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Financial Analyst II

Wake County, NC, United StatesPosted Oct 23

Agency

Dept of Health and Human Services

Division

HEALTH BENEFITS

Job Classification Title

Financial Analyst II (NS)

Position Number

60042638

Grade

NC15

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

Description of Work

The Financial Analyst II supports the Provider Reimbursements Unit within the Finance Section of the Division of Health Benefits by performing financial analysis and rate‑setting activities for Medicaid programs. The position conducts reimbursement analyses, comparative reviews, and research on state and federal regulations while working within a structured financial operations environment. Although initial guidance is provided, the role requires the ability to quickly and independently complete core tasks following brief on‑the‑job training.

This position contributes to timely development and modification of payment methodologies and regulatory interpretations affecting provider reimbursement. This work supports accurate, data‑driven decisions that ensure compliant and effective Medicaid payment practices.

Key Duties Include

– Conduct financial analyses on assigned Medicaid providers to determine appropriate payment rates.

– Support rate‑setting processes, including reimbursement modeling, comparative reviews, and documentation activities.

– Analyze cost data from prior years, comparing facility‑specific results with other facilities, national data, and industry benchmarks.

– Research, interpret, and apply state and federal regulations relevant to Medicaid reimbursement programs.

– Track and incorporate frequent regulatory changes into reimbursement calculations and program assessments.

– Support waiver and State Plan Amendment (SPA) processes by preparing data, documentation, and analytical inputs.

– Utilize Excel tools such as pivot tables, lookups, and large‑dataset manipulation to complete financial analysis tasks.

– Perform comparative and trend analyses to inform updates to provider reimbursement methodologies.

– Apply Medicaid claims knowledge to evaluate reimbursement impacts and assess financial program performance.

– Execute assigned tasks independently following initial training, ensuring timely delivery of accurate analytical outputs.

Knowledge Skills and Abilities/Management Preferences

Salary Grade Range: $55,221.00-$96,639.00

Recruitment Range: $55,221.00-$75,930.00

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

  • Demonstrated intermediate‑level experience working with Medicaid claims data to support reimbursement analysis and inform rate‑setting activities.
  • Documented success using Excel at an intermediate or higher proficiency level, including pivot tables, lookups, and manipulation of large datasets for financial review and modeling purposes.
  • Proven track record conducting comparative financial analysis by evaluating cost information across multiple years, facilities, and industry benchmarks to inform reimbursement decisions.
  • Established experience researching, interpreting, and applying state and federal Medicaid regulations to support reimbursement methodologies and program updates.
  • Consistent performance completing analytical tasks independently after brief training, producing accurate financial outputs that support the Provider Reimbursement Unit’s operational requirements.

The Posting Will Close At 11:59 P.M. The Night Before The End Date

This Position Is Funded In Part Through Federal Funds

This Position Is Eligible For A Hybrid Work Option

EHRA: Per G.S. 126-5(c1) (37), This Position Is EXEMPT From All Provisions Of NC General Statute Chapter 126 (State Human Resources Act) With The Exception Of Articles 6 And 7

About the NC Division of Health Benefits

The Division of Health Benefits (DHB) within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries.

All positions in the Division of Health Benefits are exempt from the State Human Resources Act (G.S. 126) except for the provisions of Articles 6 and 7 per HB 372 Section 20.

Compensation and Benefits:

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees.

Visit the website for  State Benefits .

Supplemental Contact Information

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders.  We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job.  For more information about DHHS:  ncdhhs.gov .

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals.  Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position.

In accordance with the Governor’s Executive Order 303 , our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved.  We invite all potential applicants to apply for positions for which they may be qualified.

Application Process

Be sure to complete the application in its entirety.    Resumes will not be accepted in lieu of completing this application.

  • Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.
  • Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers.
  • If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 11:59 PM on the closing date.
  • Applicants  may  be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust"  will be  subject to a criminal background check.
  • Due to the volume of applications received, we are unable to provide in
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