PFD Hospital Rates Manager

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Functional Title: PFD Hospital Rates Manager
Job Title: Manager V
Agency: Health & Human Services Comm
Department: HHS Provider Finance M/C Admin
Posting Number: 20340
Closing Date: 02/19/2027
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $6,377.50- $10,785.83
Pay Frequency: Monthly
Salary Group: TEXAS-B-26
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: 0203,0207,0302,0520,0602,0802,1802,5502,6302,6502,7202,7208,7210,7220,111X,112X,113X,114X,16GX,41AX
611X,612X,631X,632X,641X,648X,86M0,86P0,8U000,9G100,SEI15

Brief Job Description:

Under the direct supervision of the Director of Hospital Services, the Manager V oversees and provides leadership and guidance in the design, development, implementation, modification and maintenance of methods and procedures used in the analyses of cost and statistical data in the development and implementation of reimbursement methodologies and payment rates. Maintains complex applications, spreadsheets, and databases used in the determination of payment rates; and strategic operations and planning. Performs highly advanced management and oversight staff, and directs daily operations; establishing short-, mid-, and long-term goals and objectives. Develops policies and procedures; schedules, priorities, and standards for achieving established goals. Coordinates and evaluates program activities; and supports legislative inquiries and analyses. Completes performance evaluations and handles human resource matters for staff. Reviews, develops and implements policies, regulations, guidelines, agency rules, and state plan amendments as needed. Identifies needed areas of change, and oversees the development of alternative strategies and recommendations. Directs, assigns, and supervises the work of professional staff and provides oversight. This position works closely with key internal and external decision-makers providing timely, accurate, and well communicated budget and program management information that is needed to effectively plan, allocate, implement, and control programs, services, and staffing levels to achieve the goals and objectives consistent with the agency strategic plan.

Essential Job Functions (EJFs):

Oversees development and implementation of, and compliance with, policy guidelines, agency rules, state plan amendments and other associated documents pertaining to reimbursement methodologies and payment rates. Directs staff; develops and manages workplans and workflows. Sets priorities, goals and accountability for reporting. Develops processes, procedures, workpapers, and tools to ensures compliance with agency and department standards. Monitors workflow to ensure processing timeframes are met. (40%)

Interfaces with various PFD staff, provider industry representatives, HHS Enterprise staff, legal staff, advisory committees, workgroups and other interested parties concerning payment rate policy issues affecting program delivery and payment rate determination. 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 external entities including but not limited to: contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys and other interested parties concerning payment rate policy issues affecting program delivery and payment rate determination. (20%)

Provides guidance and management to PFD staff on complex, technical and analytical methods used in rate determination. Represents PFD at meetings with external and internal stakeholders concerning rate issues and managing major projects. Hires and conducts staff training, including participation in interview and selection teams, training new hires on various technical aspects of their positions. (20%)

Prepares/reviews/approves written briefing documents and other documents related to the results of research and data analysis for decision making by executive staff. Makes presentations of research or data analysis to a variety of audiences and HHSC executive staff. (15%)

Performs other duties as assigned. (5%)

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

Knowledge, Skills, and Abilities (KSAs):

Knowledge of:

Knowledge of state government and health and human services financial processes and procedures.

Knowledge of the State of Texas legislative processes and procedures.

Knowledge of State of Texas strategic planning process and principles.

Skill in:

Skill in the development of reimbursement methods and payment rates, formulas, and procedures or complex cost analysis.

Skill in the design, development and maintenance of complex computer applications, spreadsheets, and/or large databases.

Skill in interpersonal relationships, establishing and maintaining, effective working relationships.

Skills in computer software including Excel, Word, Access, HHSAS, CAPPS, and other state/governmental financial or human resources applications.

Ability to:

Ability to manage projects effectively, including setting priorities and planning, organizing and coordinating the work of others.

Ability to develop, evaluates, implement and interpret policies, procedures and rules.

Ability to identify problems, evaluates alternatives, and implements creative solutions.

Ability to exercise independent judgment, set priorities, meets deadlines and adapt to shifting technical and political developments.

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

Bachelor's Degree Required. Experience in Provider Finance may be substituted for education on a one-to-one basis. Required at least 1 year of experience as a supervisor or 5 years of experience in provider finance. Preference to candidate who has experience as a supervisor with teams of 5+ staff memebers.

Additional Information:

Position will be eligible to telework between up to 3 days per week; the number of telework days available may be adjusted in accordance with HHS policies and business needs. Attendance at the office may be required for key meetings with Executive staff or other stakeholders on an ad hoc basis.

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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.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at View phone number on aiapply.co. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

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.