What are the responsibilities and job description for the Team Lead position at Texas Health and Human Services?
Date: Apr 3, 2025
Location:
AUSTIN, TX
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. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Team Lead
Job Title: Reimbursement Analyst III
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis MGMT
Posting Number: 4660
Closing Date: 04/17/2025
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Group: TEXAS-B-25
Salary Range: $5,797.66 - $7,916.66
Shift: Day
Additional Shift: Days (First)
Telework: Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations:
MOS Codes
No direct military equivalent.
Brief Job Description
Reimbursement Analyst III position performs work for the Financial Services Division, Provider Finance Department under the supervision of the Director of the Provider Finance Payments Team.
Performs highly-advanced (senior level) consultative services and technical assistance in the collection of intergovernmental transfers and administration of payments for supplemental payment programs administered by the Provider Finance Department (PFD). The RA III works under minimal supervision and with considerable latitude for the use of initiative and independent judgment. Duties include: planning, review, development and implementation of the payment processes which may include completing reviews; designing instructions as needed; conducting complex data analysis to determine, evaluate and recommendation payments; and providing technical assistance to requesters both internal and external to the agency.
Develops, modifies and maintains complex computer programs, spreadsheets and large databases used in payment analysis. Develops policy guidelines, agency rules, state plan amendments and other associated documents relating to payments as directed. Documents and reviews policies and procedures for job duties. Responsible for training other analysts on job duties and completion of peer reviews. The RA III coordinates legislative initiatives as needed within the Provider Finance Department and other areas within the agency such as budget, accounting and other financial staff.
Essential Job Functions (EJFs)
Knowledge, Skills and Abilities (KSAs):
N/A
Initial Screening Criteria
Graduation from an accredited four-year college or university preferred, but not required. Work experience may be substituted for education on a one-to-one basis. Experience with Excel is required.
Additional Information
Knowledge of Medicaid payment programs or methodologies is not required – training for role-specific duties will be conducted for new employees.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, And Veterans
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks And Work Eligibility
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form
Telework Disclaimer
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Nearest Major Market: Austin
Location:
AUSTIN, TX
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. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Team Lead
Job Title: Reimbursement Analyst III
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis MGMT
Posting Number: 4660
Closing Date: 04/17/2025
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Group: TEXAS-B-25
Salary Range: $5,797.66 - $7,916.66
Shift: Day
Additional Shift: Days (First)
Telework: Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations:
MOS Codes
No direct military equivalent.
Brief Job Description
Reimbursement Analyst III position performs work for the Financial Services Division, Provider Finance Department under the supervision of the Director of the Provider Finance Payments Team.
Performs highly-advanced (senior level) consultative services and technical assistance in the collection of intergovernmental transfers and administration of payments for supplemental payment programs administered by the Provider Finance Department (PFD). The RA III works under minimal supervision and with considerable latitude for the use of initiative and independent judgment. Duties include: planning, review, development and implementation of the payment processes which may include completing reviews; designing instructions as needed; conducting complex data analysis to determine, evaluate and recommendation payments; and providing technical assistance to requesters both internal and external to the agency.
Develops, modifies and maintains complex computer programs, spreadsheets and large databases used in payment analysis. Develops policy guidelines, agency rules, state plan amendments and other associated documents relating to payments as directed. Documents and reviews policies and procedures for job duties. Responsible for training other analysts on job duties and completion of peer reviews. The RA III coordinates legislative initiatives as needed within the Provider Finance Department and other areas within the agency such as budget, accounting and other financial staff.
Essential Job Functions (EJFs)
- Attend work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Develops and implements complex data analysis to facilitate and coordinate payments for Medicaid and non- Medicaid programs. Designs and conducts statistical research and analysis to evaluate payments by entity, new program initiatives or enhancements, special payment rate initiatives, and new regulations. Develops, modifies, and maintains complex computer programs, spreadsheets, and large databases used in completing payments. (25%)
- Provides guidance and recommendations to other analysts to develop and maintain consistency through standard procedures when processing payments. Provides guidance and training to others who collect, organize, analyze, and prepare materials in response to requests for information and reports. (25%)
- Communicates complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning supplemental payment programs. (25%)
- Develops and processes policy documents to clearly outline process steps, resources required, and instructions to be used for both staff training and audit responses as needed. (10%)
- Establish and maintain Financial Programs Calendar as directed by the Director of the Payments team. (5%)
- Performs other work as assigned or required to maintain and support the office and HHSC operations (10%)
Knowledge, Skills and Abilities (KSAs):
- Accounting, business, and management principles, practices, and procedures.
- State and federal laws and regulations relating to Medicaid reimbursement and public administration.
- Reimbursement methods and payment fees, formulas, and procedures.
- Interpersonal relationships and in establishing and maintaining effective working relationships.
- Problem solving, identification of issues and development of creative solutions.
- Analyze laws, regulations, program policies, and issues.
- Exercise independent judgement, set priorities, meet deadlines, and adapt to shifting technical and political developments.
- Train staff on policies and procedures related to job functions.
- 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.
N/A
Initial Screening Criteria
Graduation from an accredited four-year college or university preferred, but not required. Work experience may be substituted for education on a one-to-one basis. Experience with Excel is required.
Additional Information
Knowledge of Medicaid payment programs or methodologies is not required – training for role-specific duties will be conducted for new employees.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, And Veterans
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks And Work Eligibility
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form
Telework Disclaimer
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Nearest Major Market: Austin
Salary : $5,798 - $7,917
