Financial Reporting Director

TSABAA; Austin (TX); Hybrid; USD 120,000 - 180,000; Full time

Job summary

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a Financial Reporting Director to lead a team responsible for reviewing and analyzing self-reported financial data across MCO, DMO, and MMP contracts.

The role oversees policy development, templates, and reconciliations, guides program areas and HHSC Financial Services, and travels as needed to facilities and state offices.

Qualifications

• At least five years managing Medicaid/public health programs.
• Bachelor’s degree in finance or accounting; substitution allowed by related experience.
• Advanced Excel; Power BI is a plus.

Responsibilities

• Direct and supervise the Financial Reporting team.
• Oversee preparation of FSRs and reconciliations with MCO/DMO/MMP data.
• Develop policies, procedures, and guidelines for financial oversight.
• Interact with HHSC leadership and external auditors.
• Occasional travel within the state to facilities and offices.

Skills

Leadership

Financial analysis

Policy development

Communication

Public sector finance

Education

Bachelor's degree in finance or accounting

Tools

Excel

Power BI

Job description

Brief Job Description

Texas Health and Human Services Commission

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of Financial Reporting Director. MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by managing the team responsible for reviewing, analyzing, and evaluating self-reported financial data.

This position performs advanced (senior level) managerial work providing direction and guidance in strategic operations and planning, including overseeing the operations of a team of financial analysts responsible for performing rigorous and complex validation and reconciliation of managed care organization (MCO), Dental Maintenance Organization (DMO) and Medicare-Medicaid Plan (MMP) self-reported data. Work involves establishing division goals and objectives; developing policies; reviewing, amending, and developing guidelines, procedures, rules, and regulations; establishing priorities, standards, and measurement tools for determining progress in meeting goals; and coordinating and evaluating program activities. Plans, assigns, and supervises the work of others. The Financial Reporting Director reviews, monitors, and analyzes all aspects of financial reporting of managed care entities under contract with HHSC. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

The position utilizes extensive institutional knowledge of Medicaid and requires experience in the complexities of Medicaid/CHIP and to a limited extent, Medicare financial reporting to design, implement and maintain financial reporting methods and financial oversight practices for all contractually required financial deliverables.

The Financial Reporting Director thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability and critical thinking and integrity for effective execution.

This position is part of the Financial Reporting and Audit Coordination (FRAC) within HHSC. The position reports to the Director for Financial Reporting and Special Projects.

Essential Job Functions

[30%] Directs the activities and functions of the Financial Reporting team.

Oversees the work of the team leads and Senior Financial Analysts tasked with reviewing financial deliverables including the Financial Statistical Report (FSRs), and all reconciliations with respect to: timeliness; accuracy; and compliance with department procedures and MCO contract requirements.

• Develops and establishes goals and objectives for the Financial Reporting team that are consistent with the agency’s strategic plan, department goals, and MCO contract requirements.
• Develops and implements techniques for evaluating program activities and/or business functions and identifies any needed changes.
• Provides feedback and counseling to staff regarding the quality of work products.
• Develops policies, procedures, and guidelines; implements and monitors staff compliance based on personal institutional knowledge, state and federal rules, statutes and agency requirements; provides staff training as needed.

[20%] Oversees development of MCS Financial Reporting Policies and Procedures to support and comply with agency policies and state and federal rules and statutes. Directs development of original or amended contract language to reflect changes in MCO financial reporting necessitated by new regulations or changes and/or process improvements to MCS oversight requirements. This may include but is not limited to the developing new or revised financial templates and forms.

[15%] Provides guidance and consultative services to: MCS program areas; HHSC Financial Services (Actuarial Analysis and Accounts Receivable departments); and other entities as required on the use and interpretation of the FSRs. Establishes and maintains effective working relationships and communication with staff from other departments, agencies, and organizations; interacts appropriately with others, in a contributory manner. Plans, develops, and approves schedules, priorities, and standards for achieving goals; and directs evaluation activities. Serves as the subject matter expert on matters related to financial compliance. Occasionally travels to MCO facilities, in-town and across the state, and to various state government offices. Demonstrates team attitude and fills in where needed.

[10%] Responds to information requests and provides consultative services to: HHSC Internal Auditors; the Texas State Auditor’s Office; the Texas Department of Insurance; HHSC Inspector General, HHS Open Records and federal auditors for all matters related to the validation of MCO financial deliverables. Reviews results of special investigations, internal audits, research studies, forecasts, and modeling exercises to provide direction and guidance. May develop or assist with developing long-range and short-term plans for the department.

[10%] Reviews MCO non-compliance with financial reporting requirements and provides recommendations for MCO sanctions and liquidated damages to MCS Managed Care Contracts and Oversight, as appropriate.

[10%] Coordinates with the team leads and Senior Financial Analysts in providing timely instructions or clarifications to the MCOs regarding proper application of new or revised contractual requirements related to financial reporting. Communicates directly with MCO financial reporting staff at all levels including CEOs, CFOs, or Compliance Directors.

[5%] Recommends improvements to contract monitoring methodologies to FRAC senior leadership team including the Deputy Director as well as to other areas in the agency. May represent the agency at business meetings, hearings, trials, legislative sessions, conferences, and seminars or on boards, panels, and committees as needed. Performs other duties as assigned.

Registrations, Licensure Requirements or Certifications

N/A

Knowledge Skills and Abilities

Knowledge of:

• Local, state, and federal laws and regulations relevant to the Medicaid Program; and of the principles and practices of public administration and management.

Skill in:

• Establishing plans and setting objectives and goals that support the overall strategy of HHSC / organization in the delivery of health care.
• Working collaboratively across cross-divisional areas to accomplish objectives.
• Directing and organizing program activities; to establish program goals and objectives that support the strategic plan.

Ability to:

• Identify problems, evaluate alternatives, and implement effective solutions; to develop and evaluate policies and procedures; to prepare reports; to communicate effectively; and to plan, assign, and supervise the work of others.
• Direct and organize program activities and/or business functions; to establish goals and objectives that support the strategic plan; to identify problems, evaluate alternatives, and implement effective solutions; to develop and evaluate policies and procedures; to prepare reports; to communicate effectively; and to supervise the work of others.

Initial Screening Criteria

Required

• At least five years’ experience in the management or direction of a program related to Medicaid, commercial managed care or other public sector health care enterprise.
• Graduation from an accredited four-year college or university with major coursework in finance or accounting. On a year-for-year basis, this education requirement may be substituted for relevant work experience in healthcare financial oversight, financial analysis, reconciliation, accounting, auditing, budgeting, forecasting, financial reporting, financial management, or other related finance functions.

Preferred

• Advanced Excel experience, including working independently with large datasets, building reports, and solving business problems in Excel.
• Experience in Power BI, including creating and modifying reports and dashboards.
• CPA Licensee in Texas with “Issued (Current)” status is preferred but not required.

Additional Information

Telework opportunities may be available dependent on performance, agency and legislative allowance, and other factors. Telework is subject to change based on business needs and management directives. When telework is allowed, it requires reliable personal internet and a workspace that supports the protection of confidential information.

This position is posted within the State Auditor’s Office (SAO) salary range for a Director II (B27). However, the final salary offer will be determined based on several factors, including but not limited to available budget, work experience, leadership approval, and other division and agency-wide policies and procedures.