OPT Reimbursement Analyst Jobs
Reimbursement Analyst roles sit at the intersection of healthcare billing, insurance claims, and regulatory compliance, making them a strong fit for F-1 OPT students with degrees in health administration, finance, or business. Most positions qualify as specialty occupations, supporting both standard 12-month OPT and the 24-month STEM extension.
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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: Reimbursement Analyst V
Job Title: Reimbursement Analyst V
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis M/C
Posting Number: 19757
Closing Date: 08/20/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $5,797.66 - $9,508.25
Pay Frequency: Monthly
Salary Group: TEXAS-B-25
Shift: Day
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
This position is hybrid with (currently) two in-office days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire.
The Reimbursement Analyst V position performs highly advanced (senior-level) consultative services, oversight, policy and data development, and technical analyses work for the Provider Finance Department under the supervision of the SHARS/MAC/TS Manager within Acute Care. This position provides technical guidance and performs work in the administration of School Health and Related Services (SHARS), Medicaid Administrative Claiming (MAC), and Random Moment Time Study (RMTS) programs. Duties are performed under limited supervision, with considerable latitude for the use of initiative and independent judgment. This position will act as a team lead and will function as a backup to their supervisor for program matters and this position.
Essential Job Functions (EJFs):
- Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned
- Develops, modifies, and maintains complex data analysis and statewide time study results used in cost reimbursement and to determine payment rates. (35%)
- Communicates complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning financial methodology issues affecting program participation, delivery, and payment determination. (20%)
- Reviews quarterly and annual cost reports and issues official settlement and reimbursement decisions (15%)
- Develops and processes policy documents (including policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials,) relating payment rate and payment methodology determination. Documents work processes and escalates issues as needed. (10%)
- Works with providers and HHSC legal on informal and formal appeals resulting from cost report disallowances. This includes extensive research and the ability to testify in court upon request from the HHSC legal department. (10%)
- Develops and conducts on-line and/or classroom based educational training programs related to the completion of data collection instruments. (5%)
- Performs other work as assigned or required to maintain and support the office and HHSC operations (5%)
Knowledge, Skills and Abilities (KSAs):
- Knowledge of health and human service programs, services, and procedures.
- Knowledge of accounting, business, and management principles, practices, and procedures.
- Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
- Knowledge of reimbursement methods and payment fees, formulas, and procedures.
- Knowledge of claims processing and/or cost report review and completion.
- Knowledge of Texas SHARS, MAC, RMTS, or other related programs.
- Skill in the development, implementation, and application of reimbursement methodologies and payment rates.
- Skill in the review of cost reports and processing of payments.
- Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
- Skill in problem solving, identification of issues and development of creative solutions.
- Skill in mathematical calculations and use of associated software to calculate.
- Ability to analyze laws, regulations, program policies, and issues.
- Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
- Ability to use personal computers and to use word processing, spreadsheet, statistical, and other software to develop payment rates.
- Ability to exercise independent judgement, set priorities, meet deadlines, and adapt to shifting technical and political developments.
- Ability to manage projects effectively and produce quality work within short deadlines.
- Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
- Ability to prepare well-written briefing documents and reports designed to convey complex detailed concepts.
- Ability to train others on policies and procedures related to job functions.
Registrations, Licensure Requirements or Certifications:
N/A
Initial Screening Criteria:
Graduation from an accredited four-year college or university with a bachelor’s degree in social science; business, including accounting and statistics; economics; health-related field; political science; or other closely related field. Experience may be substituted on a year for year basis. Experience of Medicaid and/or healthcare finance preferred. Experience with Salesforce software preferred.
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: Reimbursement Analyst V
Job Title: Reimbursement Analyst V
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis M/C
Posting Number: 19757
Closing Date: 08/20/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $5,797.66 - $9,508.25
Pay Frequency: Monthly
Salary Group: TEXAS-B-25
Shift: Day
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
This position is hybrid with (currently) two in-office days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire.
The Reimbursement Analyst V position performs highly advanced (senior-level) consultative services, oversight, policy and data development, and technical analyses work for the Provider Finance Department under the supervision of the SHARS/MAC/TS Manager within Acute Care. This position provides technical guidance and performs work in the administration of School Health and Related Services (SHARS), Medicaid Administrative Claiming (MAC), and Random Moment Time Study (RMTS) programs. Duties are performed under limited supervision, with considerable latitude for the use of initiative and independent judgment. This position will act as a team lead and will function as a backup to their supervisor for program matters and this position.
Essential Job Functions (EJFs):
- Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned
- Develops, modifies, and maintains complex data analysis and statewide time study results used in cost reimbursement and to determine payment rates. (35%)
- Communicates complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning financial methodology issues affecting program participation, delivery, and payment determination. (20%)
- Reviews quarterly and annual cost reports and issues official settlement and reimbursement decisions (15%)
- Develops and processes policy documents (including policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials,) relating payment rate and payment methodology determination. Documents work processes and escalates issues as needed. (10%)
- Works with providers and HHSC legal on informal and formal appeals resulting from cost report disallowances. This includes extensive research and the ability to testify in court upon request from the HHSC legal department. (10%)
- Develops and conducts on-line and/or classroom based educational training programs related to the completion of data collection instruments. (5%)
- Performs other work as assigned or required to maintain and support the office and HHSC operations (5%)
Knowledge, Skills and Abilities (KSAs):
- Knowledge of health and human service programs, services, and procedures.
