Manager VI

TX-HHSC-DSHS-DFPS • Austin, TX

2d • Hybrid

About The Position

This position is hybrid and requires the selected applicants to work two days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire.
Under the direct supervision of the Cost Report Review Unit Director in the Provider Finance Department, the Manager VI will oversee and provide leadership and guidance to the quality assurance and desk review processes. This position will perform highly advanced management and oversight of the quality assurance process, including peer review of desk reviews, and develop and implement new and revised desk review processes. Work also involves establishing goals and objectives, developing guidelines, procedures, and policies, and creating schedules, priorities, and standards to achieve these objectives. Coordinate and evaluate program activities and support legislative inquiries and analyses. Identify areas that require change and oversee the development of alternative strategies and recommendations. Directs, assigns, and supervises the work of professional staff, providing oversight and guidance as needed. This position works closely with key internal and external decision-makers, providing timely, accurate, and well-communicated cost reporting management information necessary to effectively plan, allocate, implement, and control programs, services, and staffing levels, thereby achieving the goals and objectives consistent with the agency's strategic plan. Complete performance evaluations and handle human resource matters for staff.

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.
• Skill in policy/procedure development and/or evaluation
• 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, evaluate alternatives, and implement 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
• Graduation from an accredited four-year college or university.
• At least three years of relevant subject matter experience in financial examination processes, advanced data analysis, or Medicaid reimbursement.
• At least one year of supervisory or team‑lead experience, including directing staff, coordinating work products, or overseeing analytic projects.

Nice To Haves

• Master’s degree preferred.
• Professional certifications in data analytics, finance, or a related field (e.g., professional data analytics certification, CPA, actuarial designations) may be considered, but are not required.

Responsibilities

• Oversees the development and implementation of, and compliance with, policy guidelines and other associated documents of the cost report desk review process.
• Oversee the quality and peer review for the cost report desk reviews.
• Directs staff, develops and manages workplans and workflows.
• Sets priorities, goals, and accountability for reporting.
• Develops processes, procedures, workpapers, and tools to ensure compliance with agency and department standards.
• Monitors workflow to ensure processing timeframes are met.
• Assists in the training of new and current financial examiners.
• Provides technical guidance to program-area staff.
• Oversees staff who are performing peer reviews for financial examination completeness to ensure: compliance with governmental auditing standards; uniformity in methods; and adherence to statutes, departmental policies and procedures, and legal decisions.
• Identifies areas of needed change and provides recommendations to enhance operations.
• Provides guidance and management to staff on complex, technical, and analytical methods used to perform desk reviews of cost and financial compliance reports.
• Represents PFD at meetings with external and internal stakeholders concerning the cost report desk review process.
• 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.
• Hire and conduct staff training, including participation in interview and selection teams, and train new hires in various technical aspects of their positions.
• 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: Manager