FAIII (Cost Report Based Rate Methodology Team)

Texas Health and Human Services Commission

$65K — $106K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in accounting, finance, economics, or related field.
  • Minimum two years of experience in reimbursement rate analysis or Medicaid cost reporting.
  • Advanced knowledge of LTSS cost reporting and financial examination practices.
  • Proficiency in advanced Microsoft Excel and Microsoft Word.
  • Experience with database query development and SQL.

Responsibilities

  • Perform financial analysis to support cost report-based reimbursement methodologies.
  • Develop and maintain financial compliance reports or surveys for rate-setting efforts.
  • Evaluate feasibility and cost implications of new payment rate structures or program initiatives.
  • Communicate complex financial information to internal and external stakeholders.
  • Assist in preparing documentation for proposed legislation and regulatory amendments.

Benefits

  • Eligible for telework arrangements.
  • Opportunity to work with a state agency focused on health and human services.
Full Job Description
Functional Title: FAIII (Cost Report Based Rate Methodology Team) Job Title: Financial Analyst III Agency: Health & Human Services Comm Department: HHSC & HHS Rate Analysis M/C Posting Number: 20519 Closing Date: 09/25/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Range: $5,425.33- $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Day Additional Shift: 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: MOS Codes: 3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10

The Financial Analyst III serves as a member of the Texas Health and Human Services Commission (HHSC) Provider Finance Department (PFD) Long-term Services and Supports (LTSS) team and performs financial analysis to support cost report-based rate reimbursement methodologies.

The position entails (senior-level) financial analysis work that includes: collecting, reviewing, and analyzing financial and statistical data; preparing reports and other documents to outline findings of the financial analysis; and consulting with internal and external stakeholders to ensure data collection and financial analyses support cost report-based rate methodologies.

This position works under minimal supervision, with considerable latitude for the use of initiative and independent judgment.

ESSENTIAL JOB FUNCTIONS (EJF):

Performs Financial Analysis Functions (30%): Assists in theestablishment and maintenance of rate models and cost reports and surveys. Conducts analysis of financial and statistical data to support cost report-based reimbursement rate methodologies in accordance with Texas Administrative Code rules, program guidelines, and established processes and procedures. Coordinates among teammates to analyze processes and develop process improvements.

Report and Survey Development and Analysis (25%): Coordinates with internal colleagues and external stakeholders in the design and maintenance/updates of cost and financial compliance reports or surveys of Medicaid and non-Medicaid programs to inform financial analysis and rate setting efforts. Interprets financial analysis results and develops recommendations for agency management.

Evaluate and Implements New Initiatives (20%): Assists in thedesign of special cost and statistical research and conducts financial analysis to evaluate the feasibility and cost implications regarding payment rate structure options, new program initiatives or enhancements, special payment rate initiatives, and new regulations. Assists in the preparation of recommendations and responses for proposed legislation and state or federal initiatives. Assists in the preparation of reports, memos, Texas Administrative Code Rule amendments, State Plan amendments, waiver amendments, and other documentation to propose and implement new initiatives.

Stakeholder and Staff Communication (20%): 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 various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning financial analysis issues affecting cost report-based reimbursement rate methodologies.

Other Duties as Assigned (5%): Performs other work as assigned required to maintain and support the office and HHSC operations.
Total: 100%

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:

None Required.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

Knowledge of:
  • LTSS cost reporting and financial examination practices.
  • The Texas Legislative process.
  • Microsoft Word at an advanced level and the use of HHS accessible templates. (Use of Styles to format documents, Table Styles, HHS Reports tab to create and format reports, page and section breaks to format long documents with different page styles, embedding documents, and able to create accessible documents).
  • Microsoft Excel at an advanced level. (Set up footers, headers, align margins, sort and filter, conditional formatting, use of excel formulas, insert links, concatenation, able to convert to accessible Adobe Acrobat format).
  • Knowledge of database query development and Structured Query Language (SQL)

Skill in:
  • Strong analytical skills with the ability to collect, analyze, organize, and communicate significant amounts of complex information with attention to detail, accuracy, professionalism, and diplomacy.
  • Strong critical thinking skills with the ability to evaluate and implement effective alternative solutions.
  • Interpersonal relationships, teamwork, and establishing and maintaining effective working relationships with people at various levels of expertise.
  • Communicating clearly and concisely, both verbally and in writing with attention to detail.
  • Microsoft Office Suite products (MS Word, Excel, PowerPoint, Outlook, SharePoint, Visio, and others).
  • Structured Query Language (SQL)

Ability to:
  • Perform and interpret numerical analyses to analyze, evaluate, and summarize financial and management records for accuracy and conformance to procedures, rules, and regulations.
  • Collaborate and work well with others with professionalism and diplomacy.
  • Exercise initiative, discretion, and good judgment.
  • Work under limited supervision, exercise independent judgment, set priorities, meet deadlines and adapt to shifting technical and work environmental developments.
  • Manage projects effectively and produce quality work within expected deadlines.
  • Maintain accurate, detailed, and organized documentation of assignments and projects.

INITIAL SCREENING CRITERIA:

Graduation from a four-year college or university with major coursework in accounting, business administration, finance, economics, statistics, or a related field is required. Experience working in finance, accounting or related field may be substituted for education on a one-to-one basis.

At least two years of experience in reimbursement rate analysis, data analysis, financial analysis, Medicaid, cost reporting processes, or conducting complex cost analyses.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

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