Financial Analyst II

Health & Human Services Comm - Austin, TX

Full-time
The position will report to the Director of Pharmacy Rebates & Business Analysis (PRBA) section. This position provides highly advanced consultative and technical services such as research, evaluation, and analytical work related to drug manufacturer rebates, planning, budget processes, impacts, implementation, financing, and oversight of the Vendor Drug Program, specifically for the Medicaid and CHIP programs to HHSC’s vendors, pharmaceutical representatives, pharmacists, Centers for Medicare and Medicaid Services (CMS) representatives, and other agencies related to drug rebate collections and pharmacy claims administration. The Financial Analyst II will be responsible for providing interpretation on technical questions of financial and regulatory compliance with applicable state and federal statutes and regulations. Additionally, the position will be responsible for analyzing and monitoring program requirements, finding opportunities to maximize program income, performance findings, report information, coordinating with internal and external areas in maximizing program income and cost containment initiatives, and program projects to identify operational and financial trends to protect existing state revenue, and or secure additional state revenue; performing complex monitoring and analysis of vendor’s work and their compliance with state and federal laws, rules, regulations and guidelines; researching technical questions of regulatory compliance with applicable state laws and regulations as well as federal procedures and guidelines relating to the Rebate Programs and Pharmacy practices. The Financial Analyst II will assist with the development of internal PBRA policies, procedures, and guidelines; resolving audit exceptions by defining causes of errors and recommending appropriate dispositions; reviewing, analyzing, interpreting and evaluating financial data; preparing reports and responding to inquiries; providing program guidance for the implementation of new agency projects and changes to benefits related to pharmacy and drug rebates. This position will also be responsible for ensuring compliance with established procedures, requirements, laws, and regulations; completeness of data; and presence of adequate documentation. The position will monitor and coordinate third-party financial reviews, including the accumulation of data, financial modeling, reporting, and monitoring of responses and will have primary responsibility to provide subject matter expertise and some coordination of Audits within the VDP. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment. Performs related work as assigned.

Essential Job Functions:
(30%) Provides highly advanced consultative and technical services such as research, evaluation, and analytical work related to drug manufacturer rebates, planning, budget processes, impacts, implementation, financing, and oversight related to drug rebate collections and pharmacy claims administration.

(20%) Monitor and coordinate third-party financial reviews, including the accumulation of data, financial modeling, reporting, and monitoring of responses and will have primary responsibility to provide subject matter expertise and some coordination of Audits. Helps the VDP correct any associated audit findings.
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(10%) Participate in and oversee workgroups and meetings related to program oversight, research, analysis, budget processes, and evaluation functions.

(10%) Analyzing and monitoring program requirements, finding opportunities to maximize program income, performance findings, report information, coordinating with internal and external areas in maximizing program income and cost containment initiatives, and program projects to identify operational and financial trends to protect existing state revenue, and or secure additional state revenue; performing complex monitoring and analysis of vendor’s work and their compliance with state and federal laws, rules, regulations and guidelines; researching technical questions of regulatory compliance with applicable state laws and regulations as well as federal procedures and guidelines relating to the Rebate Programs and Pharmacy practices.

(10%) Prepares and approves high quality written documents, including project updates, summaries, legislative reports, budget reports, audit updates, and other documents.

(10%) Acts as liaison to other areas within HHSC to ensure communication and coordination regarding Vendor Drug Program issues. Represents the VDP on external projects and workgroups that impact the program.

(5%) Provides guidance to staff in the development and integration of new methods and procedures. Coordinates with and speaks to advocacy groups, various levels of state and federal government, other states, and other relevant stakeholders.

(5%) Analyzes federal and state legislation relating to the Vendor Drug Program.

Knowledge Skills Abilities:
Experience in a field related to pharmacy, budget, Medicaid or CHIP.
Knowledge of Medicaid, CHIP, state/federal legislative process, budget process, health care programs and policies, and audit processes.
Knowledge of drug manufacturer rebate programs and policies and relevant..
Knowledge of pharmacy benefits provided through insured service delivery models; knowledge of the pharmacy industry and stakeholders; and basic understanding of pharmaco-economics.
Knowledge of statistical analysis processes and research techniques.
Skill in analyzing and evaluating complex program, policy, and budget issues.
Skill in performing research, including reviews of literature and the ability to request complex data queries and analyze results.
Skill in using analytical tools (e.g. Excel, Access, statistical software) and ability to learn ad hoc query software/tools.
Skill in synthesizing, analyzing, and evaluating highly complicated and technical information and translating easily understandable and concise documents and oral presentations for agency execution, elected officials and the public.
Skill in developing creative and workable solutions to complex problems and issues.
Skill in interpersonal relationships, including the ability to work with people under pressure, negotiate among multiple parties, resolve conflicts, and establish and maintain effective working relationships with various level personnel in governmental entities and program stakeholders.
Skill in communicating effectively orally and in writing.
Skill in analyzing federal and state legislation.
Ability to gather, assemble, correlate, and analyze facts; to develop and evaluate policies and procedures; to plan, implement, and coordinate agency programs.
Ability to exercise judgment and work independently with minimum supervision and to train, assign, and/or prioritize others' work.

Registration or Licensure Requirements:
Initial Selection Criteria:
Graduation from an accredited four-year college or university with major coursework in business, accounting, finance, or a related field. Related work experience may substitute for the required education on a year for year basis with maximum substitution of four (4) years. Prefer experience in governmental or non-governmental experience with public health programs. Prefer knowledge of Medicaid administrative policies, regulations and laws as they apply to the Vendor Drug program. Prefer knowledge of pharmacy law and regulations. Experience performing financial analysis for a large program/agency/corporation. Skill in analyzing and evaluating complex program, policy, and budget issues. Demonstrated ability to communicate verbally and written effectively and efficiently.

Additional Information:
req # 432199

MOS Code:
Note: 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.
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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.