[Hiring] Provider Experience 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 Provider Experience Business Analyst (IT Business Analyst III), reporting to the Director of Provider Experience for 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
• Provider enrollment
• IDD Waiver Programs
• Vendor Drug Program
• Management of Medicaid Modernization

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

The role focuses on provider-facing systems and processes, including:

• Provider enrollment
• Revalidation
• Re-enrollment
• Maintenance activities
• Future Medicaid technology modernization efforts

The Business IT Analyst works closely with program staff, technology teams, vendors, policy partners, quality teams, and other stakeholders to support a more seamless, consistent, and responsive provider experience.

Qualifications

• 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.
• At least three years of experience in business analysis, systems analysis, project coordination, process improvement, or requirements development.
• Experience evaluating technology systems, provider-facing systems, customer experience processes, Medicaid operations, healthcare operations, enrollment processes, or public sector programs.
• Experience using journey maps, process maps, dashboards, personas, surveys, or provider feedback tools preferred.
• Preferred: Lean Six Sigma Green or Black Belt certification, or related certification.

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 provider-facing systems and business processes.
• Analyze complex information and translate findings into practical recommendations.
• Assess provider experience concerns through process data, provider feedback, usability information, and operational 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
• Defined benefit pension plan
• Generous time off benefits
• Numerous opportunities for career advancement