Provider Experience Business Analyst

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Provider Experience Business Analyst 
Job Title: Information Technology BA III 
Agency: Health & Human Services Comm 
Department: Modernize MES EI4 89R 75/25 
Posting Number: 21121 
Closing Date: 09/22/2026 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Range: $5,797.66 - $7,083.33 
Pay Frequency: Monthly
Salary Group: TEXAS-B-25 
Shift: Day 
Additional Shift:  
Telework:  
Travel: Up to 10% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 4601 W GUADALUPE 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 
 
 

Brief Job 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, and management of Medicaid Modernization. MCS is driven by its mission to deliver high quality, cost-effective services to Texans.

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, and 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.

Essential Job Functions (EJFs):

(30%) Serves as a liaison between provider experience business teams, technology teams, vendors, and operational stakeholders. Facilitates communication to ensure business needs are accurately understood and reflected in system enhancements. Translates experience goals into business requirements, functional requirements, personas, and process documentation. Supports alignment between provider experience priorities, MCS operational goals, and HHSC technology modernization efforts.

(25%) Gathers, analyzes, and documents business needs related to provider enrollment, system usability, provider communication, workflow efficiency, and operational performance. Reviews provider feedback, surveys, help desk trends, audit findings, quality reviews, and stakeholder input to identify improvement opportunities. Develops current-state and future-state process maps, journey maps, workflow diagrams, and gap analyses.

(20%) Supports projects and system enhancements from planning through implementation. Participates in requirements sessions, design reviews, testing activities, implementation planning, and post-implementation evaluation.

(15%) Participates in meetings, workgroups, and project activities related to provider experience, system enhancement, Medicaid modernization, and operational improvement. Builds collaborative working relationships and provides timely responses to requests for information.

(5%) Prepares clear documentation, presentations, decision logs, and status updates for leadership and project teams. Helps ensure stakeholders understand system changes, business impacts, timelines, risks, and implementation expectations.

(5%) Other duties as assigned.

Knowledge, Skills and Abilities (KSAs):

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, presentation, and corrective action updates.
• Manage multiple assignments and meet deadlines.

Registrations, Licensure Requirements or Certifications:

Preferred: Lean Six Sigma Green or Black Belt certification, or related certification.

Initial Screening Criteria:

Graduation from an accredited four-year college or university with major coursework in any one or more of the following: information technology, computer information systems, business administration, public administration, healthcare administration, accounting, auditing, data analytics, or a related field. Related experience may be substituted for education on a year-for-year basis.

At least three years of experience in one or more of the following areas: 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.

Additional Information:

The HHSC Provider Experience Team will focus on ensuring a positive and seamless experience for providers when engaging with HHSC and the Medicaid program, with an initial focus on enrollment and the Provider Enrollment Management System (PEMS) application. PEMS is a tool for providers to enroll, revalidate, re-enroll, or maintain their participation in Texas Medicaid or other state health-care programs. The purpose of the provider enrollment process is to ensure people and organizations who deliver Medicaid services have the appropriate qualifications for the services they deliver, are in good standing with relevant regulatory entities, are legally recognized entities, and have not been disbarred from participation in the program.

The Provider Experience Team will gather feedback through surveys and direct provider feedback for prioritizing system enhancements and identifying useability improvements. This work will continue in systems beyond PEMS in the future as HHSC continues to advance Medicaid technology modernization goals. The goal of the Provider Experience Team is to increase provider satisfaction, build relationships, and encourage long-term provider satisfaction.

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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.