises sound judgment, can work independently with limited supervision, and excels at solving complex data and operational problems.

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

(30%) Oversees the processing of assigned MCO and DMO encounter submissions. Ensures the accuracy and quality of encounter data through HIPAA and business validation rules. Monitors MCO/DMO performance related to submission timeliness, completeness, and compliance with federal and state standards.

(30%) Leads the analysis of encounter data trends and anomalies. Plans and facilitates workgroup and stakeholder meetings to resolve data issues and improve reporting outcomes. Conducts research on operational challenges, including review of applicable rules, policies, and regulations. Prepares executive-level briefings that summarize findings, risks, and recommended actions.

(20%) Represents the Encounters team on work groups, meetings, and project initiatives with MCS, IT, MCOs, DMOs, and TMHP. Assesses program policies and procedures for their impact on encounter processing and data warehouse functions. Gathers, develops, and documents user requirements for system enhancements and automation. Prepares project deliverables, including Lean Business Cases (LBCs). Participates in development activities such as…