Healthcare Jobs at Texas Health and Human Services Commission with Visa Sponsorship
Texas Health and Human Services Commission hires across clinical, behavioral health, and public health roles throughout Texas. For Healthcare professionals on a work visa, the agency has an established path for H-1B sponsorship, making it a viable target if your specialty aligns with state public health priorities.
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Get Access To All JobsJoin 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: Healthcare Financial Data Analyst
Job Title: Financial Analyst II
Agency: Health & Human Services Comm
Department: Finan Reportng and Audit Coord
Posting Number: 15802
Closing Date: 04/30/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $4,801.16 - $7,761.50
Pay Frequency: Monthly
Salary Group: TEXAS-B-22
Shift: Day
Telework: Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations: Austin
MOS Codes: 3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10
Brief Job Description:
This hybrid position performs advanced (senior-level) financial analysis and financial regulatory work related to the activities of the Special Projects and Data Analysis unit within Financial Reporting and Audit Coordination. Work involves monthly processing of the Delivery Supplemental Payments (DSP), performing Financial Statistical Report (FSR) to Encounter Reconciliations and other Special Projects and Data Analysis projects. Responsibilities include reviewing, analyzing, and evaluating financial data; preparing reports and responding to inquiries; and recommending appropriate action to resolve financial and regulatory problems. This position reports to the Manager of Special Projects and Data Analysis unit and works under minimal supervision with extensive latitude for the use of initiative and independent judgement. The position utilizes institutional knowledge of Medicaid and calls upon their experience in the intricacies of Medicaid financial reporting to design, implement and maintain financial reporting methods and financial oversight practices for Managed Care Organization (MCO) financial deliverables.
Essential Job Functions:
(75%) Processing of Delivery Supplemental Payment (DSP) claims
Performs the duties of monthly DSP claims processing, report creation, DSP appeals processing, and initiating policy/procedure changes and other DSP-related matters, as well as responding to inquiries about DSP claims processing and policies. Keeps informed of and interprets any changes to Medicaid rules or regulations pertaining to Delivery Supplemental payments. Assists with developing financial Reporting Policies and Procedures to support and comply with those policies. Provides support to all program areas within MCS on all issues related to the DSP payments. Develops new or revised DSP claim report templates and forms. Coordinates with HHSC IT to plan, improve, and implement updates to the DSP Application. Provides guidance, data, and consultative services to MCS program areas, including HHSC Provider Finance, Actuarial Analysis, HHSC Internal Audit, HHSC Inspector General; Texas State Auditor's Office and any other Federal and State entities regarding Delivery Supplemental payment processes; responds to audit inquiries, presents results to management, and makes recommendations. Keeps DSP-related manuals and policy and procedure documents up to date. May train and lead junior staff, if needed.
(15%) Data Analysis and Financial Reporting
Develops standard and ad-hoc reporting while providing financial analysis support and expertise in taking on other special projects, including Quality Improvement Expense Reporting and supporting internal stakeholders within FRAC and MCS divisions. Ensures compliance with new procedures, requirements, laws, and regulations; completeness of data; and presence of adequate documentation.
(5%) Quarterly Encounter to Financial Statistical Report (FSR) Paid Claim reconciliations
Assists with the quarterly encounter to FSR Paid Claim reconciliations, creating reports on reconciliation results and presenting the results to Medicaid CHIP Services Stakeholders to highlight and discuss MCO compliance issues. Collaborates with Managed Care Contracts & Oversight teams to provide reconciliation reports to the MCOs and solicit MCO response with respect to the root cause of any noncompliance and MCOs’ resolution of any issues; maintains a log of MCO historical compliance status and communication related to MCO noncompliance; recommends MCO sanctions and liquidated damages to the Manager, as appropriate. Prepares timely instructions or clarifications to the MCOs regarding the proper application of new or revised contractual requirements related to financial and/or encounter reporting in coordination with MCS Operations. Helps with developing training, Policy, and Procedure documents related to the reconciliation process, providing Fiscal year-end reconciliations, and coordinating with Actuarial Analysis to assist in certification of year-end encounters data by the HHSC EQRO (External Quality Review Organization).
(5%) Researches and interprets rules and regulations; responds to information requests by internal and external stakeholders. This includes collecting and distributing reports, contract documents; relevant statute or regulatory citations; department policies and procedures and desk manuals. Recommends improvements to contract monitoring methodologies to the Manager. The position also suggests ways to do things more effectively. Works to expand knowledge and capabilities.
