Texas Health and Human Services · 3 hours ago
Medicaid Contract Finance Director
Austin, TX
Contract
Hybrid
Lead/Staff, Director/Executive
$6,377.50/mo - $10,785.83/mo
5+ years expTexas Health and Human Services Commission (HHSC) is dedicated to making a positive impact in the lives of Texans. They are seeking a Medicaid Contract Finance Director to oversee financial management and compliance for Medicaid contracts, supervise a team of financial analysts, and represent the finance unit in meetings and negotiations.
Health Care
No H1B
Responsibilities
Responsible for the financial management and oversight of the Medicaid Management Information System (MMIS) Claims Administrator, Business Operations, Electronic Visit Verification, and Application Maintenance and Development contracts for the state of Texas. Direct the Medicaid Contract Finance Unit that includes the duties of performing financial analysis on Change Order Requests (CORs) and Amendments related to MMIS/MES contracts, review of Administrative Fees, Invoicing, and Budgets, and financial analysis support and special projects
Direct supervisor of four senior financial analysts for timesheet approvals, leave request approvals, workloads, schedules, and project assignments
Monitor all contract costs for compliance with Federal, State, and HHSC regulations, approved Federal Financial Participation (FFP) Rate parameters, and contracted costs
Prepare, maintain, and provide regular status reports on Medicaid contracts through the entire contract period, including cost projections by state and federal fiscal years
Consult agency executives on financial matters including federally required reports and Requests for Information
Represent the Medicaid Financial Division as the financial expert on internal governance and external steering committees
Participate in preparation of the Request for Proposals (RFP), review and scoring of RFP submissions, vendor selection, and contract negotiations
Assist in the preparation of Advanced Planning Documents (APDs) for submission to the Centers for Medicare and Medicaid Services (CMS) required for FFP
Qualification
Required
Five years' experience in the management and/or direction of a program related to Medicaid, commercial managed care or other public sector health care enterprise
Knowledge of financial management practices and standards for Medicaid programs
Knowledge of state and federal laws and regulations related to financial management of Medicaid contracts
Knowledge of cost principles governing allowability of costs
Knowledge of request for proposals process for public health programs
Knowledge of state guidelines and best practices for contracting Medicaid services
Knowledge of State budget process, including Legislative Appropriations Requests and Exceptional Item Requests
Ability to prioritize and organize the work of multidisciplinary employees
Ability to work in and lead cross-functional teams
Ability to exercise judgment in evaluating situations and making decisions
Ability to plan strategically and to implement improvement strategies
Ability to effectively manage and motivate staff
Ability to think creatively and support creative thinking in others
Ability to establish effective working relationships with staff at all levels of an organization, agencies, providers, stakeholders and elected officials
Skill in communicating complex information to diverse audiences
Skill in managing and supervising employees
Skill in identifying problems, evaluating alternatives and implementing solutions
Skill in designing and implementing training and technical assistance activities for Agency and contractor staff
Skill in contract negotiations
Preferred
Certified Texas Contract Manager (CTCM) is preferred
Graduation from an accredited four-year college or university with major coursework in finance or accounting is preferred
Benefits
100% paid employee health insurance for full-time eligible employees
A defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement
Company
Texas Health and Human Services
Texas Health and Human Services is an agency that focuses on improving health, safety and well-being.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Dr. Napoleon Broughton
Chief Executive Officer: Life Enhancement Solutions
John F. Palermo
CTO Strategic Analyst VI
Recent News
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