Quality Review Team - Financial Examiner III

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Quality Review Team - Financial Examiner III 
Job Title: Financial Examiner III 
Agency: Health & Human Services Comm 
Department: HHSC & HHS Rate Analysis LTC 
Posting Number: 7055 
Closing Date: 08/09/2025 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-21 
Salary Range: $4,523.16 - $7,253.83 
Pay Frequency: Monthly
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: Nonexempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 4601 W GUADALUPE ST 
Other Locations:  
MOS Codes: 3404,3408,8844,36A,65FX,65WX,6F0X1,70C,FIN10,F&S 
 
 
 

Brief Job Description:

The Financial Examiner III reports to the Quality Review Manager in the Provider Finance Department (PFD). Performs moderately complex (journey-level) financial examination work for PFD. Work involves reviewing, testing, and evaluating fiscal and operational records, as well as conducting examinations to determine and report on financial conditions and compliance with statutory requirements, bylaws, and regulations. The role works under general supervision, with limited latitude for the use of initiative and independent judgment. 
 

Essential Job Functions:
Conducts independent financial review and evaluation of fiscal impact documentation, supplemental payment estimates, cost report calculations, Texas Administrative Code Rules, State Plan Amendments, legislative requests, industry requests, external or internal audit requests, and other financial files produced by PFD staff. Analyzes issues and develops action plans to complete financial examinations or investigations. Communicates with internal employees regarding requirements and results of examinations. (40%) 
Examines records to verify trends, and estimates fiscal impacts or calculations to determine accuracy and regulatory compliance. Identifies areas of progress, improvement, or concern; makes recommendations; and assists in resolving problems. (20%)
Prepares and submits documentation and work papers to support findings and maintains files and databases for reports. Prepares correspondence and examination reports. Tests calculations against standard references, policies, and procedures, and calculates results. (20%)
Verifies the accuracy of financial estimates; determines proper documentation and adequate procedures; and detects and records variances. (15%) 

Knowledge, Skills, Abilities:
Knowledge of auditing and accounting standards and techniques; of both statutory accounting principles (SAP) and generally accepted accounting principles (GAAP);
Knowledge of financial and industry terminology and practices; and
Knowledge of corporate structures, business operating procedures, management control, and internal reporting techniques.
Skill in the use of computer systems and associated applications.
Skill in the analysis of estimated fiscal impacts related to Medicaid or other health-related changes.
Ability to audit financial statements, reports, records, budgets, operational procedures, and forms;
Ability to coordinate projects for timely completion;
Ability to conduct investigations;
Ability to prepare concise reports and correspondence;
Ability to apply relevant rules, regulations, and statutes for compliance purposes; and to communicate effectively. 

Registrations, licensure requirements, or certifications:

N/A

Initial screening criteria:

Experience in financial examination work. Graduation from an accredited four-year college or university with major coursework in business administration, finance, accounting, economics, insurance, or a related field is generally preferred. Experience and education may be substituted for one another. 

Additional information:

Position is currently eligible for telework 3 days per week, but may be required to be in office additional days due to business need or HHSC policy.

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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.