Financial Reporting Director

Location: Austin, TX

About the role

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate for the position of Financial Reporting Director. This role makes a significant contribution to MCS’s mission by managing the team responsible for reviewing, analyzing, and evaluating self-reported financial data. The position performs advanced (senior-level) managerial work, providing direction and guidance in strategic operations and planning, including overseeing a team of financial analysts responsible for rigorous and complex validation and reconciliation of managed care organization (MCO), Dental Maintenance Organization (DMO), and Medicare-Medicaid Plan (MMP) self-reported data.

Work involves establishing division goals and objectives; developing policies; reviewing, amending, and developing guidelines, procedures, rules, and regulations; establishing priorities, standards, and measurement tools for determining progress in meeting goals; and coordinating and evaluating program activities. The Financial Reporting Director reviews, monitors, and analyzes all aspects of financial reporting of managed care entities under contract with HHSC, utilizing extensive institutional knowledge of Medicaid and experience in the complexities of Medicaid/CHIP and Medicare financial reporting.

Responsibilities

• Directs the activities and functions of the Financial Reporting team, overseeing team leads and Senior Financial Analysts tasked with reviewing financial deliverables, including the Financial Statistical Report (FSRs) and all reconciliations for timeliness, accuracy, and compliance with department procedures and MCO contract requirements.
• Develops and establishes goals and objectives for the Financial Reporting team consistent with the agency’s strategic plan, department goals, and MCO contract requirements.
• Develops and implements techniques for evaluating program activities and/or business functions, identifying needed changes.
• Provides feedback and counseling to staff regarding the quality of work products.
• Develops policies, procedures, and guidelines; implements and monitors staff compliance based on institutional knowledge, state and federal rules, statutes, and agency requirements; provides staff training as needed.
• Oversees development of MCS Financial Reporting Policies and Procedures to support and comply with agency policies and state and federal rules and statutes.
• Directs development of original or amended contract language to reflect changes in MCO financial reporting due to new regulations or process improvements.
• Provides guidance and consultative services to MCS program areas, HHSC Financial Services (Actuarial Analysis and Accounts Receivable departments), and other entities on the use and interpretation of the FSRs.
• Establishes and maintains effective working relationships and communication with staff from other departments, agencies, and organizations.
• Plans, develops, and approves schedules, priorities, and standards for achieving goals; directs evaluation activities.
• Serves as the subject matter expert on matters related to financial compliance.
• Occasionally travels to MCO facilities, in-town and across the state, and to various state government offices.
• Responds to information requests and provides consultative services to HHSC Internal Auditors, the Texas State Auditor's Office, the Texas Department of Insurance, HHSC Inspector General, HHS Open Records, and federal auditors for all matters related to the validation of MCO financial deliverables.
• Reviews results of special investigations, internal audits, research studies, forecasts, and modeling exercises to provide direction and guidance.
• Reviews MCO non-compliance with financial reporting requirements and provides recommendations for MCO sanctions and liquidated damages to MCS Managed Care Contracts and Oversight, as appropriate.
• Coordinates with team leads and Senior Financial Analysts to provide timely instructions or clarifications to MCOs regarding proper application of new or revised contractual requirements related to financial reporting.
• Communicates directly with MCO financial reporting staff at all levels, including CEOs, CFOs, or Compliance Directors.
• Recommends improvements to contract monitoring methodologies to FRAC senior leadership, including the Deputy Director, and other areas in the agency.
• May represent the agency at business meetings, hearings, trials, legislative sessions, conferences, seminars, or on boards, panels, and committees as needed.

Requirements

• At least five years’ experience in the management or direction of a program related to Medicaid, commercial managed care, or other public sector health care enterprise.
• Graduation from an accredited four-year college or university with major coursework in finance or accounting. On a year-for-year basis, this education requirement may be substituted for relevant work experience in healthcare financial oversight, financial analysis, reconciliation, accounting, auditing, budgeting, forecasting, financial reporting, financial management, or other related finance functions.

Preferred Qualifications

• Advanced Excel experience, including working independently with large datasets, building reports, and solving business problems in Excel.
• Experience in Power BI, including creating and modifying reports and dashboards.
• CPA License in Texas with “Issued (Current)” status.

Skills

• Knowledge of local, state, and federal laws and regulations relevant to the Medicaid Program, and of the principles and practices of public administration and management.
• Skill in establishing plans and setting objectives and goals that support the overall strategy of HHSC/organization in the delivery of health care.
• Skill in working collaboratively across cross-divisional areas to accomplish objectives.
• Skill in directing and organizing program activities; establishing program goals and objectives that support the strategic plan.
• Ability to identify problems, evaluate alternatives, and implement effective solutions; develop and evaluate policies and procedures; prepare reports; communicate effectively; and plan, assign, and supervise the work of others.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• Defined benefit pension plan.
• Generous time off benefits.
• Numerous opportunities for career advancement.

Pay

Salary Range: $7,015.16 - $9,872.41 per month.

Schedule

• Full-time, regular position.
• Day shift (First).
• Up to 5% travel required.
• Telework opportunities may be available dependent on performance, agency and legislative allowance, and other factors.