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Functional Title: Business Analyst III
Job Title: Information Technology BA III
Agency: Health & Human Services Comm
Department: Daily Operations Claims Admin
Posting Number: 19178
Closing Date: 08/22/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $5,797.66 - $7,652.91
Pay Frequency: Monthly
Salary Group: TEXAS-B-25
Shift: Day
Additional Shift:
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: 701 W 51ST ST
Other Locations:
MOS Codes: 8846,8848,8858,14NX,15AX,16KX,181X,182X,1D7X1,255A,25B,26B,62E,681X,682X,781X,782X,CYB10,CYB11,ISM
IT,Z Prefix
Job Description:
The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Business Analyst III (BA III) in the Claims Management (CM) unit.
The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy.
The BA III reports to the CM Manager and serves as a technical lead for claims related projects. Activities for this position include working with agile/scrum teams of contracted software vendors to implement system changes related to various claim code updates such as NCCI, ICD, HCPC and CLIA certifications; performing analysis of systems and business processes to ensure alignment with business operations; overseeing and coordinating development of business requirements; performing project management tasks; leading external stakeholder discussions to provide track feedback on upcoming system requirements; and participating in CM system compliance reviews and other projects as assigned.
Essential Job Functions:
Agile Management (30%) – Serves as the technical lead for CM technology projects. Works with agile/scrum teams of contracted software vendors to implement system enhancements, maintenance and changes through the Scaled Agile Framework (SAFe Agile) software development methodology (or other methodologies). Develops, refines, and prioritizes epics, user stories, and product backlog items. Documents project work through reporting tools. Consults with subject matter experts to get input on technology changes. Monitors throughput of scrum team and sprint cycles to ensure performance targets are met.
Business Analysis (25%) – Performs analysis of multiple interrelated systems and business processes to ensure alignment with business operations. Coordinates across the CM program and external stakeholders to develop system requirements and business processes that align with strategic goals and objectives. Recommends and oversees the development and integration of new operational or systematic methods and procedures to improve the program and resolve identified issues. Reviews system functionality against documented requirements to determine if the system is performing as expected. Assesses system defects for business impact and verifies that solutions comply with system and program requirements. Ensures severity levels of defects are
Assigned correctly. Ensures defects are tested before being promoted into production. Coordinates with HHSC contract management to ensure that defects are resolved timely per the contractual SLAs.
Analysis and Requirement Development (20%) – Oversees and coordinates development of business requirements for Claims Management. Analyzes CM systems data, claims processing systems, and other related systems to identify and make recommendations for business requirement updates or new projects. Develops, or assists with developing project intake requests and system change requests.
Stakeholder Liaison & Communications (10%) – Represents the CM unit in stakeholder workgroups to elicit business requirements and present proposed solutions. Responds to inquiries. Prepares and approves written reports for department leadership. Ensures communication related to CM
Special Projects (10%) - Assists staff with technical research to resolve complaints and provider escalations. Communicates directly with stakeholders to troubleshoot issues and provide resolution. Reviews CM policies and procedures, training deliverables, and other CM projects
Complaints and Escalations (05%) – Assists the HHSC Agency with claims related complaints, escalations, and requests for information. Provides accurate, comprehensive and timely responses to escalations and complaints.
Knowledge Skills Abilities:
Knowledge:
Knowledge of healthcare IT systems preferred.
Knowledge of standard business analysis concepts and practices.
Knowledge of the agile software development life cycle.
Skills:
Skill in analyzing and evaluating complex program and policy issues.
Skill in developing and documenting business requirements.
Skill in analyzing and evaluating highly complicated information and presenting to stakeholders.
Skill in facilitating meetings.
Skill in eliciting business needs from subject matter experts.
Abilities:
Ability to identify and analyze system issues and determine business impacts.
Ability to analyze systems and procedures.
Ability to communicate effectively.
Ability to analyze and interpret state and federal laws, regulations, and policies.
Ability to train and lead teammates.
Ability to evaluate systems for compliance with business and technical requirements.
Registration or Licensure Requirements:
None
Initial Selection Criteria:
Graduation from an accredited four-year college or university with major course work in information technology, business administration, or a related field. Experience and education may be substituted on a year for year basis.
Experience in developing business or technical requirements for automated systems.
Experience facilitating review of business or technical requirements with stakeholders.
Experience with product ownership.
Experience working with an Agile (Scrum or similar) team.
Experience with state or federal government healthcare programs or policy preferred.
Experience working with healthcare systems preferred.
Experience working with third party developers preferred.
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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.
