OPT Reimbursement Manager Jobs
Reimbursement Manager roles sit at the intersection of healthcare billing, insurance compliance, and revenue cycle operations, making them a strong fit for F-1 OPT students with backgrounds in health administration, finance, or business. Most positions qualify as specialty occupations under STEM or business-related OPT categories, supporting H-1B visa sponsorship pathways.
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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 Manager Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Reimbursement Manager Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Reimbursement Manager
Frame your degree as a direct match
Reimbursement Manager roles typically require a degree in health administration, finance, or a related field. In every application, explicitly connect your specific degree to the role's billing and compliance requirements to strengthen your specialty occupation case for H-1B visa sponsorship.
Target revenue cycle-heavy employers
Large hospital systems, physician management groups, and insurance companies file H-1B petitions regularly for reimbursement roles. Prioritizing these employers over small private practices significantly increases your chances of finding a position with a realistic sponsorship pathway after OPT ends.
Highlight CPT coding and payer experience early
Familiarity with CPT codes, ICD-10 classifications, Medicare, and Medicaid billing signals technical depth. Lead with these skills in your resume summary so hiring managers immediately see you as a specialist, not a generalist, which matters when they evaluate sponsorship cost-benefit decisions.
Disclose your OPT timeline proactively
Bring up your OPT authorization early in conversations with employers. Explaining your exact end date and H-1B eligibility timeline helps decision-makers plan the petition process, reducing the uncertainty that often causes employers to pass on OPT candidates without discussing it.
Pursue STEM OPT extension if your degree qualifies
Health informatics, healthcare analytics, and similar STEM-designated programs qualify for a 24-month OPT extension. If your degree falls into a qualifying category, a STEM extension gives employers a longer runway before committing to H-1B sponsorship, making you a lower-risk hire.
Get certified in reimbursement to stand out
Credentials like the Certified Professional Biller or Certified Revenue Cycle Professional signal employer-recognized competency. These certifications directly address the specialty occupation threshold that USCIS applies to H-1B petitions for reimbursement roles, strengthening both your candidacy and future petition.
Reimbursement Manager OPT: Frequently Asked Questions
Can F-1 OPT students work as Reimbursement Managers in the United States?
Yes. F-1 students who have graduated can work as Reimbursement Managers on OPT for up to 12 months, provided the role is directly related to their field of study. Degrees in health administration, healthcare management, finance, or business typically satisfy this requirement. If your degree carries a STEM designation, you may qualify for a 24-month extension. Browse OPT-friendly openings on Migrate Mate.
Does a Reimbursement Manager role qualify as a specialty occupation for H-1B purposes?
Reimbursement Manager positions generally qualify as specialty occupations because they require at minimum a bachelor's degree in a specific field such as health administration, finance, or accounting. USCIS evaluates each petition individually, so the job description matters. Roles with clear degree requirements and technical billing responsibilities have a stronger specialty occupation argument than generalist management positions.
Which employers are most likely to sponsor OPT students in reimbursement roles?
Large hospital networks, academic medical centers, managed care organizations, and revenue cycle management firms are the most consistent sponsors for reimbursement roles. These employers have established immigration infrastructure and regularly file H-1B petitions. Smaller private practices rarely have the resources or volume to justify sponsorship. Migrate Mate filters job listings by sponsorship history so you can focus on realistic opportunities.
What should I do if my OPT end date falls before the H-1B cap lottery?
If your OPT expires before an H-1B approval can take effect, your employer may be able to file under cap-exempt status if they qualify, or you may need to explore bridge options such as a change of status through another visa category. Some employers also hold OPT extensions through a STEM designation to buy additional time. Discuss the timing explicitly with your employer's immigration counsel as early as possible.
How relevant is healthcare billing experience for OPT students applying to Reimbursement Manager roles?
Directly relevant. Employers filling Reimbursement Manager roles expect candidates to understand payer contracting, claims adjudication, denial management, and coding systems like CPT and ICD-10. OPT students who can demonstrate hands-on exposure through coursework, internships, or prior roles in medical billing have a measurable advantage. This technical depth also strengthens the specialty occupation argument employers need to make when sponsoring an H-1B petition.