OPT Reimbursement Specialist Jobs
Reimbursement Specialist roles fall under healthcare administration, a field with steady OPT sponsorship activity. Employers filing Labor Condition Applications for this title typically require a degree in health information management, business, or a related field. Your 12-month OPT window, or 24-month STEM extension if eligible, gives you enough runway to establish yourself with a sponsoring employer.
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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 Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Reimbursement Specialist Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Reimbursement Specialist
Target healthcare systems over staffing agencies
Large hospital networks and insurance companies are more likely to sponsor H-1B visas after OPT than staffing firms. Focus your search on employers with dedicated HR and immigration support, which signals they have experience sponsoring international employees.
Align your degree field with the job description
Reimbursement Specialist roles typically require a degree in health information management, business administration, or a related field. Make sure your resume clearly connects your academic background to the billing and coding responsibilities listed in each posting.
Pursue coding certifications to strengthen your profile
Credentials like CPC or CCS from AAPC or AHIMA signal technical competence to employers. Certified candidates stand out in a competitive applicant pool and give sponsoring employers more confidence in a long-term employment relationship beyond your OPT period.
Raise OPT status early in the interview process
Disclosing your OPT authorization upfront saves time for both sides. Frame it clearly: you have current work authorization and are seeking an employer willing to support H-1B sponsorship before your OPT expires. Clarity builds trust and filters serious employers faster.
Apply for your STEM extension as early as possible
If your degree qualifies for the 24-month STEM OPT extension, file at least 90 days before your initial OPT expires. The extended timeline gives employers more runway to sponsor you through the H-1B process without a gap in employment.
Research employers' H-1B filing history before applying
Employers who have previously sponsored H-1B visas for similar roles are more likely to do so again. Checking historical Labor Condition Application data helps you prioritize applications toward companies with a demonstrated willingness to support international employees.
Reimbursement Specialist OPT: Frequently Asked Questions
Can I work as a Reimbursement Specialist on OPT?
Yes. If your degree is in health information management, business administration, healthcare administration, or a closely related field, Reimbursement Specialist roles typically qualify as a direct application of that education. Your employer does not need to file any additional paperwork during your OPT period. You work on your OPT EAD card, and sponsorship only becomes relevant when your OPT approaches expiration.
Does a Reimbursement Specialist job qualify for STEM OPT extension?
It depends on your undergraduate degree, not the job title itself. If your degree is in a STEM-designated field such as health informatics or management information systems, you may qualify for the 24-month extension. Business administration degrees sometimes qualify depending on the specific CIP code your school assigned. Confirm your degree's STEM eligibility with your Designated School Official before counting on the extension.
How do I find Reimbursement Specialist employers who sponsor OPT students?
Migrate Mate is built specifically for F-1 OPT students searching for sponsorship-friendly employers. Rather than filtering through general job boards where sponsorship willingness is unclear, Migrate Mate surfaces roles from employers with a track record of supporting international candidates. Browse Reimbursement Specialist listings there to focus your time on opportunities with real sponsorship potential.
What happens to my Reimbursement Specialist job if I lose the H-1B lottery?
If your employer files an H-1B petition on your behalf and you are not selected in the lottery, your OPT EAD and employment authorization expire at their original end date. Some employers will retain you under cap-exempt H-1B routes if they qualify, or explore alternatives like O-1 visa or EB-2 NIW. Having that conversation with your employer well before lottery results are announced gives you the most options.
Is a Reimbursement Specialist role considered a specialty occupation for H-1B purposes?
USCIS evaluates specialty occupation status case by case, but Reimbursement Specialist roles can qualify when the position genuinely requires a bachelor's degree or higher in a specific field such as health information management or healthcare administration. Employers need to document that the job duties require specialized knowledge at the degree level, not just general administrative skills. An immigration attorney can assess whether a specific job description meets the standard.