Registrations, Licensure Requirements or Certifications: N/A
Knowledge Skills Abilities:
Knowledge of financial data analysis principles and techniques, accounting principles, and auditing. Relevant education plus multiple years' experience in accounting and/or finance, with a solid grasp of financial and industry terminology and practices. Strong problem-solving, organizational, and analytical skills.
Knowledge of state and federal rules and laws related to the Medicaid and CHIP Programs preferred. Additionally, a working knowledge of healthcare management and healthcare insurance programs, and/or MCOs is required. Experience working in Government or at an MCO would be helpful.
Motivated self-starter who consistently demonstrates initiative. Exhibits a strong drive to enhance financial operations. Proven capability to learn new material quickly, and to be self-taught. Demonstrated track record of developing improvements and finding new ways to add value to the organization.
Ability to design and perform numerical analyses to develop conclusions from data. Ability to interpret statutes, evaluate and summarize financial issues, and assess conformance to procedures, rules, and requirements. Ability to research and interpret contracts, policies, and procedures.
Ability to take responsibility and ownership of projects and processes to assure successful quality completion. Ability to follow instructions when given, and the ability to perform well under minimal supervision. Capability to be flexible.
Ability to be consistently accurate, very detail-oriented, and highly organized. Possessing a habit of wanting to "get it done efficiently and accurately". Demonstrating self-initiative, going beyond the minimum, looking for opportunities for improvement and making suggestions for increased efficiency and accuracy. Robust record-keeping, file-management, and follow-up skills.
Skill in using PC software, particularly proficiency in MS Excel, PowerPoint, Outlook and Word. Capabilities with Business Objects, MS Access or other database software, SQL, VBA and HHSC software such as TIERS would be a significant plus.
Ability to develop positive and productive relationships with external and internal financial and non-financial personnel. Ability to work effectively as a strong contributing team member in a deadline-oriented environment; being a reliable, productive, and flexible contributor, with a positive attitude and a desire to learn.
Skill in written and oral communication, including producing reports and making occasional public presentations. Ability to research and develop financial policies and procedures. Ability to draft clear and concise correspondence regarding findings.
Experience in managing multiple projects with varying priorities. The ability to devise solutions to develop and evaluate administrative policies and procedures. The ability to prepare cogent and meaningful reports and presentations and to communicate with peers and superiors effectively.
Initial Screening Criteria:
Graduation from an accredited four-year college or university with major coursework in accounting, math, finance, business administration, or statistics. Education and experience in finance may be substituted for each other on a year-for-year basis.
Additional Information:
An in-basket exercise designed to assess MS Excel skills will be administered before the interview.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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.
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: Healthcare Financial Data Analyst
Job Title: Financial Analyst II
Agency: Health & Human Services Comm
Department: Finan Reportng and Audit Coord
Posting Number: 15802
Closing Date: 04/30/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $4,801.16 - $7,761.50
Pay Frequency: Monthly
Salary Group: TEXAS-B-22
Shift: Day
Telework: Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations: Austin
MOS Codes: 3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10
Brief Job Description:
This hybrid position performs advanced (senior-level) financial analysis and financial regulatory work related to the activities of the Special Projects and Data Analysis unit within Financial Reporting and Audit Coordination. Work involves monthly processing of the Delivery Supplemental Payments (DSP), performing Financial Statistical Report (FSR) to Encounter Reconciliations and other Special Projects and Data Analysis projects. Responsibilities include reviewing, analyzing, and evaluating financial data; preparing reports and responding to inquiries; and recommending appropriate action to resolve financial and regulatory problems. This position reports to the Manager of Special Projects and Data Analysis unit and works under minimal supervision with extensive latitude for the use of initiative and independent judgement. The position utilizes institutional knowledge of Medicaid and calls upon their experience in the intricacies of Medicaid financial reporting to design, implement and maintain financial reporting methods and financial oversight practices for Managed Care Organization (MCO) financial deliverables.
Essential Job Functions:
(75%) Processing of Delivery Supplemental Payment (DSP) claims
Performs the duties of monthly DSP claims processing, report creation, DSP appeals processing, and initiating policy/procedure changes and other DSP-related matters, as well as responding to inquiries about DSP claims processing and policies. Keeps informed of and interprets any changes to Medicaid rules or regulations pertaining to Delivery Supplemental payments. Assists with developing financial Reporting Policies and Procedures to support and comply with those policies. Provides support to all program areas within MCS on all issues related to the DSP payments. Develops new or revised DSP claim report templates and forms. Coordinates with HHSC IT to plan, improve, and implement updates to the DSP Application. Provides guidance, data, and consultative services to MCS program areas, including HHSC Provider Finance, Actuarial Analysis, HHSC Internal Audit, HHSC Inspector General; Texas State Auditor's Office and any other Federal and State entities regarding Delivery Supplemental payment processes; responds to audit inquiries, presents results to management, and makes recommendations. Keeps DSP-related manuals and policy and procedure documents up to date. May train and lead junior staff, if needed.
