Business Analyst II; Medicaid Managed Care Encounter Analyst
Listed on 2026-09-25
-
Healthcare
-
Business
Data Analyst
Career Opportunities:
Business Analyst II (Medicaid Managed Care Encounter Analyst) (21216)
Posting 21216
-Posted
- Health & Human Services Comm
- Encounters andFile Supp And Coor
- 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:
Business Analyst II (Medicaid Managed Care Encounter Analyst)
Job Title:Information Technology BA II
Agency:Health & Human Services Comm
Department:Encounters andFile Supp And Coor Posting Number:21216
Closing Date:09/23/2026
Posting Audience:Internal and External
Occupational Category:Business and Financial Operations
Salary Range:$5,098.66-$6,701.75
Pay Frequency: Monthly
Salary Group:TEXAS-B-23
Shift:Day
Additional Shift:None
Telework:
Travel:Up to 25%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility
Location:
Job Location City:AUSTIN
Job Location Address:701 W 51ST ST
Other Locations:None
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
Job Description:
The Texas Medicaid and CHIP Services (MCS) department is seeking a highly qualified Information Technology Business Analyst II (BA) to join the Encounters and File Support team. This position reports to the Manager of the Encounters and File Support unit within the Business Automation Support area. The work involves managing operational issues related to Medicaid encounters that are records of services delivered to Medicaid and CHIP beneficiaries enrolled in managed care plans and other vendor activities.
The Business Analyst performs complex (journey-level) business analysis work to improve the quality of information technology solutions to meet the Medicaid business. The selected individual will perform technical analysis and provide guidance to other agency areas regarding the interpretation of policies and procedures in support of Medicaid Enterprise Systems (MES) functionality including, file support and coordination. The ideal candidate is a self-starter who exercises sound judgment, can work under general supervision, with moderate latitude for the use of initiative and independent judgement.
Job Functions (EJFs):
(30%) Monitor, assess, and manage data issues related to Medicaid encounters which are records of services delivered to Medicaid and CHIP beneficiaries enrolled in managed care plans. Develop agendas, facilitate workgroup and stakeholder meetings. Coordinate with team members to discuss encounter data and errors. Prepare professional briefings to provide encounter status updates, identify issues and make recommendations.
(25%) Represent the Encounters unit as a liaison with other areas including Medicaid and CHIP programs, Managed Care Organizations (MCO), Texas Medicaid & Healthcare Partnership (TMHP), Information Technology, and other stakeholder groups. Gather, develop, and document user requirements for the automation of new or improved existing systems to enhance business operations. Monitor and analyze encounter submission errors to identify performance trends and recommend program improvements or contract enhancements.
Conduct detailed research and analysis of operational issues, including examining rules, policies, and regulations relating to timely and accurate encounter processing.
(20%) File support and coordination of operational files supporting Medicaid Enterprise Systems (MES) functionality. Prepare diagrams and flow charts to assist in tracking system interface files.
(15%) Provide subject matter expertise and technical assistance for readiness reviews related to the Medicaid and CHIP encounter processing and reporting. Ensure compliance to determine whether vendors can deliver services in accordance with the contract terms and requirements.
(5%) Communicate timely with the supervisor regarding challenging problems and provides recommendations to ensure appropriate action is taken.
(5%) Performs other duties as assigned by supervisor, including…
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).