Financial Examiner IV

Career Opportunities:
Financial Examiner IV (19544)

Posting 19544
-Posted
07/30/2026

- Health & Human Services Comm

- HHSC & HHS Rate Analysis LTC

- Business and Financial Operations

- Eligible for Telework
-c. $5000 - $6999 per month

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 .

Functional

Title:

Financial Examiner IV
Job Title:Financial Examiner IV
Agency:Health & Human Services Comm
Department:HHSC & HHS Rate Analysis LTC
Posting Number:19544
Closing Date:08/29/2026
Posting Audience:Internal and External
Occupational Category:Business and Financial Operations
Salary Range:$5,098.66-$7,321.02
Pay Frequency: Monthly
Salary Group:TEXAS-B-23
Shift:Day
Additional Shift:None
Telework:Eligible for Telework
Travel:Up to 5%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Exempt
Facility

Location:


Job Location City:AUSTIN
Job Location Address:4601 W GUADALUPE ST
Other Locations:None
MOS Codes: ,A,70C,36B,65FX,65WX,6F0X1,F&S,FIN
10

Brief

Job Description:

The Financial Examiner IV position serves an integral function within the Provider Finance Department (PFD) by performing highly-complex (senior-level) financial examinations of Medicaid and non-Medicaid cost reports. The examinations are conducted to ensure the accuracy and reasonableness of cost and statistical data that is utilized to support established reimbursement rate methodologies and cost determination for certain Medicaid and non-Medicaid services.

As a team member of the PFD Cost Report Review Unit (CRRU), the Financial Examiner IV position conducts financial examinations of cost reports in accordance with the Texas Administrative Code, program specific cost report instructions, generally accepted accounting principles (GAAP), which are those principles approved by the American Institute of Certified Public Accountants (AICPA), and state and federal regulations.

Financial examination includes reviewing certain Medicaid and non-Medicaid contracted providers’ submitted cost reports and supporting documentation, which may include the contracted providers’ trial balance, general ledger, allocation worksheets, payroll, and billing reports. The Financial examiner may contact the contracted provider to request clarification and additional information/supporting documentation, as applicable. The examination process involves the following activities: planning, scheduling, coordinating, conducting, and reporting results of the cost report examination.

Work is performed with limited supervision and considerable latitude for the use of initiative and independent judgment.

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

1. EJF:
Performs complex financial examinations of Medicaid and Non-Medicaid costs and compliance reports submitted by contracted providers, to include financial data, statistical data, and supporting documentation. Financial examinations are completed in accordance with department policies and procedures and within assigned time frames. (55%)

2. EJF:
Manages workload by planning and organizing to ensure that the required number of financial examinations are completed within PFD established deadlines. (25%)

3. EJF:
Communicates contracted providers, financial contacts, and/or cost report preparers to request clarifying information or supporting documentation related to highly complex financial and statistical data. Communicate with agency staff or others on the examination process. Prepares and issues reports, correspondence, and deliverables in a timely and accurate manner in accordance with required professional standards. (15%)

4. EJF:
Complete…