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Executive Director - Medicaid Program Accountant; Finance & Accounting

Job in Houston, Harris County, Texas, 77246, USA
Listing for: Houston Independent School District
Full Time position
Listed on 2026-06-23
Job specializations:
  • Finance & Banking
    Financial Compliance, Financial Reporting
Salary/Wage Range or Industry Benchmark: 150000 - 200000 USD Yearly USD 150000.00 200000.00 YEAR
Job Description & How to Apply Below
Position: Executive Director - Medicaid Program Accountant (Finance & Accounting)

Location:

Teledyne

Department:
Enterprise Accounting

Area:
District Wide

Contract Months: 12

Salary Range: $ – $

Academic Year: 25-26

JOB SUMMARY

The Executive Director – Medicaid Program Accountant – Accounting & Finance serves as HISD’s lead finance/accounting operator for its SHARS Program, a Texas-administered Medicaid program operating under federal Medicaid law. This is a senior-level accounting and compliance position responsible for fiscal oversight, revenue maximization, internal controls, and regulatory compliance for all SHARS reimbursement activities. The position ensures full compliance with Texas Health and Human Services Commission (HHSC) rules, Texas Medicaid & Healthcare Partnership (TMHP) billing requirements, Texas Education Agency (TEA) guidance, HISD policies, and applicable federal Medicaid regulations, while safeguarding district financial integrity and audit readiness.

MAJOR

DUTIES & RESPONSIBILITIES

1. Executive Leadership & Program Governance

Serve as the district’s executive authority for the SHARS program, providing strategic direction, fiscal governance, and long‑term sustainability planning.

Advise the CFOO/Controller on SHARS revenue, risk exposure, audit findings, and compliance matters.

2. Fiscal Management & Accounting Oversight

Direct all accounting functions related to SHARS revenues, including:

  • Revenue recognition and reconciliation
  • Maintenance of SHARS‑specific general ledger accounts
  • Cash receipts, accruals, and adjustments
  • Ensure SHARS revenues are recorded in accordance with HISD standards and financial policies

Prepare and present monthly financial reports detailing SHARS revenue performance, trends, and projections.

3. SHARS Billing & TMHP Claims Administration

Oversee the end‑to‑end SHARS billing cycle in TMHP, ensuring:

  • Accurate submission of claims for eligible SHARS services
  • Timely correction and resubmission of denied or adjusted claims
  • Compliance with TMHP billing manuals, policy updates, and deadlines
  • Establish internal controls to ensure that claims are supported by valid IEPs, provider credentials, and compliant service documentation

4. State/Federal Compliance and Audit Monitoring

Ensure HISD compliance with:

  • Texas Administrative Code related to SHARS
  • HHSC and TMHP SHARS policy manuals
  • Federal Medicaid requirements applicable to school‑based services

Lead preparation for and response to:

  • TMHP reviews
  • HHSC or TEA monitoring
  • State and federal audits

Develop and maintain corrective action plans when required and ensure timely resolution of findings.

Coordinate PEIMS/finance alignment and other cross‑functional reporting dependencies with district teams as needed.

5. Documentation, Internal Controls & Risk Management

Establish and enforce district wide policies and procedures governing:

  • SHARS documentation standards
  • Provider credential verification
  • Time studies (if applicable)
  • Record retention requirements

Conduct periodic internal reviews to identify compliance risks and implement corrective measures.

6. Data Analysis & Revenue Optimization

Analyze SHARS data to monitor:

  • Claim acceptance and denial rates
  • Provider productivity
  • Revenue trends by service type

Use data to improve billing accuracy, strengthen compliance, and maximize allowable SHARS reimbursement.

7. Interagency Coordination and Communication

Serve as HISD’s primary liaison with:

  • Texas Medicaid & Healthcare Partnership (TMHP)
  • Texas Health and Human Services Commission (HHSC)
  • Education Service Centers (ESCs)
  • External auditors and consultants

Oversee SHARS vendor contracts, monitor performance, and ensure contract compliance.

8. Other duties as assigned.

EDUCATION
  • Bachelor’s degree in accounting, finance, or related field
  • Master's Degree Preferred
  • Active CPA Preferred
WORK EXPERIENCE
  • 7+ years progressive accounting/finance experience, including:
    • Medicaid program administration
    • Internal controls and audit support
    • Budgeting/forecasting and variance analysis
    • Experience in public sector / school district finance (Texas preferred)
SKILL AND/OR REQUIRED LICENSING/CERTIFICATION
  • Software:
    Oracle, SAP, Microsoft Office
  • Certifications/Licensure:
    Certified Public Accountant (CPA)
  • Equipment:
    Office equipment (e.g., computer, copier)

Deep knowledge of GAAP‑based…

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