NC Department of Health and Human Services · 1 month ago
Financial Analyst II
Wake County, NC
Full-time
Hybrid
Entry Level
$53K/yr - $93K/yr
1+ years expThe North Carolina Department of Health and Human Services (DHHS) is one of the largest agencies in the state, responsible for ensuring the health and well-being of North Carolinians. The Financial Analyst II will support the design, implementation, evaluation, and compliance monitoring of Medicaid managed care payment arrangements, ensuring alignment with federal regulations and overseeing complex financial models.
Health Care
Responsibilities
Serve as the Technical Specialist for State Directed Payments to support the design, implementation, evaluation and compliance monitoring of Medicaid managed care payment arrangement
Ensure that the SDPs align with federal regulations under 42 CFR β 438.6 (c) and meet Center of Medicare and Medicaid Services requirement for transparency, quality, and fiscal integrity
Communicate with and ensuring all data has been furnished in a timely fashion to update the model; this includes all supporting provider schedules, cost reports and attestations and other information deemed necessary to perform calculation of state directed payments
Assist outside requestors under the Freedom of Information Act; this includes assisting Medicaid Fraud Investigators, pulling files for copying, retrieving files from archives, etc
Serve as DHB program manager to maintain complex annual and quarterly model to calculate all necessary hospital assessments (provider tax) and intergovernmental transfers (IGT) receipts which support base rates, Graduate Medical Education (GME) payments, 42 CFR 483.6 approved separate directed payments for hospitals, and Medicaid Expansion
Compile all data and schedules necessary to build the annual payment models and reviews for accuracy, changes, and compliance with federal and state legislation and regulatory requirements and CMS approved Managed Care Preprints
Coordinate with all stakeholders and executes the timing, invoicing and collection of all quarterly/ annual hospitals receivables based on these models, and tracking receipts through to completion and following up on any missing / delayed payments pursuant to legislative authority
Coordinates with all stakeholders and executes the timing of outgoing GME payments to hospitals and separate directed payments through managed care entities to hospitals
Audit Support Assist Auditors (State & Independent) with the annual review of DSH, GME, UPL, and Hospital Directed Payments by providing support documentation and explanation of the models
Assemble audit identified materials after the completion of the final payment for each model year
Qualification
Required
Bachelor's degree in accounting, banking, finance, business administration, economics, or related discipline from an accredited institution and 1 year of directly related experience or an equivalent combination of education and experience
Preferred
Experience working with large workbooks
Experience creating formulas in MS Excel
Benefits
Health insurance options
Standard and supplemental retirement plans
The NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis)
Paid vacation
Sick, and community service leave
Paid parental leave
Company
NC Department of Health and Human Services
The Department of Health and Human Services manages the delivery of health- and human-related services for all North Carolinians.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Erin Matteson
Chief Financial Officer, Opportunity and Well-being
Jean M. Sandaire
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