Cost Report Review Unit Manager V

Texas Health and Human Services; Austin (TX); Hybrid; USD 71,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Generous time off

Career advancement opportunities

Job summary

Texas Health and Human Services Commission (HHSC) seeks a Manager V in Austin to supervise the Cost Report Review Unit, overseeing Medicaid and non-Medicaid cost examinations. The role ensures accuracy and compliance with GAAP, TAC and federal/state rules, while shaping workflows and policy guidance.

As a senior manager, you’ll mentor staff, coordinate external communications, and lead critical financial analyses for reimbursement determinations. Telework is eligible and travel is modest.

Qualifications

• Bachelor’s degree required; master’s preferred.
• At least 2 years in financial examination or Medicaid reimbursement.
• 1 year supervisory or team-leading experience preferred.

Responsibilities

• Oversee day-to-day operations of financial examinations.
• Develop and enforce policies, procedures, and workpapers.
• Hire/train staff and provide technical guidance.
• Communicate complex information to internal/external stakeholders.
• Lead external meetings and respond to inquiries.

Skills

Medicaid knowledge

Supervisory experience

Data analysis

Policy development

Education

Bachelor's degree

Master’s degree preferred

Tools

SQL

Job description

Date: Aug 21, 2026

Location: AUSTIN, TX

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

Cost Report Review Unit Manager V

Job Title

Manager V

Agency

Health & Human Services Comm

Department

HHSC & HHS Rate Analysis LTC

Posting Number

20391

Closing Date

02/19/2027

Posting Audience

Internal and External

Occupational Category

Business and Financial Operations

Salary Range

$6,377.50 - $10,785.83

Pay Frequency

Monthly

Salary Group

TEXAS-B-26

Shift

Day

Additional Shift

Days (First)

Telework

Eligible for Telework

Travel

Up to 5%

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

Other Locations

MOS Codes: 0203,0207,0302,0520,0602,0802,1802,5502,6302,6502,7202,7208,7210,7220,111X,112X,113X,114X,16GX,41AX 611X,612X,631X,632X,641X,648X,86M0,86P0,8U000,9G100,SEI15

Job Description

The Manager V position within the Provider Finance Department Cost Report Review Unit performs advanced (senior-level) managerial work overseeing the financial examinations of cost reports and financial compliance reports for Medicaid and non-Medicaid services.

The financial examinations are conducted to ensure the accuracy, allowability, and reasonableness of cost and statistical data that is utilized to support established reimbursement rate methodologies, cost determinations, 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.

The Manager V position manages the day-to-day operations; establishes goals, priorities, schedules, standards, and quality controls; establishes policies and procedures; coordinates and evaluates program activities; ensures adherence to state and federal policies and requirements; communicates and collaborates with internal and external stakeholders; coordinates the responses to internal and external inquiries; and coordinates legislative analyses and implementation.

This position works under limited supervision, with considerable latitude for the use of initiative and independent judgment, and supervises the work of others.

Essential Job Functions (EJF)

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

• EJF1: Oversees day-to-day operations and staff who are performing financial examinations to ensure: compliance with governmental auditing standards; uniformity in methods; and adherence to statutes, departmental policies and procedures, and legal decisions. Develops and manages workplans and workflows. Sets priorities, goals, and expectations for financial examinations. Monitors workflow to ensure processing timeframes are met. (30%)
• EJF2: Oversees the development and implementation of, and compliance with, policy guidelines, procedural documents, and other associated documents that guide the financial examination process. Develops processes, procedures, workpapers, and tools to ensure compliance with agency and department standards, and established timelines. (25%)
• EJF3: Assists in the hiring and training of financial examiners. Provides technical guidance to staff on complex, technical, and analytical methods used to perform financial examinations of cost and financial compliance reports. (25%)
• EJF4: 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 external entities, including but not limited to, contracted providers, provider representatives, agency staff, advisory committees, workgroups, attorneys, and other interested parties regarding the desk review process. Represents the agency at meetings with external and internal stakeholders concerning the cost report financial examination process. (15%)
• EJF5: Other duties as assigned. (5%)

Knowledge Skills Abilities

• Knowledge of health and human services programs, including Medicaid.
• Knowledge in reimbursement rate methodologies and cost reporting rules, including the Texas Administrative Code (TAC) rules.
• Knowledge of accounting principles.
• Knowledge in Government Auditing Standards
• Knowledge of data analysis techniques and best practices.
• Knowledge of data quality and integrity processes.
• Knowledge in SQL and other database technologies.
• Skill in communications, with the ability to explain complex technical concepts to a non-technical audience.
• Skill in the development of reimbursement methods and payment rates, formulas, and procedures or complex cost analysis.
• Skill in the design, development and maintenance of complex computer applications, spreadsheets, and large databases.
• Skill in interpersonal relationships, establishing and maintaining, effective working relationships.
• Skill in policy/procedure development and/or evaluation
• Ability to manage projects effectively, including setting priorities and planning, organizing and coordinating the work of others.
• Ability to develop, evaluate, implement and interpret policies, procedures and rules.
• Ability to identify problems, evaluate alternatives, and implement creative solutions.
• Ability to exercise independent judgment, set priorities, meets deadlines and adapt to shifting technical and political developments.
• Ability to analyze complex and detailed accounting and reporting information

Registration Or Licensure Requirements

None required.

Professional certifications in data analytics, finance, or a related field (e.g., professional data analytics certification, CPA, actuarial designations) may be considered, but are not required.

Initial Selection Criteria

• Graduation from an accredited four-year college or university. Master’s degree preferred. Directly related subject matter experience as outlined below may be substituted for education on a year-for-year basis.
• At least two years of relevant subject matter experience in financial examination processes, cost reporting processes, advanced data analysis, or Medicaid reimbursement.
• At least one year of supervisory or team‑lead experience, including directing staff, coordinating work products, or overseeing analytic projects, preferred.

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.

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.

Nearest Major Market

Austin