- Knowledge of accounting, business, and management principles, practices, and procedures.
- Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
- Knowledge of reimbursement methods and payment fees, formulas, and procedures.
- Knowledge of claims processing and/or cost report review and completion.
- Knowledge of Texas SHARS, MAC, RMTS, or other related programs.
- Skill in the development, implementation, and application of reimbursement methodologies and payment rates.
- Skill in the review of cost reports and processing of payments.
- Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
- Skill in problem solving, identification of issues and development of creative solutions.
- Skill in mathematical calculations and use of associated software to calculate.
- Ability to analyze laws, regulations, program policies, and issues.
- Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
- Ability to use personal computers and to use word processing, spreadsheet, statistical, and other software to develop payment rates.
- Ability to exercise independent judgement, set priorities, meet deadlines, and adapt to shifting technical and political developments.
- Ability to manage projects effectively and produce quality work within short deadlines.
- Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
- Ability to prepare well-written briefing documents and reports designed to convey complex detailed concepts.
- Ability to train others on policies and procedures related to job functions.
Registrations, Licensure Requirements or Certifications:
N/A
Initial Screening Criteria:
Graduation from an accredited four-year college or university with a bachelor’s degree in social science; business, including accounting and statistics; economics; health-related field; political science; or other closely related field. Experience may be substituted on a year for year basis. Experience of Medicaid and/or healthcare finance preferred. Experience with Salesforce software preferred.
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 36+ OPT Reimbursement Analyst Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Reimbursement Analyst Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Reimbursement Analyst
Confirm your degree supports the specialty occupation standard
Reimbursement Analyst roles typically require a degree in health administration, finance, accounting, or business. Before applying, verify your degree field aligns with the job description to support both your OPT authorization and a future H-1B visa petition.
Target employers with established healthcare billing departments
Large hospital systems, insurance carriers, and revenue cycle management firms file H-1B petitions regularly. These employers have immigration infrastructure in place, making the transition from OPT to sponsored status significantly more straightforward than smaller healthcare practices.
Highlight coding certifications and software proficiency
Employers hiring on OPT want candidates who can contribute immediately. Certifications in CPT or ICD-10 coding, and proficiency with tools like Epic or Meditech, signal readiness and reduce the perceived risk of sponsoring an international candidate.
Apply before your OPT start date to account for processing time
OPT authorization can take 90 days or more to process. Apply for positions two to three months before your program end date so your EAD arrives before you need to start, avoiding gaps that could complicate your employment timeline.
Address your OPT timeline directly in interviews
Proactively explaining that you have 12 months of OPT, with a potential 24-month STEM extension, gives employers a clear picture of your work authorization window and reduces hesitation about offering you a full-time reimbursement role.
Understand which STEM CIP codes apply to your degree
STEM OPT extension eligibility depends on your degree's Classification of Instructional Programs code. Finance and information systems degrees often qualify. Confirm your degree's CIP code with your DSO before targeting roles that assume a 36-month total OPT window.
Reimbursement Analyst OPT: Frequently Asked Questions
Can I work as a Reimbursement Analyst on F-1 OPT?
Yes. Reimbursement Analyst positions generally qualify as specialty occupations under OPT rules because they require at least a bachelor's degree in a specific field such as health administration, finance, or business. Your EAD card authorizes full-time employment in a role directly related to your degree, which Reimbursement Analyst work typically satisfies.
Do Reimbursement Analyst jobs qualify for the 24-month STEM OPT extension?
They can, depending on your degree. If your bachelor's or master's degree is in a STEM-designated field such as health informatics, information systems, or finance and your employer is enrolled in E-Verify, you may qualify for the 24-month extension. Confirm your degree's CIP code with your designated school official before assuming eligibility.
Where can I find Reimbursement Analyst jobs that offer OPT sponsorship?
Migrate Mate is built specifically for F-1 OPT students and filters jobs by visa sponsorship willingness, so you can browse Reimbursement Analyst openings without manually screening each employer. Large hospital networks, revenue cycle management companies, and national insurance carriers are the most consistent sources of sponsored roles in this field.
Will employers sponsor me for an H-1B after my OPT ends?
Many large healthcare employers and revenue cycle firms do sponsor H-1B petitions for Reimbursement Analysts, particularly after seeing performance during the OPT period. The role's alignment with the specialty occupation standard makes it a defensible H-1B petition. Smaller practices are less likely to have the legal infrastructure to support sponsorship.
What degree is required for a Reimbursement Analyst role on OPT?
Most employers expect a bachelor's degree in health administration, health information management, finance, accounting, or business administration. Your degree field must be directly related to the position to satisfy OPT's requirement that employment align with your program of study. A mismatch between your degree and the job description can jeopardize both your OPT status and a future H-1B petition.