Reimbursement Analyst I

3 weeks ago

Austin, United States Texas Department of Aging & Disability Services Full time
Job Description:
Reimbursement Analyst I position performs work for the Chief Financial Officer Division, Provider Finance Department under the supervision of the Manager of the Hospital Rates Team. Performs advanced technical work in the development of reimbursement rates or supplemental payments and administration of certain financial programs for Medicaid and other programs under limited direction and with considerable latitude for the use of initiative and independent judgment.

Duties include:
Participation in the payment or rate development process including designing cost surveys and instructions; conducting complex data analysis to determine and evaluate payment rates; conducting public rate hearings; administering financial programs and providing technical assistance to contracted providers and auditors. Develops, modifies, and maintains complex computer programs, spreadsheets and large databases used in payment rate analysis and supplemental payment calculation. Develops policy guidelines, agency rules, state plan amendments and other associated documents relating to payment rate determination.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy.
1. 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 payment rate methodology issues affecting program delivery and payment rate determination. (25%)
2. Develops and conducts surveys to collect cost data from contracted providers for use in payment analysis. Designs cost data collection instruments and detailed instruction manuals to collect cost data from contracted providers for use in payment rate analysis. Provides technical assistance related to cost survey completion, policy, guidelines and rule requirements. (5%)
3. Develops and implements complex data analysis to determine payment rates for various Medicaid and non-Medicaid programs. Develops, modifies and maintains complex computer programs, spreadsheets and large databases used in payment rate analysis. (30%)
4. Designs and conducts special cost and statistical research and analysis to evaluate the feasibility and the cost implications affecting provider operations with regard to payment rate structure options, new program initiatives or enhancements, special payment rate initiatives, and new regulations. (25%)
5. 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. (10%)
6. Performs other work as assigned or required to maintain and support the office and HHSC operations. (5%)
Knowledge Skills Abilities:
a. Knowledge of health and human service programs, services, and procedures.
b. Knowledge of accounting, business and management principles, practices, and procedures.
c. Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
d. Ability to analyze laws, regulations, program policies, and issues.
e. Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
f. Ability to apply complex analytical applications.
g. Knowledge of reimbursement methods and payment fees, formulas, and procedures.
h. Ability to development, implement, and apply reimbursement methodologies and payment rates.
i. Skill in the use of personal computers and to use word processing, spreadsheet, statistical and other software to develop payment rates.
j. Ability to exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political developments.
k. Ability to manage projects effectively and produce quality work within short deadlines.
l. Ability to identify problems and develop creative solutions.
m. Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
n. 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.
o. Ability to prepare well-written briefing documents and reports designed to convey complex detailed concepts.

  • Reimbursement Analyst I

    1 month ago

    Austin, United States Health & Human Services Comm Full time

    Reimbursement Analyst I position performs work for the Financial Services Division, Provider Finance Department under the supervision of the Acute Care Manager over the Supplemental Payments Team. Work includes developing and implementing data analysis to determine and evaluate payment rates; preparing cost surveys, instruments, and instructions; and...

  • Reimbursement Analyst Ii

    7 days ago

    Austin, United States Health & Human Services Comm Full time

    The 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...

  • Reimbursement Analyst II

    7 days ago

    Austin, United States Texas Department of Aging & Disability Services Full time

    Job Description: The 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...

  • Reimbursement Analyst II

    4 weeks ago

    Austin, United States Texas Department of Aging & Disability Services Full time

    Job Description: The Reimbursement Analyst II (RA II) performs consultative services, oversight, policy and data development, and technical analyses under the supervision of the Manager V for the Acute Care School Medicaid Resource and Training team (SMRT) in the Provider Finance Department. This position will function as a subject matter expert in order...

  • Fraud & Loss Prevention Analyst I

    1 week ago

    Austin, United States Sunflower Bank NA Full time

    Job DescriptionJob DescriptionDescription:Sunflower Bank, N.A. is looking for a qualified, motivated individual for the role of Fraud & Loss Prevention Analyst I in Austin, TX. The primary responsibility of this role is to conduct thorough investigations into several types of fraud, including ACH, wire, check, Zelle, and debit/credit card fraud. The Fraud &...

  • Compliance Analyst I

    4 weeks ago

    Austin, United States Texas Office of Consumer Credit Commissioner Full time

    YOU MUST COMPLETE A STATE OF TEXAS JOB APPLICATION TO APPLY FOR THIS JOB. RESUMES IN LIEU OF AN OFFICIAL STATE OF TEXAS JOB APPLICATION ARE NOT SUFFICIENT. A STATE OF TEXAS JOB APPLICATION IS AVAILABLE HERE: **Job Description**: Are you looking for your next career in Compliance and Consumer Service? The OCCC is hiring for a Compliance Analyst I -...

  • Crime Analyst I-ii-office of The Inspector General

    4 weeks ago

    Austin, United States Texas Department of Criminal Justice Full time

    POSTED: 04-24-2024 CLOSES: 05-03-2024 JOB POSTING NO: CL017025IA PAYROLL TITLE: CRIME ANALYST I-II EXTENDED TITLE: Office of the Inspector General SALARY: $3571.72 - $3794.03 / Monthly VACANCY LOCATION: Austin, TX UNIT/DEPT: Office of the Inspector General PAYROLL JOB#: 000000 - Longevity Pay - Regular Service Retirement - Telephonic Interviews Will...

