Director of LTSS Cost Reporting and Provider Communications

TX-HHSC-DSHS-DFPS • Austin, TX

8d • Hybrid

About The Position

The Director IV of LTSS Cost Reporting and Provider Communications provides direction and guidance in the strategic operations and planning to the Provider Finance Department sections who: establish and maintain reimbursement rate methodology for LTSS cost report based Medicaid and non-Medicaid services; perform calculations, to include the calculation of methodological rates for cost report based rate methodologies; administer directed payment and supplemental payment programs; process cost reports and other required reports necessary to support reimbursement rate methodology and other reporting requirements, to include administering the informal review and formal appeals process; coordinate and administer provider training and communications; perform functions to comply with state and federal requirements; conduct legislative analysis; respond to internal and external inquiries; and perform other functions as needed.  The Director IV position reports to the Director of Provider Finance Department Cost Reporting and Long-term Services and Supports (LTSS) Finance.
Work involves assisting in the establishment of strategic plans and setting goals and objectives; overseeing the development of policies, procedures, and guidelines; overseeing the establishment of priorities, standards, and measurement tools; and overseeing the coordination and evaluation of activities.  This position also participates in activities related to the legislative process including overseeing legislative analysis and the implementation of legislative changes.  This position supervises the work of others, and works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

Requirements

• Knowledge of health and human services programs, including Medicaid.
• Knowledge in reimbursement rate methodologies and cost reporting rules, including the Texas Administrative Code (TAC) rules.
• Knowledge of accounting principles.
• Knowledge in Government Auditing Standards
• Knowledge of data analysis techniques and best practices.
• Knowledge of data quality and integrity processes.
• Knowledge in SQL and other database technologies.
• Skill in communications, with the ability to explain complex technical concepts to a non-technical audience.
• Skill in the development of reimbursement methods and payment rates, formulas, and procedures or complex cost analysis.
• Skill in the design, development and maintenance of complex computer applications, spreadsheets, and large databases.
• Skill in interpersonal relationships, establishing and maintaining, effective working relationships.
• Ability to manage projects effectively, including setting priorities and planning, organizing and coordinating the work of others.
• Ability to develop, evaluate, implement and interpret policies, procedures and rules.
• Ability to identify problems, evaluates alternatives, and implements creative solutions.
• Ability to exercise independent judgment, set priorities, meets deadlines and adapt to shifting technical and political developments.
• Ability to analyze complex and detailed accounting and reporting information
• Graduate of an accredited 4-year college or university.
• At least 4 years of relevant experience in: managing or directing teams that perform data analysis and calculations; the development or maintenance of reimburse rate methodologies; Medicaid or health-care systems; or cost report collection and examination processes.
• Minimum of at least 2 years in a supervisory position.

Nice To Haves

• Master’s degree preferred.

Responsibilities

• Establishes and guides strategic direction, policy administration, program evaluation, and goal setting, in coordination with the Provider Finance Department Director of Cost Reporting and LTSS Finance. Provides professional oversight and guidance to management-level staff to ensure compliance and adherence to agency standards, state and federal regulations, and established reimbursement rate methodologies.
• Directs the respective assigned LTSS teams’ functions. Establish goals and develop standards for achieving defined goals. Directs the development and evaluation of established policies and procedures, implementation of quality assurance processes, implementation of identified improvements, coordination of legislative analysis, coordination of responding to external and legislative inquiries, and coordination of legislative and federal required implementation efforts.
• Represents the agency and the department at hearings, legislative meetings, presentations, and committee meetings. Interfaces and communicates effectively with diverse groups, including agency staff, medical/provider associations, workgroups, advisory committees, legislative staff, client advocates, attorneys, state/federal auditors, and interested parties.
• Reviews and approves management, productivity, and financial reports and studies. Reviews result of special investigations, internal audits, research studies, forecasts, and modeling exercises to provide direction and guidance.
• Performs other duties as assigned

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Director