Medicaid Contract Finance Director in Austin, TX

Description

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: Medicaid Contract Finance Director 
Job Title: Director I 
Agency: Health & Human Services Comm 
Department: Finan Mgt and Audit Coord-MMIS 
Posting Number: 13271 
Closing Date: 02/17/2026 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-26 
Salary Range: $6,377.50 - $10,785.83 
Pay Frequency: Monthly
Shift: Day 
Additional Shift: Days (First) 
Telework:  
Travel: Up to 5% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: AUSTIN 
Job Location Address: 4601 W GUADALUPE ST 
Other Locations: Austin 
MOS Codes: 8003,8040,8041,8042,10C0,111X,112X,113X,114X,20C0,30C0,40C0,611X,612X,631X,641X,648X,90G0,91C0,91W0 
97E0,SEI15 
 
 

Brief Job Description:

Performs advanced (senior-level) managerial work administering the daily operations and activities of the Medicaid Contract Finance Unit.  Work involves financial management and oversight of all Medicaid Management Information System (MMIS) and Medicaid Enterprise System (MES) contracts and contractors; monitors contract costs for compliance with Federal and State regulations; tracks all aspects of the Medicaid Contract Finance Budget and regularly reports to HHSC Executive Leadership; represents Medicaid Contract Finance as the finance expert in agency and contractor meetings; participates in MMIS/MES contract procurements and negotiations.  Plans, assigns, and supervises the work of four Senior Financial Analysts.  Works under limited supervision of the Director of Contract Compliance, with considerable latitude for the use of initiative and independent judgment.

Essential Job Functions:

(30%) 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.

(20%) Direct supervisor of four senior financial analysts for timesheet approvals, leave request approvals, workloads, schedules, and project assignments.

(15%) Monitor all contract costs for compliance with Federal, State, and HHSC regulations, approved Federal Financial Participation (FFP) Rate parameters, and contracted costs. 

(10%) Prepare, maintain, and provide regular status reports on Medicaid contracts through the entire contract period, including cost projections by state and federal fiscal years.

(10%) Consult agency executives on financial matters including federally required reports and Requests for Information. 

(5%) Represent the Medicaid Financial Division as the financial expert on internal governance and external steering committees.

(5%) Participate in preparation of the Request for Proposals (RFP), review and scoring of RFP submissions, vendor selection, and contract negotiations. 

(5%) Assist in the preparation of Advanced Planning Documents (APDs) for submission to the Centers for Medicare and Medicaid Services (CMS) required for FFP. 

Knowledge, Skills, and Abilities Required:

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.

Registrations, Licensure Requirements or Certifications:

Certified Texas Contract Manager (CTCM) is preferred.

Initial Screening Criteria:

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. Graduation from an accredited four-year college or university with major coursework in finance or accounting is preferred. Experience and education may be substituted for one another.

Additional Information:

N/A

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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.