Financial Examiner V

Texas Health and Human Services; Austin (TX); Hybrid; USD 65,000 - 106,000; Full time

Benefits offered by this job

Health insurance (100% paid)

Pension plan

Generous time off

Job summary

Texas Health and Human Services Commission (HHSC) in Austin, TX is seeking a Financial Examiner V to lead complex financial examinations, cost reports, and compliance reviews for Medicaid and related programs. The role emphasizes peer reviews, quality assurance, and testimony in related proceedings.

Qualified candidates will have strong accounting knowledge, familiarity with GAAP and state rules, and the ability to manage multiple projects while communicating findings to providers and agency

Qualifications

• Graduation from an accredited four-year college or university preferred in accounting, business, finance, economics, or related field.
• Minimum of 5 years of experience in financial examinations, financial operations, budgeting, accounting, or auditing is preferred.

Responsibilities

• Perform financial examinations and peer reviews of cost reports and financial compliance.
• Manage workload to meet deadlines and coordinate peer reviews.
• Communicate findings with management, providers, and cost report preparers; issue reports and deliverables.
• Assist in evaluating examination processes and implement improvements.
• Complete special projects as assigned by the Manager or Director.

Skills

Critical thinking

Numerical analysis

Written communication

MS Excel

Education

Accounting/Finance degree

Tools

MS Office

Microsoft Excel

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: Financial Examiner V

Job Title: Financial Examiner V

Agency: Health & Human Services Comm

Department: HHSC & HHS Rate Analysis LTC

Posting Number: 20443

Closing Date: 10/20/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $5,797.66 - $9,508.25

Pay Frequency: Monthly

Salary Group: TEXAS-B-25

Shift: Day

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:

MOS Codes: 3451,3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10

Brief Job Description

The Financial Examiner V position serves an integral function within the Provider Finance Department (PFD) by performing highly complex (senior-level) financial examinations of cost reports and financial compliance reports, including performing peer reviews and quality assurance evaluations of completed financial examinations to determine financial condition, level of internal controls, and compliance with examination requirements.

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 confer with management staff to resolve problems and deviations from examination requirements, coordinate with internal colleagues or contact the contracted provider to request clarification and additional information/supporting documentation, and testify in hearings and court proceedings as an expert witness in matters involving the examination performed. The examination process involves the following activities: planning, scheduling, coordinating, conducting, and reporting results of the examination. Work is performed with limited supervision, with considerable latitude for the use of initiative and independent judgment.

Essential Job Functions

• EJF: Performs financial examinations and peer reviews of financial compliance and cost reports, submitted by contracted providers, to include financial data, statistical data, and supporting documentation. Confirm 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 peer reviews and examinations are completed within PFD established deadlines. (15%)
• EJF: Communicates with management staff, internal agency staff, contracted providers, financial contacts, and/or cost report preparers on peer reviews and quality assurance findings. Prepares and issues reports, correspondence, and deliverables in a timely and accurate manner in accordance with required professional standards. (15%)
• EJF: Assists in the evaluation of the examination processes; identifies areas of progress, improvement, or concern; makes recommendations; and assists in implementing new progresses and resolving problems. (10%)
• EJF: Completes additional or special projects as assigned by the Manager or Director. (5%)

Knowledge Of

Knowledge, Skills and Abilities (KSAs)

• 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.
• Ability to learn and work on multiple complex projects in a chain, understand cost allocation methods, and application of allocation ratios to different programs.
• 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

• 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 financial examination, accounting, or audit experience may be substituted for education on a year-to-year basis.

Minimum of 5 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, or cost reporting experience. Demonstrated experience in conducting peer reviews or quality assurance practices in financial examinations or financial analysis is preferred.

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