FAIII (Cost Report Based Rate Methodology Team)

Texas Health and Human Services; Austin (TX); On-site; USD 61,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement

Job summary

Texas Health and Human Services Commission in Austin, TX, seeks a Financial Analyst III to support cost report-based rate methodologies within the LTSS team. The role involves collecting and analyzing financial data, building rate models, and preparing management-facing reports.

The position is exempt, full-time, with telework eligibility and a salary range of $5,425.33–$8,886.16 monthly. You will collaborate with internal and external stakeholders to optimize reimbursement strategies.

Qualifications

• BA/BS in accounting, finance, economics, statistics, or related field.
• At least two years in reimbursement rate analysis or cost reporting.

Responsibilities

• Establish and maintain rate models and cost reports for reimbursement.
• Analyze financial data to support cost report-based rate methodologies.
• Coordinate with internal and external stakeholders to inform financial analyses.
• Prepare reports and recommendations for agency management.

Skills

LTSS cost reporting

Legislative process

Advanced Word

Advanced Excel

SQL

Education

Four-year degree in accounting/finance

Tools

SQL

Job description

Date: Aug 25, 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: FAIII (Cost Report Based Rate Methodology Team)

Job Title: Financial Analyst III

Agency: Health & Human Services Comm

Department: HHSC & HHS Rate Analysis LTC

Posting Number: 20518

Closing Date: 09/24/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $5,425.33 - $8,886.16

Pay Frequency: Monthly

Salary Group: TEXAS-B-24

Shift: Day

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: 3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10

The Financial Analyst III serves as a member of the Texas Health and Human Services Commission (HHSC) Provider Finance Department (PFD) Long-term Services and Supports (LTSS) team and performs financial analysis to support cost report-based rate reimbursement methodologies.

The position entails (senior-level) financial analysis work that includes: collecting, reviewing, and analyzing financial and statistical data; preparing reports and other documents to outline findings of the financial analysis; and consulting with internal and external stakeholders to ensure data collection and financial analyses support cost report-based rate methodologies.

This position works under minimal supervision, with considerable latitude for the use of initiative and independent judgment.

Essential Job Functions (ejf)

Performs Financial Analysis Functions (30%): Assists in the establishment and maintenance of rate models and cost reports and surveys. Conducts analysis of financial and statistical data to support cost report-based reimbursement rate methodologies in accordance with Texas Administrative Code rules, program guidelines, and established processes and procedures. Coordinates among teammates to analyze processes and develop process improvements.

Report and Survey Development and Analysis (25%): Coordinates with internal colleagues and external stakeholders in the design and maintenance/updates of cost and financial compliance reports or surveys of Medicaid and non-Medicaid programs to inform financial analysis and rate setting efforts. Interprets financial analysis results and develops recommendations for agency management.

Evaluate and Implements New Initiatives (20%): Assists in the design of special cost and statistical research and conducts financial analysis to evaluate the feasibility and cost implications regarding payment rate structure options, new program initiatives or enhancements, special payment rate initiatives, and new regulations. Assists in the preparation of recommendations and responses for proposed legislation and state or federal initiatives. Assists in the preparation of reports, memos, Texas Administrative Code Rule amendments, State Plan amendments, waiver amendments, and other documentation to propose and implement new initiatives.

Stakeholder and Staff Communication (20%): 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 various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning financial analysis issues affecting cost report-based reimbursement rate methodologies.

Other Duties as Assigned (5%): Performs other work as assigned required to maintain and support the office and HHSC operations.

Total: 100%

Licensure, Certification, Or Registration Required

None Required.

Knowledge Of

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• LTSS cost reporting and financial examination practices.
• The Texas Legislative process.
• Microsoft Word at an advanced level and the use of HHS accessible templates. (Use of Styles to format documents, Table Styles, HHS Reports tab to create and format reports, page and section breaks to format long documents with different page styles, embedding documents, and able to create accessible documents).
• Microsoft Excel at an advanced level. (Set up footers, headers, align margins, sort and filter, conditional formatting, use of excel formulas, insert links, concatenation, able to convert to accessible Adobe Acrobat format).
• Knowledge of database query development and Structured Query Language (SQL)

Skill In

• Strong analytical skills with the ability to collect, analyze, organize, and communicate significant amounts of complex information with attention to detail, accuracy, professionalism, and diplomacy.
• Strong critical thinking skills with the ability to evaluate and implement effective alternative solutions.
• Interpersonal relationships, teamwork, and establishing and maintaining effective working relationships with people at various levels of expertise.
• Communicating clearly and concisely, both verbally and in writing with attention to detail.
• Microsoft Office Suite products (MS Word, Excel, PowerPoint, Outlook, SharePoint, Visio, and others).
• Structured Query Language (SQL)

Ability To

• Perform and interpret numerical analyses to analyze, evaluate, and summarize financial and management records for accuracy and conformance to procedures, rules, and regulations.
• Collaborate and work well with others with professionalism and diplomacy.
• Exercise initiative, discretion, and good judgment.
• Work under limited supervision, exercise independent judgment, set priorities, meet deadlines and adapt to shifting technical and work environmental developments.
• Manage projects effectively and produce quality work within expected deadlines.
• Maintain accurate, detailed, and organized documentation of assignments and projects.

Initial Screening Criteria

Graduation from a four-year college or university with major coursework in accounting, business administration, finance, economics, statistics, or a related field is required. Experience in Provider Finance or applicable organization may be substituted for education on a one-to-one basis. At least two years of experience in reimbursement rate analysis, data analysis, financial analysis, Medicaid, cost reporting processes, or conducting complex cost analyses.

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

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