Executive Director - Medicaid Program Accountant (Finance & Accounting)

Responsibilities

Executive Leadership & Program Governance

Serve as the district’s executive authority for the SHARS program, providing strategic direction, fiscal governance, and long-term sustainability planning.

Advise the CFOO/Controller on SHARS revenue, risk exposure, audit findings, and compliance matters.

Fiscal Management & Accounting Oversight

Direct all accounting functions related to SHARS revenues, including

• Revenue recognition and reconciliation
• Maintenance of SHARS-specific general ledger accounts
• Cash receipts, accruals, and adjustments
• Ensure SHARS revenues are recorded in accordance with HISD standards and financial policies.
• Prepare and present monthly financial reports detailing SHARS revenue performance, trends, and projections.

SHARS Billing & TMHP Claims Administration

Oversee the end-to-end SHARS billing cycle in TMHP, ensuring

• Accurate submission of claims for eligible SHARS services
• Timely correction and resubmission of denied or adjusted claims
• Compliance with TMHP billing manuals, policy updates, and deadlines
• Establish internal controls to ensure that claims are supported by valid IEPs, provider credentials, and compliant service documentation.
• State/Federal Compliance and Audit Monitoring

Ensure HISD compliance with

• Texas Administrative Code related to SHARS
• HHSC and TMHP SHARS policy manuals
• Federal Medicaid requirements applicable to school-based services

Lead preparation for and response to

• TMHP reviews
• HHSC or TEA monitoring
• State and federal audits
• Develop and maintain corrective action plans when required and ensure timely resolution of findings.
• Coordinate PEIMS/finance alignment and other cross-functional reporting dependencies with district teams as needed.

Documentation, Internal Controls & Risk Management

Establish and enforce districtwide policies and procedures governing

• SHARS documentation standards
• Provider credential verification
• Time studies (if applicable)
• Record retention requirements
• Conduct periodic internal reviews to identify compliance risks and implement corrective measures.

Data Analysis & Revenue Optimization

Analyze SHARS data to monitor

• Claim acceptance and denial rates
• Provider productivity
• Revenue trends by service type
• Use data to improve billing accuracy, strengthen compliance, and maximize allowable SHARS reimbursement.
• Interagency Coordination and Communication

Serve as HISD’s primary liaison with

Texas Medicaid & Healthcare Partnership (TMHP)

Texas Health and Human Services Commission (HHSC)

Education Service Centers (ESCs)

• External auditors and consultants
• Oversee SHARS vendor contracts, monitor performance, and ensure contract compliance.
• Other duties as assigned.