Director IV

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Functional Title: Director IV 
Job Title: Director IV 
Agency: Health & Human Services Comm 
Department: HHSC & HHS Rate Analysis LTC 
Posting Number: 10785 
Closing Date: 12/06/2025 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-29 
Salary Range: $8,488.33 - $14,356.00 
Pay Frequency: Monthly
Shift: Day 
Additional Shift:  
Telework:  
Travel:  
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:

These two positions are hybrid, and require the selected applicants to work two days per week in Austin.  Applicants from outside Texas must be willing to relocate within 30 days of hire. 

HHSC Provider Finance Department is seeking to fill two Director IV positions - Director IV of Long-term Services and Supports (LTSS) Cost Reporting and Provider Communications and the Director IV of LTSS Rate Modeling and Calculations.  Both Director IV positions report to the Director of Provider Finance Department Cost Reporting and Long-term Services and Supports (LTSS) Finance.

The Director IV of LTSS Cost Reporting and Provider Communications provides direction and guidance in the strategic operations and planning to the Provider Finance Department sections who: establish and maintain reimbursement rate methodology for LTSS cost report based Medicaid and non-Medicaid services; perform calculations, to include the calculation of methodological rates for cost report based rate methodologies; administer directed payment and supplemental payment programs; process cost reports and other required reports necessary to support reimbursement rate methodology and other reporting requirements, to include administering the informal review and formal appeals process; coordinate and administer provider training and communications; perform functions to comply with state and federal requirements; conduct legislative analysis; respond to internal and external inquiries; and perform other functions as needed.  

The Director IV of LTSS Rate Modeling and Calculations provides direction and guidance in the strategic operations and planning to the Provider Finance Department sections who: establish and maintain pro forma based rate reimbursement methodology for Medicaid and non-Medicaid services; perform calculations, to include the calculation of pro forma modeled methodological rates; perform data analysis and calculations to support routine and ad hoc deliverables; develop data and calculation based documents and reports for executive leadership and external publication; conduct routine reviews of reimbursement rate methodologies; conduct research on rate reimbursement methodologies for LTSS programs and services; administer the implementation of new or modified rate methodologies; perform functions to comply with state and federal requirements; conduct legislative analysis; respond to internal and external inquiries; and perform other functions as needed. 

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 (EJF):

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, in coordination with the Provider Finance Department Director of Cost Reporting and LTSS Finance. Provides professional oversight and guidance to management-level staff to ensure compliance and adherence to agency standards, state and federal regulations, and established reimbursement rate methodologies. (30%)

Directs the respective assigned LTSS teams’ functions. Establish goals and develop standards for achieving defined goals. Directs the development and evaluation of established policies and procedures, implementation of quality assurance processes, implementation of identified improvements, coordination of legislative analysis, coordination of responding to external and legislative inquiries, and coordination of 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 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.

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.

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, evaluates alternatives, and implements 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

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 data analysis and calculations; the development or maintenance of reimburse rate methodologies; Medicaid or health-care systems; or cost report collection and examination processes.  Minimum of at least 2 years in a supervisory position.

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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 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.