Financial Examiner III

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Brief Job Description:

The Financial Examiner III position is selected by and responsible to the Director and Managers of the Provider Finance Department Local Funding Team. This role will participate in the collection and assessment of financial, statistical, and other relevant data to monitor the financing structures that underlie local funding utilized as the non-federal share of Medicaid supplemental and directed payment programs. Work involves reviewing large data sets to determine and report on financial conditions and compliance with statutory requirements, bylaws, and rules. The Financial Examiner III will assist in the design, development, implementation, modification, and maintenance of: analytical methods and procedures; highly complex computer applications, spreadsheets, and large databases used in the collection and analyses of data; and strategic operations and planning. This position will require routine discussions with internal and external audiences each with varying levels of sophistication, program involvement, and unique software systems. Must be comfortable working on various projects including those with short-, mid-, and long-term goals and objectives; works well with a team within specified schedules, priorities, and standards for achieving established goals; and supports legislative-related inquiries and analyses. Identifies potential areas of change and provides input on the development of alternative strategies and recommendations. Works under general supervision, with limited latitude for the use of initiative and independent judgment. The best fit for this role is someone who is able to adapt to change, think outside the box to modify current processes based on experience, and is a self-starter.

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Participates in the development, implementation, administration, and training of surveys to collect financial and other data from identified entities for use in the assessment of local funds. Administers data collection instruments and detailed instruction manuals to collect financial and other relevant data. Ensures instruments collect sufficient information to support the assessment and monitoring of local funds. Provides technical assistance related to survey development, survey completion, policy guidelines, and rule requirements. Participates in the development, modification, and maintenance of complex computer programs, spreadsheets, and large databases used in the collection, review, and analysis of financial data and uses findings as a tool to assess compliance with Federal, State, and local statutes. Performs detailed research on the governmental entities that transfer the non-federal share of the Medicaid supplemental and directed payment programs. (40%)

Provides summaries and determines initial risk assessments, financial examinations to evaluate compliance with state or federal regulations. Participates in the interpretation of data analyses and data research to determine appropriateness of results; ensures that options and recommendations are feasible and adequately address compliance issues. (30%)

Prepares written briefing documents and other documents related to the results of local fund assessments for decision making by PFD and executive staff. Makes presentations of assessment and recommendations to team leadership (10%)

Interfaces and communicates effectively with diverse groups, including other agency staff, governmental entities, medical/provider associations, workgroups, advisory committees, legislative staff, client advocates, attorneys, state/federal auditors, and interested parties and takes detailed notes to summarize information being discussed. Conducts public-facing presentations to elected officials, federal officials, executive and leadership staff, or other audiences. (20%)

Knowledge, Skills and Abilities (KSAs):

Knowledge of data analytics.

Knowledge of health and human services programs.

Knowledge of Medicaid reimbursement principles.
Knowledge of accounting principles.

Skill in the development and maintenance of complex computer applications, spreadsheets, and large databases.

Skill in interpersonal relationships, establishing and maintaining, effective working relationships.

Ability to manage projects effectively, including setting priorities and planning, organizing and coordinating the work of others.

Ability to develop, evaluates, implement and interpret policies, procedures and rules.

Ability to identify problems, evaluate alternatives, and implement creative solutions.

Ability to analyze complex and detailed accounting and reporting information.

Ability to exercise independent judgment, set priorities, meet deadlines and adapt to shifting technical and political developments.

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

Bachelor's Degree Required. Experience in Provider Finance or applicable organization may be substituted for education on a one-to-one basis.

Required 2 years of experience as a financial examiner, financial analyst, or other data analyst.

Additional Information:

Job will offer partial telework option but will require weekly in-office work.

Training will be available upon selection for Medicaid reimbursement principles and laws and guidance governing relevant areas.

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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