Financial Examiner IV

Location: Austin, TX

About the role

The Financial Examiner IV position serves an integral function within the Provider Finance Department (PFD) by performing highly-complex (senior-level) financial examinations of Medicaid and non-Medicaid cost reports. The examinations are conducted to ensure the accuracy and reasonableness of cost and statistical data that is utilized to support established reimbursement rate methodologies and cost determination for certain Medicaid and non-Medicaid services.

As a team member of the PFD Cost Report Review Unit (CRRU), the Financial Examiner IV conducts financial examinations of cost reports in accordance with the Texas Administrative Code, program-specific cost report instructions, generally accepted accounting principles (GAAP) (approved by the American Institute of Certified Public Accountants), and state and federal regulations. Financial examination includes reviewing Medicaid and non-Medicaid contracted providers' submitted cost reports and supporting documentation, such as trial balance, general ledger, allocation worksheets, payroll, and billing reports. The Financial Examiner may contact the contracted provider to request clarification and additional information or supporting documentation. The examination process involves planning, scheduling, coordinating, conducting, and reporting results of the cost report examination. Work is performed with limited supervision and considerable latitude for the use of initiative and independent judgment.

Responsibilities

• Performs complex financial examinations of Medicaid and Non-Medicaid costs and compliance reports submitted by contracted providers, including financial data, statistical data, and supporting documentation. Financial examinations are completed in accordance with department policies and procedures and within assigned timeframes. (55%)
• Manages workload by planning and organizing to ensure the required number of financial examinations are completed within PFD-established deadlines. (25%)
• Communicates with contracted providers, financial contacts, and/or cost report preparers to request clarifying information or supporting documentation related to highly complex financial and statistical data. Communicates with agency staff or others on the examination process. Prepares and issues reports, correspondence, and deliverables in a timely and accurate manner in accordance with required professional standards. (15%)
• Completes additional or special projects as assigned by the Manager or Director. (5%)
• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Requirements

• Graduation from an accredited four-year college or university with major course work in accounting, business administration, finance, economics, or a related field is preferred. Relevant accounting or audit experience may be substituted for education on a year-to-year basis.
• Minimum of 4 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, and/or cost reporting.

Skills

• Knowledge of Government Auditing Standards (as applicable), Generally Accepted Accounting Principles, Texas Administrative Code, and applicable rules and regulations.
• Knowledge of office management practices, administrative procedures, accounting methods, and accounting systems.
• Knowledge of HHSC programs, services, and procedures.
• Critical thinking, gathering, analyzing, and making accurate decisions about information.
• Numerical, verbal, and written communication, and research.
• MS Office applications; intermediate to advanced skill level with Microsoft Excel.
• Ability to conduct financial examinations of cost reports, set priorities, plan, organize, and coordinate work activities.
• Ability to maintain effective working relationships with others (teamwork).
• Ability to analyze financial records and billing reports to identify problems.
• Ability to learn and work on multiple complex projects in a chain, understand cost allocation methods, and apply allocation ratios to different programs.
• Ability to interpret and/or implement policies and procedures.
• Ability to manage multiple projects effectively and produce quality work to meet deadlines.
• Ability to concentrate for extended time periods on detailed documents or projects.

Qualifications

Candidates certified as a CPA, CIA, CGAP, CIGA, CFE, and/or CISA are preferred.

Benefits

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.

Explore more details on the Benefits of Working at HHS webpage.

Pay

Salary Range: $5,098.66 - $7,321.02 per month

Schedule

• Full-time
• Day shift
• Eligible for telework
• Required to work in office twice a week at the North Austin Complex
• Travel: Up to 5%