Quality Review Unit Financial Examiner IV

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Functional Title: Quality Review Unit Financial Examiner IV 
Job Title: Financial Examiner IV 
Agency: Health & Human Services Comm 
Department: HHSC & HHS Rate Analysis MGMT 
Posting Number: 9658 
Closing Date: 11/02/2025 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-23 
Salary Range: $5,098.66 - $8,304.83 
Pay Frequency: Monthly
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: Nonexempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 4601 W GUADALUPE ST 
Other Locations:  
MOS Codes: 3451,3404,3408,8844,36A,70C,36B,65FX,65WX,6F0X1,F&S,FIN10 
 
 
 

Job Description

Reports to the Quality Review Manager in the Provider Finance Department (PFD). Work involves reviewing, testing, and evaluating PFD fiscal and operational records, and conducting examinations to determine and report on financial conditions and compliance with statutory requirements, bylaws, and rules. May provide guidance to others. Works under general supervision, with moderate 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.

1. Coordinates and/or conducts independent financial examinations or investigations, and/or oversees 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, results of examinations, and/or reviews. (30%)

2. Conducts statistical sampling of records. Examines records to verify trends, and estimated fiscal impacts or calculations to determine accuracy and regulatory compliance. Identifies areas of progress, improvement, or concern; makes recommendations; and assists in resolving problems. Plans and coordinates efficiency for PFD internal calculations and determines regulatory compliance relative to expected business operations. (30%)

3. Verifies the accuracy of financial estimates; determines proper documentation and adequate procedures; and detects and records variances. (15%)

4. May provide guidance to others. May perform second-level review of results and/or analysis of other Financial Examiners within the PFD Q&T Department. (15%)

5. Prepares and submits documentation and work papers to support findings and maintains files and databases for reports. Prepares correspondence and examination reports to communicate any issues discovered with recommendations on how to improve future calculations. (10%)

Knowledge, Skills, and Abilities (KSAs) 

• Knowledge of statistical analysis and techniques; 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 of corporate structures, business operating procedures, management controls, 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 prepare concise reports and correspondence for compliance purposes;
• Ability to apply relevant rules, regulations, and statutes; to communicate effectively; and to provide guidance to others.

Licensure, Requirements, or Certifications 

N/A 

Initial Selection Criteria 

At least one year of 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 preferred. Experience with agency programs, policies, and procedures is preferred.

Additional Information 

The position is currently eligible to telework up to 3 days per week, but telework schedules may be updated by HHSC telework policies in the future. 

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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.