Reimbursement Analyst I

About the role

The Reimbursement Analyst I position is located in Austin, TX, within the Texas Health and Human Services Commission (HHSC). Join a team dedicated to improving the lives of Texans through the provision of essential services. The role supports the Chief Financial Officer Division, Provider Finance Department under the supervision of a Manager of Supplemental Payments.

Responsibilities

• Communicates complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints.
• Develops and conducts surveys to collect cost data from contracted providers for use in payment analysis.
• Develops and implements complex data analysis to determine payment rates for various Medicaid and non-Medicaid programs.
• Designs and conducts special cost and statistical research and analysis to evaluate the feasibility and the cost implications affecting provider operations regarding payment rate structure options, new program initiatives or enhancements, special payment rate initiatives, and new regulations.
• Develops and processes policy documents (including policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials, and hearing and other notices) relating to payment rate and payment methodology determination.
• Performs other work as assigned or required to maintain and support the office and HHSC operations.

Requirements

N/A

Qualifications

Graduation from an accredited four-year college or university with a bachelor’s degree in social science; business, including accounting and statistics; economics; health-related field; political science; or other closely related field. Experience may be substituted for degree.

Skills

• Knowledge of health and human service programs, services, and procedures.
• Knowledge of accounting, business, and management principles, practices, and procedures.
• Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
• Ability to analyze laws, regulations, program policies, and issues.
• Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
• Ability to apply complex analytical applications.
• Knowledge of reimbursement methods and payment fees, formulas, and procedures.
• Ability to develop, implement, and apply reimbursement methodologies and payment rates.
• Skill in the use of personal computers and to use word processing, spreadsheet, statistical and other software to develop payment rates.
• Ability to exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political developments.
• Ability to manage projects effectively and produce quality work within short deadlines.
• Ability to identify problems and develop creative solutions.
• Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
• Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
• Ability to prepare well-written briefing documents and reports designed to convey complex detailed concepts.

Benefits

Comprehensive benefits package including 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.

Pay

$4,523.16 - $7,253.83 per month

Schedule

Day shift