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The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Financial Analysis II.
MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCS’s mission by conducting fiscal and contract monitoring of Financial Management Services Agencies (FMSAs) contracted to provide financial management services to individuals who self-direct services received through one of the following programs: Community Living Assistance and Support Services (CLASS) or Deaf-Blind with Multiple Disabilities (DBMD), Home and Community Based Services (HCS), or Texas Home Living (TxHmL)Medicaid Waiver Programs; or fee-for-service Primary Home Care (PHC), Community Attendant Services (CAS), or Family Care. FMSAs act as the employer of record for services, preparing payroll and federal and state payroll tax filings in accordance with state and federal requirements.
This position performs highly complex (senior-level) financial analysis. Work involves compiling, reviewing, analyzing, and evaluating financial data; preparing reports and responding to inquiries; and recommending appropriate action to resolve deficiencies. Develops evaluation tools and processes. Conducts on-site monitoring reviews and desk reviews to examine, investigate, and review records, reports, financial statements, tax filings and management practices. Conducts fiscal and contract compliance reviews to ensure FMSA’s compliance with state and federal statutes and regulations, including that taxes are reported timely, accurately and paid promptly, and reviews for presence of adequate documentation. Conducts complaint investigations. Provides written reports of findings and reviews corrective action plans prepared by FMSAs. Provides interpretation on technical questions related to compliance with applicable state and federal statutes. Provides technical assistance and training to FMSAs, other agency staff, and the public. Coordinates with supervisor and other financial analysts on the FMSA Monitoring Team to determine contract actions and/or sanctions and provides testimony and develops documents in support of enforcement actions. Serves as a lead on assigned reviews.
This position will implement continuous improvement strategies to ensure tools, policies and procedures related to monitoring activities are effective in evaluating compliance. When needed changes are identified, will ensure applicable changes are made and will train staff on changes. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment. May assist the manager in high level projects, responding to legislative inquiries, plan, assign, and supervise the work of others.
The ideal candidate thrives in an environment that emphasizes the following: teamwork to achieve goals; excellence through high professional standards and personal accountability; curiosity to continuously grow and learn; critical thinking for effective execution; and integrity to do things right even when what is right is not easy.
This position reports to the FMSA Monitoring Team Manager within the Provider Monitoring Unit which is a branch of the Contract Administration and Provider Monitoring (CAPM) Department. As a member of the Provider Monitoring Unit, FMSA monitoring staff may assist other teams within the Provider Monitoring Unit with monitoring reviews of program providers for the Community Living Assistance and Support Services (CLASS), Deaf-Blind with Multiple Disabilities (DBMD), Home and Community Based Services (HCS) and Texas Home Living (TXHML) Medicaid Waiver Programs.
Essential Job Functions (EJFs):
Works collaboratively across MCS to identify innovative and effective solutions.
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Through onsite and desk reviews, conducts monitoring reviews and investigates complaints. Evaluates fiscal and contract compliance to review, analyze and examine records of FMSAs to ensure tax forms and tax payments are filed accurately and timely on behalf of individuals using the Consumer Directed Services (CDS) option. Ensures compliance with state and program rules including: Texas Administrative Code (TAC) Title 26, Part 1, Chapter 52 (Contracting for Community Services); TAC Title 26, Part 1, Chapter 264 (Consumer Directed Services Option); the Internal Revenue Service Code; and Texas Workforce Commission (TWC). (50%)
Identifies and evaluates the need for system and process changes to support fiscal and contract monitoring. Ensures monitoring tools and systems are effective in detecting areas of noncompliance and recommends improvements when necessary. Updates monitoring tools, training materials and training documents to reflect changes in policies, procedures, or compliance requirements. Provides training and guidance to staff on updated monitoring practices, tools, and processes to ensure consistent implementation and adherence. Collaborates with stakeholders to implement system enhancements and promotes continuous improvement in fiscal and contract oversight. (15%)
Conducts presentations at webinars and trainings to providers or FMSAs as needed. Provides technical assistance, training, and guidance to FMSAs to foster improved performance on fiscal and tax related aspects of FMSA performance. (10%)
Documents results of fiscal or contract on-site reviews, desk reviews and complaints to inform FMSAs of their compliance status. When appropriate, initiates recoupment of documented overbilling by FMSAs, requires corrective action plans, and initiates contract action or sanctions. (10%)
Develops and implements protocols, policies, and procedures for conducting oversight activities. Recommends improvements for identified problems in system design, forms, and workflow. (10%)
Prepares related documents used to support enforcement cases against contracted FMSAs and testifies at legal proceedings. (5%)
Knowledge, Skills and Abilities (KSAs):
Knowledge of federal and state payroll tax laws, rules, and regulations.
Knowledge of state rules and regulations pertaining to consumer directed services and the roles and responsibilities of Financial Management Services Agencies.
Knowledge of Medicaid or community services programs serving individuals with physical and/or intellectual disabilities.
Knowledge of accounting methods and systems, business practices, financial monitoring procedures, legal contracts, business law, and financial statutes and instructions.
Knowledge of fiscal management, contract compliance, and financial monitoring processes.
Knowledge of computer technology principles and automated systems.
Knowledge of continuous improvement methodologies (e.g., Lean, Six Sigma, PDCA).
Skill in evaluating and assessing provider’s compliance with contractual obligations.
Skill in establishing and maintaining effective working relationships with both internal and external stakeholders contacted in the course of the work.
Strong written and verbal communication skills to convey technical information clearly to diverse audiences.
Strong analytical skills with the ability to identify trends, risks, and areas for process improvement.
Skill in developing, evaluating, and updating monitoring tools, training materials, and reference documents.
Proficiency with Microsoft Excel and other financial or data analysis tools.
Ability to work collaboratively across MCS to accomplish objectives.
Keen attention to detail and the ability to implement creative solutions to problems.
Ability to balance team and individual responsibilities.
Ability to analyze and interpret information contained in a General Ledger and to trance entries recorded in a General Ledger to appropriate journals and source documents.
Ability to analyze tax issues and tax filings, and to evaluate financial and payroll records.
Ability to apply continuous improvement methodologies (e.g., Lean, Six Sigma, PDCA) to enhance systems and processes.
Ability to collaborate with internal and external stakeholders to implement system changes and ensure sustainable improvements.
Ability to effectively train and support staff in adopting updated processes and tools.Any
Registrations, Licensure Requirements or Certifications:
Must have an active Certified Texas Contract Manager (CTCM) certification or must obtain CTCM certification within one (1) year of employment.
Must have a valid driver’s license or must obtain Texas Driver’s License prior to hire.
Must be a Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or Certified Fraud Examiner (CFE).
Certification or formal training in continuous improvement methodologies (e.g., Lean, Six Sigma, Kaizen) preferred.
Initial Screening Criteria:
Education: A bachelor’s degree in accounting, business administration, public administration, finance, human services or related field from an accredited four-year college or university. Advanced degree preferred.
Experience: At least five years of experience in financial analysis, fiscal monitoring, auditing, compliance, or related field. Experience related directly to FMSAs will be given preference.
Experience and Education may be substituted for one another on a year-for-year basis. Any
Additional Information:
Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual.
This position requires 50% overnight statewide travel. Will need a valid Texas Driver’s license.
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