Cost Report Review Unit Manager V

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Functional Title: Cost Report Review Unit Manager V
Job Title: Manager V
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis LTC
Posting Number: 20391
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: Days (First)
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

Job Description:

The Manager V position within the Provider Finance Department Cost Report Review Unit performs advanced (senior-level) managerial work overseeing the financial examinations of cost reports and financial compliance reports for Medicaid and non-Medicaid services.

The financial examinations are conducted to ensure the accuracy, allowability, and reasonableness of cost and statistical data that is utilized to support established reimbursement rate methodologies, cost determinations, and payment adequacy evaluations for certain Medicaid and non-Medicaid services. Financial examinations are performed in accordance with the Texas Administrative Code, program specific cost report instructions, generally accepted accounting principles (GAAP), and state and federal regulations.

The Manager V position manages the day-to-day operations; establishes goals, priorities, schedules, standards, and quality controls; establishes policies and procedures; coordinates and evaluates program activities; ensures adherence to state and federal policies and requirements; communicates and collaborates with internal and external stakeholders; coordinates the responses to internal and external inquiries; and coordinates legislative analyses and implementation.

This position works under limited supervision, with considerable latitude for the use of initiative and independent judgment, and supervises the work of others.

Essential Job Functions (EJF):

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

EJF1: Oversees day-to-day operations and staff who are performing financial examinations to ensure: compliance with governmental auditing standards; uniformity in methods; and adherence to statutes, departmental policies and procedures, and legal decisions. Develops and manages workplans and workflows. Sets priorities, goals, and expectations for financial examinations. Monitors workflow to ensure processing timeframes are met. (30%)

EJF2: Oversees the development and implementation of, and compliance with, policy guidelines, procedural documents, and other associated documents that guide the financial examination process. Develops processes, procedures, workpapers, and tools to ensure compliance with agency and department standards, and established timelines. (25%)

EJF3: Assists in the hiring and training of financial examiners. Provides technical guidance to staff on complex, technical, and analytical methods used to perform financial examinations of cost and financial compliance reports. (25%)

EJF4: 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, agency staff, advisory committees, workgroups, attorneys, and other interested parties regarding the desk review process. Represents the agency at meetings with external and internal stakeholders concerning the cost report financial examination process. (15%)

EJF5: Other duties as assigned. (5%)

Knowledge Skills Abilities:

Knowledge of health and human services programs, including Medicaid.

Knowledge in reimbursement rate methodologies and cost reporting rules, including the Texas Administrative Code (TAC) rules.

Knowledge of accounting principles.

Knowledge in Government Auditing Standards

Knowledge of data analysis techniques and best practices.

Knowledge of data quality and integrity processes.

Knowledge in SQL and other database technologies.

Skill in communications, with the ability to explain complex technical concepts to a non-technical audience.

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 large databases.

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

Skill in policy/procedure development and/or evaluation

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

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

Ability to identify problems, evaluate alternatives, and implement creative solutions.

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

Ability to analyze complex and detailed accounting and reporting information

Registration or Licensure Requirements:

None required.

​Professional certifications in data analytics, finance, or a related field (e.g., professional data analytics certification, CPA, actuarial designations) may be considered, but are not required.

Initial Selection Criteria

Graduation from an accredited four-year college or university. Master’s degree preferred. Directly related subject matter experience as outlined below may be substituted for education on a year-for-year basis.

At least two years of relevant subject matter experience in financial examination processes, cost reporting processes, advanced data analysis, or Medicaid reimbursement.

At least one year of supervisory or team‑lead experience, including directing staff, coordinating work products, or overseeing analytic projects, preferred.

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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.