🧭 Role snapshot

• Oversees financial operations: payroll, accounts payable/receivable, billing, budgets, and financial reporting.

• Manages revenue cycles, payer enrollment, and cost controls; supports strategic financial planning.

🎯 Core qualifications (typical)

• Education: Bachelor’s degree in Accounting, Finance, or related field; CPA or CMA preferred but not always required.

• Experience: 3–7+ years in healthcare accounting/billing, Medicaid/Medicaid-due billing, revenue cycle management.

• Skills: GAAP knowledge, financial reporting, budgeting, forecasting, and proficiency with accounting/ERP or billing software.

• Tools: Strong Excel skills; experience with Medicaid/HHSC billing systems and payer portals.

• Background checks: Required per policy.

🧠 Training, certifications, and ongoing development

• Accounting standards, internal controls, and audit readiness.

• HIPAA privacy awareness for financial data; IT security basics.

• Ongoing professional development in healthcare reimbursement policies.

🧰 Duties & responsibilities

• Manage payroll, AP/AR, general ledger, and monthly close processes.

• Prepare and monitor budgets, financial statements, and cash flow analyses.

• Oversee Medicaid/HHSC billing, rate setting, and payer enrollment; ensure compliance and timely submissions.

• Support cost reporting, financial audits, and regulatory reporting requirements.

• Coordinate with executives, program managers, and compliance on financial implications of service delivery.

🧩 Collaboration & supervision

• Interfaces with Executive Director, Compliance, HR, Operations, and IT.

• May supervise accounting staff or a small finance team.

📋 Documentation & compliance

• Maintain financial records, audit trails, and internal controls documentation.

• Ensure regulatory compliance for financial practices and data security.

🔎Next steps

• Share your program type, number of homes, and preferred outputs (job descriptions, onboarding checklists, policy outlines, or a high-level org/financial plan). I can also pull current TAC language related to financial operations or Medicaid billing and tailor it to your agency.