Cost Report Review Unit Manager V
About The Position
The Manager V position within the Provider Finance Department Cost Report Review Unit performs advanced (senior-level) managerial work overseeing the financial examinations of cost reports and financial compliance reports for Medicaid and non-Medicaid services. The financial examinations are conducted to ensure the accuracy, allowability, and reasonableness of cost and statistical data that is utilized to support established reimbursement rate methodologies, cost determinations, 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. The Manager V position manages the day-to-day operations; establishes goals, priorities, schedules, standards, and quality controls; establishes policies and procedures; coordinates and evaluates program activities; ensures adherence to state and federal policies and requirements; communicates and collaborates with internal and external stakeholders; coordinates the responses to internal and external inquiries; and coordinates legislative analyses and implementation. This position works under limited supervision, with considerable latitude for the use of initiative and independent judgment, and supervises the work of others.
Requirements
- Graduation from an accredited four-year college or university.
- At least two years of relevant subject matter experience in financial examination processes, cost reporting processes, advanced data analysis, or Medicaid reimbursement.
Nice To Haves
- Master’s degree preferred.
- At least one year of supervisory or team‑lead experience, including directing staff, coordinating work products, or overseeing analytic projects, preferred.
Responsibilities
- Oversees day-to-day operations and staff who are performing financial examinations to ensure: compliance with governmental auditing standards; uniformity in methods; and adherence to statutes, departmental policies and procedures, and legal decisions. Develops and manages workplans and workflows. Sets priorities, goals, and expectations for financial examinations. Monitors workflow to ensure processing timeframes are met.
- Oversees the development and implementation of, and compliance with, policy guidelines, procedural documents, and other associated documents that guide the financial examination process. Develops processes, procedures, workpapers, and tools to ensure compliance with agency and department standards, and established timelines.
- Assists in the hiring and training of financial examiners. Provides technical guidance to staff on complex, technical, and analytical methods used to perform financial examinations of cost and financial compliance reports.
- Communicates complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints. Interfaces with external entities, including but not limited to, contracted providers, provider representatives, agency staff, advisory committees, workgroups, attorneys, and other interested parties regarding the desk review process. Represents the agency at meetings with external and internal stakeholders concerning the cost report financial examination process.
- Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Benefits
- 100% paid employee health insurance for full-time eligible employees
- a defined benefit pension plan
- generous time off benefits
- numerous opportunities for career advancement
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What This Job Offers
Job Type
Full-time
Career Level
Manager