(15%) Data Analysis and Financial Reporting
Develops standard and ad-hoc reporting while providing financial analysis support and expertise in taking on other special projects, including Quality Improvement Expense Reporting and supporting internal stakeholders within FRAC and MCS divisions. Ensures compliance with new procedures, requirements, laws, and regulations; completeness of data; and presence of adequate documentation.
(5%) Quarterly Encounter to Financial Statistical Report (FSR) Paid Claim reconciliations
Assists with the quarterly encounter to FSR Paid Claim reconciliations, creating reports on reconciliation results and presenting the results to Medicaid CHIP Services Stakeholders to highlight and discuss MCO compliance issues. Collaborates with Managed Care Contracts & Oversight teams to provide reconciliation reports to the MCOs and solicit MCO response with respect to the root cause of any noncompliance and MCOs’ resolution of any issues; maintains a log of MCO historical compliance status and communication related to MCO noncompliance; recommends MCO sanctions and liquidated damages to the Manager, as appropriate. Prepares timely instructions or clarifications to the MCOs regarding the proper application of new or revised contractual requirements related to financial and/or encounter reporting in coordination with MCS Operations. Helps with developing training, Policy, and Procedure documents related to the reconciliation process, providing Fiscal year-end reconciliations, and coordinating with Actuarial Analysis to assist in certification of year-end encounters data by the HHSC EQRO (External Quality Review Organization).
(5%) Researches and interprets rules and regulations; responds to information requests by internal and external stakeholders. This includes collecting and distributing reports, contract documents; relevant statute or regulatory citations; department policies and procedures and desk manuals. Recommends improvements to contract monitoring methodologies to the Manager. The position also suggests ways to do things more effectively. Works to expand knowledge and capabilities.
Registrations, Licensure Requirements or Certifications: N/A
Knowledge Skills Abilities:
Knowledge of financial data analysis principles and techniques, accounting principles, and auditing. Relevant education plus multiple years' experience in accounting and/or finance, with a solid grasp of financial and industry terminology and practices. Strong problem-solving, organizational, and analytical skills.
Knowledge of state and federal rules and laws related to the Medicaid and CHIP Programs preferred. Additionally, a working knowledge of healthcare management and healthcare insurance programs, and/or MCOs is required. Experience working in Government or at an MCO would be helpful.
Motivated self-starter who consistently demonstrates initiative. Exhibits a strong drive to enhance financial operations. Proven capability to learn new material quickly, and to be self-taught. Demonstrated track record of developing improvements and finding new ways to add value to the organization.
Ability to design and perform numerical analyses to develop conclusions from data. Ability to interpret statutes, evaluate and summarize financial issues, and assess conformance to procedures, rules, and requirements. Ability to research and interpret contracts, policies, and procedures.
Ability to take responsibility and ownership of projects and processes to assure successful quality completion. Ability to follow instructions when given, and the ability to perform well under minimal supervision. Capability to be flexible.
Ability to be consistently accurate, very detail-oriented, and highly organized. Possessing a habit of wanting to "get it done efficiently and accurately". Demonstrating self-initiative, going beyond the minimum, looking for opportunities for improvement and making suggestions for increased efficiency and accuracy. Robust record-keeping, file-management, and follow-up skills.
Skill in using PC software, particularly proficiency in MS Excel, PowerPoint, Outlook and Word. Capabilities with Business Objects, MS Access or other database software, SQL, VBA and HHSC software such as TIERS would be a significant plus.
Ability to develop positive and productive relationships with external and internal financial and non-financial personnel. Ability to work effectively as a strong contributing team member in a deadline-oriented environment; being a reliable, productive, and flexible contributor, with a positive attitude and a desire to learn.
Skill in written and oral communication, including producing reports and making occasional public presentations. Ability to research and develop financial policies and procedures. Ability to draft clear and concise correspondence regarding findings.
Experience in managing multiple projects with varying priorities. The ability to devise solutions to develop and evaluate administrative policies and procedures. The ability to prepare cogent and meaningful reports and presentations and to communicate with peers and superiors effectively.
