Business Analyst IV; Encounters Analyst

Posting Details

Date:
Jun 16, 2026

Location:

AUSTIN, TX

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

Telework: (not specified)

Travel:
Up to 15%

Regular/Temporary:
Regular

Full Time/Part Time:
Full time

FLSA Exempt/Non-Exempt:
Exempt

Job Location City: AUSTIN

Job Location Address: 701 W 51ST ST

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). Participates in system development activities, including test case review, user acceptance testing, defect tracking, verification, implementation readiness, deployment support, and post‑implementation validation.

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.

Evaluates vendor performance and coordinates with vendors and contractors to complete projects, service requests, readiness reviews, and operational reviews. Provides subject matter expertise, technical…