Business Analyst III; Encounter Analyst

Business Analyst III (Encounter Analyst)

Date posted:
Jan 12, 2026. Closing date: 01/26/2026.

Location:

Austin, TX – 701 W 51ST ST. Telework eligible. Travel: up to 25%.

Agency:
Health & Human Services Commission. Department:
Claims Management (50/50). Salary range:
Sothe & 9,508.25 per month. Salary group: occasionally. Shift: Day. FLSA:
Exempt.

The Texas Medicaid and CHIP Services (MCS) department seeks a highly Classification Information Technology Business Analyst III to join the Encounters and File Support team withinbeschreibung MCS Business Automation Support unit. This senior-level role focuses on the oversight, evaluation, and improvement of encounter and file submissions from Managed Care Organizations (MCOs) and Dental Maintenance Organizate. The role supports contract oversight, actuarial rate setting, program monitoring and federal reporting.

• (30%) Oversees the processing of assigned MCO and DMO encounter submissions, ensuring data accuracy and quality via HIPAA and business validation rules, monitors submission tim способностиand compliance.
• (30%) Leads analysis of encounter data trends and anomalies, facilitates workgroup and stakeholder meetings to resolve data issues, researches operational challenges and prepares executive‑level briefings.
• (20%)
• (15%) Evaluates vendor performance for compliance and service readiness, provides subject‑matter expertise and technical assistance during readiness and operational reviews of Medicaid and CHIP encounter processing and reporting.
• (5%) Performs other assigned duties, including administrative support and oversight of projects and special initiatives.

• Texas Medicaid and CHIP Services programs.
• Automated systems concepts and methodologies, including management of interface files, end-to-end system processing, and techniques for ensuring accurate and reliable automated data processing.
• Managed care, health care or health insurance industry.
• Health and human services programs and policies.
• Agile or iterative development methodologies.
• Contract performance monitoring and compliance requirements.

• Establishing and maintaining effective professional working relationships.
• Analyzing, interpreting, and communicating complex operational and data issues.
• Coordinating and facilitating meetings with stakeholders at varying technical levels.
• Preparing clear, concise documentation such as requirements, briefings, and recommendations.
• Reviewing technical requirements and collaborating effectively with product owners and vendor teams.
• Identifying data
  
  SHIP issues and developing actionable domain solutions.
• Using Microsoft Office tools:
  Excel for analysis, PowerPoint for briefings.('+some inner tags removed to comply for
  counting).

• Monitor and evaluate encounter data quality, trends, and MCO/DMO performance.
• Recognize, analyze, and resolve complex data or operational problems.
• Work independently and collaboratively in a team environment.
• Develop and document user requirements that support system enhancements.
  
  Interpret and apply policies, contract requirements, and regulations.
• Exercise sound judgment when making recommendations or decisions.
• Communicate effectively with technical and non-technical stakeholders.

• Three or more years of progressive responsibility in Stride areas of leading technical initiatives, business analysis, or project management.
• Documented experience as a business analyst or systems analyst, including requirements gathering, issue analysis, or data evaluation.
• Experience researching and interpreting policies, operational rules, or technical documentation.

• Graduation from an accredited four‑year college or university with major coursework in business, computer science, information systems, or a health‑related field.
• Three years' experience working with healthcare providers, MCOs, DMOs, or external vendors.
• Experience working with Medicaid and CHIP Services programs, particularly managed care-master.
• Experience processing Medicaid claims, encounters or healthcare data analytics.
• Experience using Agile methodologies and participating…