Initial Screening Criteria:
Graduation from an accredited four-year college or university with major coursework in accounting, math, finance, business administration, or statistics. Education and experience in finance may be substituted for each other on a year-for-year basis.
Additional Information:
An in-basket exercise designed to assess MS Excel skills will be administered before the interview.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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.
See all 303+ Healthcare at Texas Health and Human Services Commission jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Healthcare at Texas Health and Human Services Commission roles.
Get Access To All JobsTips for Finding Healthcare Jobs at Texas Health and Human Services Commission Jobs
Align Your Credentials With Texas Licensure Requirements
Texas has its own licensing boards for physicians, nurses, and allied health professionals. Before applying, verify your credentials meet Texas Medical Board or relevant state board requirements, since HHSC positions typically require active Texas licensure or eligibility at time of offer.
Target Roles in Underserved Program Areas
HHSC consistently recruits for behavioral health, public health, and Medicaid program roles serving underserved populations. These shortage-area positions tend to have stronger internal justification for H-1B sponsorship compared to administrative or generalist Healthcare postings.
Research HHSC Positions Through Migrate Mate
HHSC posts open Healthcare roles across dozens of Texas offices and program divisions. Use Migrate Mate to filter active openings by visa sponsorship track record, so you're targeting positions where sponsorship has actually moved forward for Healthcare candidates.
Understand the State Agency H-1B Filing Process
As a state government entity, HHSC is exempt from the H-1B cap, meaning your petition doesn't enter the annual lottery. This matters for your timeline: a cap-exempt employer can file with USCIS year-round, so you're not locked to the April registration window.
Request a Written Sponsorship Commitment Early
During offer negotiations, ask HR directly whether the position budget includes H-1B filing fees and legal counsel. State agencies have procurement rules that affect how attorney costs are handled, so clarifying this before signing protects you from unexpected out-of-pocket costs.
Prepare a Specialty Occupation Evidence File in Advance
USCIS scrutinizes whether Healthcare roles at government agencies qualify as specialty occupations. Gather your transcripts, license certificates, and a detailed job duty breakdown before your offer letter arrives so your employer's attorney can move quickly on the I-129 petition.
Healthcare at Texas Health and Human Services Commission jobs are hiring across the US. Find yours.
Find Healthcare at Texas Health and Human Services Commission JobsFrequently Asked Questions
Does Texas Health and Human Services Commission sponsor H-1B visas for Healthcares?
Yes, Texas Health and Human Services Commission does sponsor H-1B visas for qualifying Healthcare roles. As a state government agency, HHSC is cap-exempt, meaning petitions aren't subject to the annual H-1B lottery and can be filed at any point during the year. Sponsorship decisions are made at the position level, so whether a specific role qualifies depends on the job duties and your credentials.
How do I apply for Healthcare jobs at Texas Health and Human Services Commission?
Healthcare positions at HHSC are posted through the Texas state government jobs portal. You'll create a CAPPS Recruit profile, submit your application, and go through a structured interview process that often includes a panel review. For roles requiring licensure, you'll need to confirm active Texas credentials or documented eligibility. Migrate Mate also surfaces HHSC Healthcare openings filtered by visa sponsorship history, which can help you prioritize where to apply.
Which visa types does Texas Health and Human Services Commission use for Healthcare roles?
The H-1B is the primary visa category HHSC uses for Healthcare professionals in specialty occupation roles, including physicians, clinical psychologists, and certain allied health positions. Because HHSC is a state government employer, it qualifies as a cap-exempt H-1B sponsor. Other visa categories like TN or O-1 are possible depending on your nationality and credentials, but H-1B is the most commonly pursued path for this employer.
What qualifications does HHSC typically expect for Healthcare roles with sponsorship?
HHSC generally requires a relevant bachelor's degree at minimum, though most clinical and behavioral health roles require a master's degree, doctoral degree, or professional license. Active Texas licensure is commonly required at the time of hire rather than at offer. Roles focused on Medicaid programs, community mental health, or public health initiatives often carry the clearest sponsorship precedent because the specialty occupation standard is easier to document.
How long does the H-1B process typically take once HHSC extends an offer?
After an offer, your employer's legal team files a Labor Condition Application with DOL, which typically takes seven business days. The I-129 petition is then filed with USCIS, with standard processing running three to six months. Since HHSC is cap-exempt, there's no lottery wait. Premium processing is available through USCIS for a faster decision if your start date is time-sensitive.
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