Business Analyst IV; Encounters Analyst

Career Opportunities:
Business Analyst IV (Encounters Analyst) (18079)

Posting  – Posted. Health & Human Services Comm. Daily Operations Claims Admin. Business and Financial Operations. d. $7000 - $8999 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.

Functional

Title:

Business Analyst IV (Encounters Analyst)
Job Title: Information Technology BA IV
Agency: Health & Human Services Comm
Department: Daily Operations Claims Admin
Posting Number: 18079
Closing Date: 06/30/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $7,015.16-$9,439.83
Pay Frequency: Monthly
Salary Group: TEXAS-B-27
Shift: Day
Additional Shift: None
Telework:
- Travel: Up to 15%
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: None
MOS Codes: ,8858,14NX,15AX,16KX,181X,182X,1D7X1,255A,25B,26B,62E,681X,682X,781X,782X,CYB
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The Texas Medicaid and CHIP Services (MCS) department is seeking a highly qualified Information Technology Business Analyst IV (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 advanced, senior‑level business analysis work that supports the Texas Medicaid Enterprise Systems (MES).

The position focuses on oversight, evaluation, and improvement of encounter and file submissions from Managed Care Organizations (MCO) and Dental Maintenance Organizations (DMO). The Encounters and File Support team manages technical and operational activities related to encounter submissions, ensuring that encounter data 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, works independently with minimal supervision, and excels at analyzing and resolving complex data sets, system, and operational issues. An employee at this level performs advanced business work, supports system maintenance and enhancements, and assists other analysts in identifying, analyzing, and resolving business issues and system issues.

Leads the analysis of encounter data trends and anomalies to identify complex data issues, operational impacts, and opportunities for improvement. Conducts research on operational challenges, including review of applicable rules, policies, contract requirements and regulations, to assess their impact on automated systems and system functionality. Plans and facilitates work groups and stakeholder meetings to resolve advanced issues and improve encounter processing and reporting outcomes.

Prepares executive‑level briefings that summarize findings, impacts, risks, and recommended actions. Provides production support by consulting on application analysis, troubleshooting system problems, coordinating issue resolution, and supporting implementation of effective solutions.

Represents the Encounters team on work groups, meetings, and project initiatives with MCS, IT, MCOs, DMOs, TMHP, and other stakeholders. Assesses program policies and procedures for their impact on encounter processing and data warehouse functions. Gathers, develops, and documents user requirements for system maintenance, enhancements, and service requests. Prepares project deliverables, including Lean Business Cases (LBCs).…