Financial Examiner IV

FALL CREEK FARM & NURSERY; Austin (TX); Hybrid; USD 57,000 - 82,000; Full time

Benefits offered by this job

Telework eligible

Job summary

Health & Human Services Commission (HHSC) in Austin seeks a Financial Examiner IV to perform complex financial examinations of Medicaid and non-Medicaid cost reports. You will review cost reports, GAAP data, and supporting documents to ensure accuracy in reimbursement methodologies.

The role requires extensive knowledge of accounting standards, strong analytical skills, and the ability to manage multiple projects with initiative. Telework eligibility is available.

Qualifications

• Graduation from an accredited four-year college or university with major coursework in accounting, business administration, finance, economics, or related field.
• Minimum of 4 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, and/or cost reporting.

Responsibilities

• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
• Performs complex financial examinations of Medicaid and Non-Medicaid costs and compliance reports.
• Manages workload to complete required examinations within deadlines.
• Communicates with contracted providers or cost report preparers to obtain clarifying information or supporting documentation.
• Completes special projects as assigned by the Manager or Director.

Skills

Critical thinking

Numerical ability

Written communication

MS Excel proficiency

Education

Bachelor's degree in accounting/finance/related field

Tools

Microsoft Excel

Job description

Career Opportunities: Financial Examiner IV (19544)

Posting ID19544-Posted07/30/2026-Health & Human Services Comm-HHSC & HHS Rate Analysis LTC-Business and Financial Operations-Eligible for Telework-c. $5000 - $6999 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 IV
Job Title:Financial Examiner IV
Agency:Health & Human Services Comm
Department:HHSC & HHS Rate Analysis LTC
Posting Number:19544
Closing Date:08/29/2026
Posting Audience:Internal and External
Occupational Category:Business and Financial Operations
Salary Range:$5,098.66-$7,321.02
Pay Frequency: Monthly
Salary Group:TEXAS-B-23
Shift:Day
Additional Shift:None
Telework:Eligible for Telework
Travel:Up to 5%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Exempt
Facility Location:
Job Location City:AUSTIN
Job Location Address:4601 W GUADALUPE ST
Other Locations:None
MOS Codes: 3451,3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10

Brief Job Description:

The Financial Examiner IV position serves an integral function within the Provider Finance Department (PFD) by performing highly-complex (senior-level) financial examinations of Medicaid and non-Medicaid cost 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 and cost determination for certain Medicaid and non-Medicaid services.

As a team member of the PFD Cost Report Review Unit (CRRU), the Financial Examiner IV position conducts financial examinations of cost reports in accordance with the Texas Administrative Code, program specific cost report instructions, generally accepted accounting principles (GAAP), which are those principles approved by the American Institute of Certified Public Accountants (AICPA), and state and federal regulations.

Financial examination includes reviewing certain Medicaid and non-Medicaid contracted providers’ submitted cost reports and supporting documentation, which may include the contracted providers’ trial balance, general ledger, allocation worksheets, payroll, and billing reports. 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 cost report examination. Work is performed with limited supervision and considerable 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.

1. EJF: Performs complex financial examinations of Medicaid and Non-Medicaid costs and compliance 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%)

2. EJF: Manages workload by planning and organizing to ensure that the required number of financial examinations are completed within PFD established deadlines. (25%)

3. EJF: Communicates contracted providers, financial contacts, and/or cost report preparers to request clarifying information or supporting documentation related to highly complex 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%)

4. EJF: Completes additional or special projects as assigned by the Manager or Director. (5%)

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

• Government Auditing Standards (as applicable), 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 advanced skill level with Microsoft Excel.

Ability to:

• Conduct financial examinations of cost reports, set priorities, plan, organize, and coordinate work activities.
• Maintain effective working relationships with others (teamwork).
• Analyze financial records and billing reports to identify problems.
• Learn and work on multiple complex projects in a chain, understand cost allocation methods, and application of allocation ratios to different programs.
• 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:

Candidates certified as a CPA, CIA, CGAP, CIGA, CFE, and/or CISA are preferred.

Initial Screening Criteria:

1) 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 accounting or audit experience may be substituted for education on a year-to-year basis.

2) Minimum of 4 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, and/or cost reporting experience.

Additional Information:

This position will be required to work in office twice a week at the North Austin Complex.

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.