Financial Examiner V
About The Position
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 performed in accordance with the Texas Administrative Code, program-specific cost report instructions, generally accepted accounting 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, and reporting examination results. Work is performed with limited supervision, with considerable latitude for the use of initiative and independent judgment.
Requirements
- 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.
- 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.
- 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.
- 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.
Nice To Haves
- Certification as a CPA, CIA, CGAP, CIGA, CFE, or CISA is preferred.
- 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.
- Demonstrated experience conducting peer reviews or performing quality assurance work in financial examinations or financial analysis is preferred.
Responsibilities
- 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%)
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
Senior
