Quality Review Unit Financial Examiner V

TX-HHSC-DSHS-DFPS•Austin, TX

2d•$5,798 - $9,508•Hybrid

About The Position

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our 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. Explore more details on the Benefits of Working at HHS webpage. Reports to the Quality Review Manager in the Provider Finance Department (PFD). Work involves coordinating the review and evaluation of fiscal and operational records for quality control to determine the financial condition and accuracy of calculations. The PFD Quality Review Financial Examiner team provides internal quality control focused on continuous improvement and compliance with statutory requirements. May supervise the work of others and will help support the lead for the Financial Examiners in the Quality Review Unit. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment.

Requirements

Knowledge of statistical analysis, auditing techniques, and accounting standards and techniques of both statutory accounting principles (SAP) and generally accepted accounting principles (GAAP);
Knowledge of financial and industry terminology and practices, and of corporate structures, business operating procedures, and management controls.
Knowledge of internal reporting techniques.
Skill in the use of computer systems and associated applications.
Skill in the analysis of estimated fiscal impacts related to Medicaid, or other health-related changes.
Ability to audit financial statements, reports, records, budgets, operational procedures, and forms;
Ability to manage projects for timely completion;
Ability to summarize findings for process improvement and improved quality;
Ability to prepare concise reports and correspondence;
Ability to apply relevant rules, regulations, and statutes for compliance purposes;
Ability to communicate effectively and to guide the work of others.
At least one year of experience in financial examination work.

Nice To Haves

At least two years of experience is preferred.
Graduation from an accredited four-year college or university with major coursework in business administration, finance, accounting, economics, insurance, or a related field is preferred.
Experience with agency programs, policies, and procedures is preferred.

Responsibilities

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Oversees and/or conducts review and evaluation of fiscal impact documentation, supplemental payment estimates, cost report calculations, Texas Administrative Code Rules, State Plan Amendments, legislative requests, industry requests, external or internal audit requests, and other financial files produced by PFD staff. Oversees and/or prepares documentation and work papers with detailed templates and steps to support findings. Analyzes issues and develops and coordinates action plans to complete financial examinations of PFD deliverables. Communicates with PFD employees regarding requirements, results of examinations, solvency reviews, or rehabilitation/improvement efforts. (30%)
Coordinates and/or conducts independent financial examinations or investigations, and/or oversees quality control of financial functions for PFD. Examines records to verify trends and estimated fiscal impacts or calculations to determine accuracy and regulatory compliance. Identifies areas of progress, improvement, or concern; makes recommendations; and assists in resolving problems. Plans and coordinates efficiency efforts for internal PFD calculations and determines regulatory compliance relative to expected business operations. (25%)
Prepares and submits reports of financial examinations that include evaluations and recommendations as required. May participate in reviewing and revising PFD policies and procedures when issues or improvement opportunities are identified. May conduct special investigations of particular PFD issues and recommend approaches to improve results. (15%)
Performs second or third level review of results and/or analysis of other Financial Examiners within the PFD Quality Review Unit. (15%)
Confers with organizational management to resolve problems and deviations from required and permissible standards and procedures to improve the quality of deliverables and estimates. (10%)
Performs other duties as assigned (5%)