Financial Examiner Jobs

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Financial Examiner V

TX-HHSC-DSHS-DFPS•Austin, TX
•$5,798 - $9,508•Hybrid

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 performing 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 that is utilized 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 the contracted providers’ trial balance, general ledger, 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 the contracted provider to request clarification and additional information/supporting documentation, and testify in hearings and court proceedings as an expert witness in matters involving the examination performed. The examination process involves the following activities: planning, scheduling, coordinating, conducting, and reporting results of the examination. Work is performed with limited supervision, with considerable latitude for the use of initiative and independent judgment.

Requirements

  • Knowledge of Generally Accepted Accounting Principles.
  • Knowledge of Texas Administrative Code and applicable rules and regulations.
  • Knowledge of Office management practices, administrative procedures, accounting methods, and accounting systems.
  • Knowledge of HHSC programs, services, and procedures.
  • Skill in critical thinking, gathering, analyzing, and making accurate decisions about information.
  • Skill in numerical, verbal, and written communication, and research.
  • Skill in MS Office applications; intermediate to moderate skill level with Microsoft Excel.
  • Ability to conduct financial examinations of financial compliance and cost reports, set priorities, plan, organize, and coordinate work activities.
  • Ability to learn and work on multiple complex projects in a chain, understand cost allocation methods, and application of allocation ratios to different programs.
  • Ability to maintain effective working relationships with others (teamwork).
  • Ability to analyze financial records and other reports to support the financial examination process.
  • Ability to interpret and/or implement policies and procedures.
  • Ability to manage multiple projects effectively and to produce quality work to meet deadlines.
  • Ability to concentrate for extended time periods on detailed documents or projects.
  • Minimum of 5 years of experience in financial examinations, financial operations, financial analysis, data analysis, budgeting, accounting, bookkeeping, auditing, Medicaid reimbursement, or cost reporting experience.

Nice To Haves

  • Candidates certified as a CPA, CIA, CGAP, CIGA, CFE, and/or CISA are preferred.
  • Graduation from an accredited four-year college or university with major course work 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-to-year basis.
  • Demonstrated experience in conducting peer reviews or quality assurance practices 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, to include financial data, statistical data, and supporting documentation. Confirm 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/or cost report preparers on 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 the evaluation of the examination processes; identifies areas of progress, improvement, or concern; makes recommendations; and assists in implementing new progresses 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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