  • System Analyst

    4 weeks ago

    Austin, United States HIREBLAZER LLC Full time

    Job DescriptionJob DescriptionSystems AnalystThis is a remote role from anywhere within Texas. Experience as a systems analyst or a bachelor's degree, preferably in a technical or analytical field and three years of experience as a systems analystExperience with a low code platform that includes hands-on experience in design, implementation, and...

  • System Analyst

    3 weeks ago

    Austin, United States HIREBLAZER LLC Full time

    Job DescriptionJob DescriptionSystems AnalystThis is a remote role from anywhere within Texas. Experience as a systems analyst or a bachelor's degree, preferably in a technical or analytical field and three years of experience as a systems analystExperience with a low code platform that includes hands-on experience in design, implementation, and...

  • Records Analyst I

    4 weeks ago

    Austin, United States Texas Department of Aging & Disability Services Full time

    Job Description: Records Analyst I Under general supervision, performs a variety of support services for the Procurement and Contracting Services (PCS) Division, including clerical duties, monitoring a shared Microsoft Outlook mailbox, processing incoming file retrieval requests, responding to staff inquiries about records storage, updating associated...

  • Financial Analyst I

    17 hours ago

    Austin, United States City of Austin Full time

    Position Information **Posting Title** - Financial Analyst I**Job Requisition Number** - COA091639**Position Number** - 101067**Job Type** - Full-Time**Division Name** - Administration & Management**Minimum Qualifications** **Education and/or Equivalent Experience**: - Graduation with a Bachelor’s degree from an accredited college or university with...

  • Sales Operations Analyst

    6 days ago

    austin, United States CrowdStrike, Inc. Full time

    About the Role: Crowd Strike is looking for a Sales Operations Analyst to join our Corporate Sales Specialist team. This role will be responsible for using various data sets and C R M tools to help generate K P I’s and models from which the broader team will analyze and base actionable, insightful decisions. In this role, you’ll work closely...

  • OCM Analyst

    2 weeks ago

    Austin, United States Infojini Inc Full time

    Job Title - OCM AnalystContract - 12+ Months Contract with Possible ExtensionLocation - Austin, TXHYBRID ROLE(2 days in a week may be required onsite)Job Description: Client requires the services of OCM I hereafter referred to as Worker, who meets the general qualification of OCM I and the specifications outlined in this document.The primary role and...

  • OCM Analyst

    7 days ago

    Austin, United States Infojini Inc Full time

    Job Title - OCM AnalystContract - 12+ Months Contract with Possible ExtensionLocation - Austin, TXHYBRID ROLE(2 days in a week may be required onsite)Job Description: Client requires the services of OCM I hereafter referred to as Worker, who meets the general qualification of OCM I and the specifications outlined in this document.The primary role and...

  • OCM Analyst

    1 week ago

    Austin, United States Infojini Inc Full time

    Job Title - OCM AnalystContract - 12+ Months Contract with Possible ExtensionLocation - Austin, TXHYBRID ROLE(2 days in a week may be required onsite)Job Description: Client requires the services of OCM I hereafter referred to as Worker, who meets the general qualification of OCM I and the specifications outlined in this document.The primary role and...

  • Management and Program Analyst

    4 weeks ago

    Austin, United States Internal Revenue Service Full time

    Summary Eligibilities being considered and other IMPORTANT information. WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: Vacancies will be filled in the following specialty areas: Small...

  • Teamcenter Functional Analyst __Austin, TX 78753 OR Santa Clara, CA, 95054

    3 days ago

    Austin, United States Sysmind, LLC Full time

    Position: Teamcenter Functional Analyst Location: Austin, TX 78753 OR Santa Clara, CA, 95054 (Hybrid) Duration:6-12 months Must have skills: Team center FA Detailed Job Description: Team center Functional Analyst Should be well conversant in developing Team center Functional design and have Team center Solutioning expertise to design complex business...

  • SOC Analyst II

    4 days ago

    Austin, United States Apex Systems Full time

    SOC Analyst II - Remote EST - $45-55/hr - W2 Only*Candidate must be able to work on client's W2 without sponsorship, vendor or employer*As technology continues to advance so does the threat landscape. Attackers are now using more sophisticated tactics to evade security controls. As a result, our team must also continue to advance its capabilities in threat...

  • Data Warehouse Analyst

    4 days ago

    Austin, United States Lansweeper NV Full time

    ** Data Warehouse Analyst** * Business Applications * Austin, United States ** Data Warehouse Analyst** ** Job description** *With a recently announced* *from* *and an impressive yearly revenue growth, Lansweeper is rapidly expanding its* *Global teams. We now need a Data Warehouse Analyst to help in our growth journey!* *is an IT asset management software...

  • Financial Analyst

    4 weeks ago

    Austin, United States Russell Tobin Full time

    What are we looking for in our Financial Analyst (Financial Operations/Clerk IV)? Our client, a global technology company based in TX is seeking a Financial Analyst I on a Hybrid basis. Location: Austin, TX 78727 (onsite work on Tuesday, Wed, Thursday and rest WFH) Pay: $30-$32.70/hr. DOE Long Term Contract This role will assist consumer...