Financial Examiner V

Texas A&M International; Austin (TX); Hybrid; USD 65,000 - 106,000; Full time

Benefits offered by this job

Full health insurance

Defined pension plan

Generous time off

Career advancement opportunities

Job summary

Texas Health and Human Services Commission in Austin, TX seeks a Financial Examiner V to perform highly complex financial examinations of cost and compliance reports for Medicaid and related services. This role ensures accuracy of data, adherence to GAAP, and supports reimbursement methodologies.

The position requires reviewing supporting documentation, coordinating with staff and providers, and testifying as needed. Telework is eligible; regular in-office presence may be required.

Qualifications

• Graduation from an accredited four-year college with major coursework in accounting, business administration, finance, economics, or related field.
• CPA/CIA/CISA/CFE/CGAP certifications preferred.
• Experience in financial examinations or audits is required.

Responsibilities

• Attends work on a regular, predictable schedule and performs other duties as assigned.
• Performs financial examinations and peer reviews of cost reports and financial compliance.
• Manages workload to meet deadlines for peer reviews and examinations.
• Communicates findings to management and providers and prepares timely reports.
• Assists in evaluating processes and implementing improvements.
• Completes special projects as assigned by management.

Skills

Financial examination

Peer reviews

Analytical thinking

Documentation & reporting

Education

Accounting/Finance degree

Tools

Excel

Job description

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: 20798

Closing Date: 01/29/2027

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

Additional Shift:

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 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 used to support established reimbursement rate methodologies, cost determination, and payment adequacy evaluations for certain Medicaid and non-Medicaid services. Financial examinations are performedin accordance withthe Texas Administrative Code, program-specific cost report instructions,generally acceptedaccounting 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 trial balances, general ledgers, 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 contracted providers to request clarification and additional information or supporting documentation, and testify in hearings and court proceedings as an expert witness in matters involving the examination performed. The examination process includes planning, scheduling, coordinating, conducting, andreportingexamination results. Work is performed with limited supervision, with 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.
• Performs financial examinations and peer reviews of financial compliance and cost reports submitted by contracted providers, including financial data, statistical data, and supporting documentation. Confirms financial examinations are completed in accordance with department policies and procedures and within assigned timeframes. (55%)
• Manages workload by planning and organizing to ensure that the required number of peer reviews and examinations are completed within PFD-established deadlines. (15%)
• Communicates with management staff, internal agency staff, contracted providers, financial contacts, and cost report preparers regarding 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%)
• Assists in evaluating examination processes; identifies areas of progress, improvement, or concern; makes recommendations; and assists in implementing new processes and resolving problems. (10%)
• 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 and analyzing information, and making accurate decisions.
• Numerical, verbal, and written communication and research.
• Microsoft Office applications, including intermediate to moderate skill with Microsoft Excel.

Ability to:

• Conduct financial examinations of financial compliance and cost reports; set priorities; and plan, organize, and coordinate work activities.
• Learn and work on multiple complex projects in a chain, understand cost allocation methods, and apply allocation ratios to different programs.
• Maintain effective working relationships with others and work as part of a team.
• Analyze financial records and other reports to support the financial examination process.
• Interpret and implement policies and procedures.
• Manage multiple projects effectively and produce quality work that meets deadlines.
• Concentrate for extended periods on detailed documents or projects.

Registrations, Licensure Requirements or Certifications

Certification as a CPA, CIA, CGAP, CIGA, CFE, or CISA is preferred.

Initial Screening Criteria

Graduation from an accredited four-year college or university with major coursework 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-for-year basis.

A minimum of five years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, or cost reporting is required.

Demonstrated experience conducting peer reviews or performing quality assurance work in financial examinations or financial analysis is preferred.

Additional Information

This position is required to work in office two days 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 tothose 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.