Quality Review Unit Financial Examiner V

Date: May 15, 2026 Location: AUSTIN, TX Agency: Texas Health and Human Services Commission (HHSC) Position Summary Functional Title: Quality Review Unit Financial Examiner V Job Title: Financial Examiner V Salary Range: $5,797.66 - $9,508.25 Monthly Shift: Day; Telework eligible up to 3 days per week; Up to 5% travel; Full time Job Description Reports to the Quality Review Manager in the Provider Finance Department (PFD). The role includes coordinating the review and evaluation of fiscal and operational records for quality control, determining financial condition and accuracy, and ensuring compliance with statutory requirements. Essential Job Functions Oversee and/or conduct review and evaluation of fiscal impact documentation, supplemental payment estimates, cost report calculations, Texas Administrative Code Rules, State Plan Amendments, and other financial files. Prepare documentation and work papers with detailed templates to support findings. Analyze issues and develop coordinated action plans for financial examinations. Communicate with PFD employees about requirements, results, and improvement efforts. Coordinate independent financial examinations and investigations, and oversee quality control of financial functions. Identify areas of progress, improvement, or concern; make recommendations. Plan and coordinate efficiency efforts for internal calculations and regulatory compliance. Prepare and submit reports of financial examinations with evaluations and recommendations. Participate in reviewing and revising PFD policies and procedures. Conduct special investigations and recommend improvement approaches. Perform second or third level review of results and analysis of other Financial Examiners. Collaborate with management to resolve problems and deviations from required standards. Perform other duties as assigned. Knowledge, Skills, and Abilities (KSAs) Statistical analysis, auditing techniques, and accounting standards (SAP and GAAP). Financial and industry terminology, corporate structures, business operating procedures, and management controls. Internal reporting techniques. Skill In Use of computer systems and associated applications. Analysis of estimated fiscal impacts related to Medicaid or other health‑related changes. Ability To Audit financial statements, reports, records, budgets, operational procedures, and forms. Manage projects for timely completion. Summarize findings for process improvement. Prepare concise reports and correspondence. Apply relevant rules, regulations, and statutes for compliance. Communicate effectively and guide the work of others. Initial Screening Criteria At least one year of experience in financial examination work. (Preferred: two years.) Preferred: Graduation from an accredited four‑year college or university with major coursework in business administration, finance, accounting, economics, insurance, or a related field. Preferred: Experience with agency programs, policies, and procedures. Additional Information Eligible for telework up to 3 days per week. Texas state agencies are not permitting new H‑1B visa sponsorship as of Jan27,2026. Successful candidates must be prepared to report in person in Austin, TX, within two weeks of job offer. ADA Accommodations HHSC will provide reasonable accommodation during hiring and selection for qualified individuals with disability. Contact the HHS Employee Service Center at View phone number on click.appcast.io if assistance is needed for application or interview. Pre‑Employment Checks and Work Eligibility Background and due diligence checks may be required. HHSC uses E‑Verify. Bring I‑9 documentation on first day. Telework Disclaimer Position may be eligible for telework; subject to state and agency telework policies and supervisor discretion. EEO Statement Texas State agencies, including HHSC, require equal employment opportunity. All applicants are encouraged to apply if qualified. #J-18808-Ljbffr