[Hiring] IT Business Analyst @Texas Health & Human Services Commission

Role Description

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate for the position of Business Analyst (IT Business Analyst III), reporting to the Director of Operations. The MCS Operations department delivers infrastructure for both the managed care and fee-for-service delivery models within Texas Medicaid, one of the largest healthcare programs in the country, serving approximately 4 million Texans. Key department deliverables include:

• Claims resolution
• Acute care claims processing
• Enrollment and maintenance activities
• IDD Waiver Programs
• Vendor Drug Program
• Management of Medicaid Modernization

The IT Business Analyst III serves as the liaison between business and technical teams to ensure operational needs are clearly understood, documented, prioritized, and incorporated into projects, system enhancements, and process improvements. This position supports leadership by translating business needs, stakeholder feedback, and operational priorities into actionable requirements that improve systems, processes, and services within Medicaid and CHIP Services.

Essential Job Functions (EJFs)

• (30%) Serves as a liaison between business teams, technology teams, vendors, and operational stakeholders. Facilitates communication to ensure business needs are accurately understood and reflected in system enhancements.
• (25%) Gathers, analyzes, and documents business needs related to system usability, customer communication, workflow efficiency, enrollment activities, and operational performance.
• (20%) Supports projects and system enhancements from planning through implementation.
• (15%) Participates in meetings, workgroups, and project activities related to system enhancement, Medicaid modernization, business operations, and operational improvement.
• (5%) Prepares clear documentation, presentations, decision logs, and status updates for leadership and project teams.
• (5%) Other duties as assigned.

Qualifications

• At least three years’ experience performing business analysis, systems analysis, project coordination, process improvement, requirements development or related work.
• Experience evaluating technology systems, customer-facing systems, business processes, healthcare operations, enrollment processes, or public sector programs.
• Graduation from an accredited four-year college or university with major coursework in information technology, computer information systems, business administration, public administration, healthcare administration, accounting, auditing, data analytics, or a related field.

Requirements

• Knowledge of the general framework of state and federal laws and regulations relevant to publicly funded healthcare services such as Medicaid and CHIP.
• Knowledge of healthcare IT systems.
• Business process analysis, workflow evaluation, system usability review, and continuous improvement methods.
• Skill in establishing plans and setting objectives and goals that support an overall business strategy.
• Identifying problems, evaluating alternatives, and implementing effective solutions.
• Research and analysis of policies and processes to ensure compliance with applicable regulations and standards.
• Communicating complex findings in a clear and professional manner.
• Establishing and maintaining effective working relationships with program staff, technology partners, vendors, and stakeholders.
• Ability to conduct audits, reviews, and evaluations of business systems and operational processes.
• Analyze complex information and translate findings into practical recommendations.
• Assess operational concerns through process data, stakeholder feedback, usability information, and performance measures.
• Identify risks, root causes, and opportunities for improvement.
• Prepare accurate reports, summaries, presentations, and corrective action updates.
• Manage multiple assignments and meet deadlines.

Benefits

• 100% paid employee health insurance for full-time eligible employees
• A defined benefit pension plan
• Generous time off benefits
• Numerous opportunities for career advancement