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Functional Title: Cost Report Review Unit Director
Job Title: Director IV
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis LTC
Posting Number: 18104
Closing Date: 07/02/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $8,488.33 - $14,356.00
Pay Frequency: Monthly
Salary Group: TEXAS-B-29
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: 8003,8040,8041,8042,10C0,111X,112X,113X,114X,20C0,30C0,40C0,611X,612X,631X,641X,648X,90G0,91C0,91W0
97E0,SEI15
JOB DESCRIPTION
This position is hybrid and requires the selected applicant to work two days per week at the designated office building in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire.
The Director IV position provides direction and guidance in strategic operations and planning to the Provider Finance Department Cost Report Review Unit, a section that conducts financial examinations for Medicaid and non-Medicaid cost reports.
Work involves assisting in the establishment of strategic plans and setting goals and objectives; overseeing the development of policies, procedures, and guidelines; overseeing the establishment of priorities, standards, and measurement tools; and overseeing the coordination and evaluation of activities. This position also participates in activities related to the legislative process including overseeing legislative analysis and the implementation of legislative changes. This position supervises the work of others, and works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.
ESSENTIAL JOB FUNCTIONS (EJFs):
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Establishes and guides strategic direction, policy administration, program evaluation, and goal setting. Provides professional oversight and guidance to management-level staff to ensure compliance and adherence to agency standards, state and federal regulations, financial examination principles and practices, and established goals, deliverables, and deadlines. (30%)
Establishes and develops standards for achieving defined goals, deliverables, and deadlines. Directs the development and evaluation of established policies and procedures, development and implementation of workplans, implementation of quality assurance processes, implementation of identified improvements, coordination of legislative analysis, coordination of responding to inquiries, and coordination of state, legislative and federal required implementation efforts. (30%).
Represents the agency and the department at hearings, legislative meetings, presentations, and committee meetings. Interfaces and communicates effectively with diverse groups, including agency staff, medical/provider associations, workgroups, advisory committees, legislative staff, client advocates, attorneys, state/federal auditors, and interested parties. (15%)
Reviews and approves management, productivity, and financial and statistical reports and studies. Reviews result of special investigations, internal audits, research studies, forecasts, and modeling exercises to provide direction and guidance. (15%)
Performs other duties as assigned (10%)
Total: 100%
LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:
None
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
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.
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.
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, meet deadlines and adapt to shifting technical and political developments.
Ability to analyze complex and detailed accounting and reporting information.
INITIAL SCREENING CRITERIA:
Graduate of an accredited 4-year college or university. Master's degree preferred.
At least 4 years of relevant experience in: managing or directing teams that perform financial examinations or data analysis; the development or maintenance of reimbursement rate methodologies; Medicaid or health-care systems; or cost report collection and examination processes.
Minimum of at least 2 years in a supervisory position.
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 Auditors 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 1-888-894-4747. 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.