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 on financial compliance with applicable state and federal statutes and provides technical assistance and training to FMSAs, other agency staff, and the public. Coordinates with supervisor and contract specialists in the unit 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. May train others. 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 program and fiscal contract monitoring reviews 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:
Works collaboratively across MCS to identify innovative and effective solutions for clients and staff.
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Conducts fiscal and contract compliance reviews through onsite and desk reviews 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 tax forms and tax payments comply with state/federal regulations and contract requirements, including the Internal Revenue Service Code and Texas Workforce Commission (TWC) requirements. Ensures compliance with state and program rules. (50%)
Through on-site or desk reviews, investigates complaints alleged against FMSAs. Responses to complaints may involve reviewing the FMSA’s operations, auditing financial records and statements, and assessing compliance with state and federal regulations such as TAC Chapter 49, Contracting for Community Services; TAC Chapter 41, CDS Option; IRS Code; and TWC. (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 Abilities:
Ability to work collaboratively across MCS to accomplish objectives.
A keen attention to detail and the ability to implement creative solutions to problems.
Able to balance team and individual responsibilities.
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 accounting methods and systems, business practices, financial monitoring procedures, legal contracts, business law, and financial statutes and instructions.
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 conduct investigations and financial reviews and effectively communicate results of investigations, audits and reviews.
Knowledge of Medicaid or community services programs serving individuals with physical and/or intellectual disabilities.
Skill in evaluating and assessing provider’s compliance to contractual obligations.
Ability to work with diverse groups, mitigating differences and developing solutions; and to interact and communicate professionally and effectively with colleagues, internal and external stakeholders, agency leaders and managers.
Establish and maintain effective working relationships with both internal and external stakeholders contacted in the course of the work.
Knowledge of computer technology principles and automated systems.
Registration or Licensure Requirements:
Certified Texas Contract Manager (CTCM) certification must be obtained within one (1) year of employment, if not already certified, unless otherwise approved by Supervisor.
Valid Driver’s License or ability to obtain Texas Driver’s License within 60 days of hire.
Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or Certified Fraud Examiner (CFE) preferred.
Initial Selection Criteria:
Education: A bachelor’s degree in accounting, business administration, finance or related field from an accredited four-year college or university preferred. Degree must include a minimum of 15 hours of college level courses in accounting or comparable experience. (Be specific on the application as to the number of accounting hours).
Experience: At least three years of experience in financial monitoring, auditing, program administration or, or full-charge bookkeeping.
Experience and Education may be substituted for one another on a year-for-year basis.
Additional Information:
Requisition # 607238
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.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS 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.
MOS Code:
MOS Code: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 89A, LS, 020, 3402, 6F0X1. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS 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.
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