Director of Hospital and Acute Care Finance

TX-HHSC-DSHS-DFPS • Austin, TX

2d • Hybrid

About The Position

The Director of Hospital and Acute Care Finance (Director VI) serves as a leader within the Provider Finance department at HHSC, overseeing the acute care, hospitals, local funds and payments teams while working to achieve organizational objectives. This position performs managerial work, provides direction in strategic operations and planning. Key duties include developing operational standards, responding to legislative inquiries, participating/responding to legislative requests, and guiding strategic communication efforts. The Director is also responsible for establishing requirements and processes for local funds reporting, supplemental payments, overseeing calculations for supplemental and directed payments, and setting Medicaid and non-Medicaid rates. Additional responsibilities involve drafting and submitting directed payment program preprints, IGT reconciliations, ensuring compliance with Texas Administrative Code rules, leading State Plan Amendment submissions and approvals related to reimburse, coordinating with other areas of the agency, and actively engaging with stakeholders to foster collaboration and address concerns.

Requirements

• Comprehensive understanding of financial reporting, payment processes, rate calculations (including both Medicaid and non-Medicaid rates), and supplemental payment structures relevant to hospital and acute care finance. In-depth familiarity with Texas Administrative Code rules and State Plan Amendment protocols, as well as program evaluation and assessment methodologies.
• Strong critical thinking and problem-solving skills for resolving complex issues and making informed decisions. Excellent communication skills for clear and professional interaction with internal and external stakeholders. Advanced skills in coordinating business functions, building consensus across teams, and engaging effectively with providers, legislators, and community partners.
• Ability to operate independently with a high degree of autonomy and initiative.
• Ability to supervise and lead departmental teams, maintain regulatory compliance, and foster productive relationships with diverse stakeholders.
• Ability to assess and improve program activities for optimal effectiveness.
• Bachelor's degree, experience may be substituted for education on a year-for-year basis in the following: finance, business, accounting, or other payment or reimbursement related field.
• Five years’ experience working in hospital or acute care finance or local funding and at least 5 years of supervisory experience with senior-level staff.

Nice To Haves

• Experience working as a 2nd level supervisor preferred.

Responsibilities

• Strategic Leadership & Operations Management - Provides direction and oversight to the acute care, hospitals, local funds, and payments teams, ensuring alignment with organizational objectives. Develops operational standards and guides strategic planning initiatives.
• Stakeholder Engagement & Collaboration - Actively engages with stakeholders to foster collaboration, address concerns, and support ongoing improvements in acute care and hospital finance operations.
• Legislative Response & Communication- Responds to legislative inquiries and requests, drafts and submits directed payment program preprints, and leads strategic communication efforts with internal and external stakeholders.
• Financial Analysis & Rate Setting- Oversees calculations for supplemental and directed payments, sets Medicaid and non-Medicaid rates, and ensures accurate reporting and reconciliation of local funds.
• Compliance & Program Management- Ensures compliance with Texas Administrative Code rules, leads State Plan Amendment submissions and approvals related to reimbursement, and coordinates with other agency areas.

Benefits

• comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees
• defined benefit pension plan
• generous time off benefits
• numerous opportunities for career advancement

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 1-10 employees