Reimbursement Analyst V (Rate Research and Implementation)

Date: Aug 24, 2026
Location: Austin, TX

About the role

Reimbursement Analyst V (RA V) reports to the Manager of the Rate Research and Implementation (RRI) team within the Long-Term Services and Supports (LTSS) section of the Provider Finance Department (PFD) and performs highly advanced (senior-level) rate analysis work on reimbursement payment rates. Work includes overseeing the development, financial evaluation, and implementation of reimbursement methodologies and payment rates for various Medicaid and non-Medicaid long-term care programs within the regular biennial fee review cycle as well as based on changes in programmatic activity. RA V oversees planning, analysis, development, and presentation of recommendations and reports and works under minimal supervision, with extensive latitude for the use of initiative and independent judgement. RA V serves as a senior analyst and subject matter expert in LTSS rates and methodologies. Under the direction and assistance of the RRI Manager, RA V mentors junior staff, engages in staff training, and helps ensure work is completed accurately and meets required deadlines.

Responsibilities

• Oversees the development and implementation of policy and financial analysis to determine and evaluate payment rates for various long-term care programs and services. Oversees the development, implementation, and maintenance of rate methodologies and rate calculations. Work includes preparing ad hoc financial analyses and fiscal estimates. (35%)
• Oversees the design and study of special cost, statistical research, cost surveys, and analysis to evaluate the feasibility and cost implications regarding payment structure options, new program initiatives, and new regulations. Contributes to cost reports or cost surveys to support rate methodology or programmatic changes. Interprets analysis results and develops recommendations for internal and external audiences. (25%)
• Oversees rate and rule adoption activities, including preparing memorandums and white papers for Executive Leadership, drafting and reviewing documents to ensure federal approval and authorization in a timely manner as necessary. Develops and processes policy documents relating to payment rate and methodology determination, including state administrative rules, state plan amendments, waiver amendments, etc. (25%)
• Communicates and interfaces with internal and external parties to provide guidance and resolve problems concerning reimbursement rates or payments; rate methodology; rate determination and policy, guidelines, and rule requirements. Provides guidance to PFD LTSS staff on analytical methods used in support of rate methodologies and/or projects. Assists in hiring, mentoring, and training of junior staff. Serves as a subject matter expert of LTSS reimbursement methodologies, models, data, policies, and procedures. (10%)
• Actively contributes to the continuous improvement of department processes through ongoing initiatives including: solutions to automate; building efficiencies; maintaining consistency across multiple calculations, models, and rules; promoting reliable analysis techniques and methods. Creates and updates policies and procedures for documenting internal processes and resources, including standard forms and templates. (5%)

Requirements

• Graduation from an accredited four-year college or university required.
• Major coursework in accounting, business administration, finance, economics, statistics, or a related field is preferred. Note: practical experience in these fields may be substituted for major coursework.
• At least three years of experience in accounting, Medicaid/Medicare, healthcare business, state government policy, statistics, finance, or other relevant fields.

Skills

• Knowledge of Texas Medicaid reimbursement policy and rules is preferred.
• Knowledge of methods of quantitative and qualitative analysis, principles, and techniques is preferred.
• Ability to analyze or evaluate data, calculations, and findings, including expertise using Microsoft Excel or statistical software.
• Ability to establish and maintain effective work relationships in a team setting.
• Ability to communicate effectively in writing, in speaking, and non-verbally.
• Ability to make sound independent decisions by applying policies and procedures and using available resources.
• Self-starter while working well in a strong team environment.
• Knowledge of principles for calculating fiscal estimates is preferred.
• Knowledge of reimbursement rate development is preferred.
• Experience working with MS Excel and MS Word is preferred.

Benefits

Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, and numerous opportunities for career advancement. Explore more details on the Benefits of Working at HHS webpage.

Pay

Salary Range: $5,797.66 - $9,508.25
Pay Frequency: Monthly

Schedule

Shift: Day
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Telework: Eligible for Telework (in-office presence currently required two days a week but may be modified based on business need)
Travel: Up to 5%