[Hiring] Financial Examiner III @TX-HHSC-DSHS-DFPS

Role Description

The Financial Examiner III position serves an integral function within the Provider Finance Department (PFD) by performing moderately complex (journey-level) financial examinations of cost reports. Financial examiner III positions may also review financial compliance 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, cost determination, and payment adequacy evaluations for certain Medicaid and non-Medicaid services. Financial examinations are performed in accordance with the Texas Administrative Code, program specific cost report instructions, generally accepted accounting principles (GAAP), and state and federal regulations.

A financial examination includes reviewing certain Medicaid and non-Medicaid contracted providers’ submitted reports and supporting documentation, which may include the contracted providers’ trial balance, general ledger, allocation worksheets, payroll data, and other documentation. The Financial Examiner may contact the contracted provider to request clarification and additional information/supporting documentation, as applicable. The examination process involves the following activities:

• Planning
• Scheduling
• Coordinating
• Conducting
• Reporting results of the examination

Work is performed with general supervision, with moderate latitude for the use of initiative and independent judgment.

Qualifications

• 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 financial examination, accounting, or audit experience may be substituted for education on a year-to-year basis.
• Minimum of 3 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, or cost reporting experience.

Requirements

• Knowledge of Generally Accepted Accounting Principles.
• Knowledge of 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.
• Skill in critical thinking, gathering, analyzing, and making accurate decisions about information.
• Skill in numerical, verbal, and written communication, and research.
• Intermediate to moderate skill level with Microsoft Excel.
• Ability to conduct financial examinations of financial compliance and 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 other reports to support the financial examination process.
• 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.

Benefits

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