Financial Examiner III

Health & Human Services Comm; Austin (TX); On-site; USD 50,000 - 81,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement

Job summary

Texas Health and Human Services Commission (HHSC) is seeking a Financial Examiner III in Austin to perform moderately complex financial examinations of cost reports for Medicaid and non-Medicaid providers. The role supports reimbursement rate methodologies and payment adequacy evaluations with adherence to GAAP and state regulations.

The position requires 3+ years of relevant experience, strong analytical skills, and effective communication with providers and internal staff.

Qualifications

• Graduation from an accredited four-year college or university is preferred.
• Minimum of 3 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, auditing, Medicaid reimbursement, or cost reporting experience.

Responsibilities

• Performs financial examinations of financial compliance and cost reports.
• Reviews Medicaid and non-Medicaid contracted providers’ reports and supporting documentation.
• Plans, schedules, coordinates, conducts, and reports examination results.
• Communicates with providers and staff to request clarifications or additional information.
• Completes special projects as assigned by management.

Job description

Career Opportunities: Financial Examiner III (20441)

Posting ID20441-Posted -Health & Human Services Comm-HHSC & HHS Rate Analysis LTC-Business and Financial Operations-Eligible for Telework-b. $3000 - $4999 per month

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:Financial Examiner IIIJob Title:Financial Examiner IIIAgency:Health & Human Services CommDepartment:HHSC & HHS Rate Analysis LTCPosting Number:20441Closing Date:10/20/2026Posting Audience:Internal and ExternalOccupational Category:Business and Financial OperationsSalary Range:$4,523.16-$7,253.83Pay Frequency:MonthlySalary Group:TEXAS-B-21Shift:DayAdditional Shift:NoneTelework:Eligible for TeleworkTravel:Up to 5%Regular/Temporary:RegularFull Time/Part Time:Full timeFLSA Exempt/Non-Exempt:ExemptFacility Location:Job Location City:AUSTINJob Location Address:4601 W GUADALUPE STOther Locations:NoneMOS Codes: 3451,3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10

Brief Job 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, and reporting results of the examination. Work is performed with general supervision, with moderate latitude for the use of initiative and independent judgment.

Essential Job Functions (EJFs)

• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
• EJF: Performs financial examinations of financial compliance and cost reports submitted by contracted providers, to include financial data, statistical data, and supporting documentation. Financial examinations are completed in accordance with department policies and procedures and within assigned timeframes. (55%)
• EJF: Manages workload by planning and organizing to ensure that the required number of financial examinations are completed within PFD established deadlines. (25%)
• EJF: Communicates with contracted providers, financial contacts, and/or cost report preparers to request clarifying information or supporting documentation related to reported financial and statistical data. Communicate with agency staff or others on the examination process. Prepares and issues reports, correspondence, and deliverables in a timely and accurate manner in accordance with required professional standards. (15%)
• EJF: Completes additional or special projects as assigned by the Manager or Director. (5%)

Knowledge, Skills and Abilities (KSAs)

Knowledge of:

• Generally Accepted Accounting Principles.
• Texas Administrative Code and applicable rules and regulations.
• Office management practices, administrative procedures, accounting methods, and accounting systems.
• HHSC programs, services, and procedures.

Skill in:

• Critical thinking, gathering, analyzing, and making accurate decisions about information.
• Numerical, verbal, and written communication, and research.
• MS Office applications; 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.
• Maintain effective working relationships with others (teamwork).
• Analyze financial records and other reports to support the financial examination process.
• Interpret and/or implement policies and procedures.
• Manage multiple projects effectively and to produce quality work to meet deadlines.
• Concentrate for extended time periods on detailed documents or projects.

Registrations, Licensure Requirements or Certifications

N/A

Initial Screening Criteria

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.

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.