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HEALTH AND HUMAN SERVICES COMMISSION Reimbursement Analyst II in Austin, Texas

Job/Position DescriptionThe Reimbursement Analyst II position performs work for the Provider Finance Department (PFD) under the supervision of the Manager of the Payments Team. This position performs highly-advanced (senior-level) consultative services and in the collection of intergovernmental transfers and administration of payments for supplemental or directed payment programs administered by PFD. The RAII works under minimal supervision and with considerable latitude for the use of initiative and independent judgment to ensure the proper operation of specific payment programs. Duties include: planning, review, development and implementation of payment processes, which may include coordinating with other teams within PFD and external stakeholders; reconciling data; designing instructions / processes and procedures as needed; conducting complex data analysis to ensure accurate collection of local funding and issuance of payments; and providing technical assistance to individuals both internal and external to the agency.Develops, modifies, and maintains complex spreadsheets using large databases to perform payment analysis. Participates in the development of policy guidelines, agency rules, state plan amendments, and other associated documents relating to payments, as directed. Reviews policies and procedures for job duties and updates documents as necessary to conform to best practices. Responsible for training Reimbursement Analyst I on job duties and completion of peer reviews. Essential Job FunctionsAttends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.Acts as senior staff for specific Medicaid supplemental and directed payment programs. Coordinates closely with the Team Lead and Manager of the Payments Team to ensure program payment objectives are met in a timely and efficient manner. Provides guidance and training to other analysts to develop and maintain consistency through standard procedures when processing payments. Works collaboratively to collect, organize, analyze, and prepare materials in response to requests for information and reports. (25%)Develops and implements complex data analysis to facilitate and coordinate payments for Medicaid programs. Designs and conducts statistical research and analysis to evaluate payments by entity, program initiative or enhancement, implements special payment rate initiatives, and analyzes new regulations. Develops, modifies, and maintains complex spreadsheets using large databases to perform payment analysis. (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 and directed payment programs. (20%)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. Makes recommendations to enhance existing processes and procedures to reflect best practices. (10%)Process rate enhancement adjustments for the Long-term Services and Support section of the Provider Finance Department. (10%)Performs other work as assigned or required to maintain and support the office and HHSC operations (10%) Registrations, https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/job_profile.cfm?szOrderID=605248 Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.

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