Financial Examiner IV

Texas Health and Human Services; Austin (TX); On-site; USD 56,901 - 81,702; Full time

Benefits offered by this job

Telework eligible

Up to 5% travel

Competitive benefits

Job summary

Texas Health and Human Services Commission in Austin seeks a Financial Examiner IV to conduct highly complex financial examinations of Medicaid and non-Medicaid cost reports within the Provider Finance Department. The role ensures accuracy and reasonableness of data used to determine reimbursement methodologies and cost allocations.

The position requires GAAP knowledge and familiarity with Texas Administrative Code, with exposure to CPA/CISA credentials preferred and the ability to manage

Qualifications

• Graduation from an accredited four-year college or university with major coursework in accounting, business, economics, or related field.
• CPA, CIA, CGAP, CIGA, CFE, and/or CISA certifications preferred.

Responsibilities

• Perform complex financial examinations of Medicaid and Non-Medicaid costs and compliance reports.
• Plan, schedule, coordinate, and report results of cost report examinations.
• Maintain timely, accurate communication with providers and agency staff.

Skills

Critical thinking

Communication skills

Teamwork

Analytical skills

Education

Bachelor's degree in accounting

Tools

Excel

Job description

Date: Jul 30, 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: 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

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

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)

• 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%)


• 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 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%)


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

Knowledge Of

Knowledge, Skills and Abilities (KSAs)

• 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

• 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.


• 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.

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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

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