Financial Analyst II

State of North Carolina

4d • Hybrid

About The Position

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. The Provider Audit team is responsible for administering state-directed payment programs, including the Healthcare Access Stabilization Program, Disproportionate Share Hospital Program, Graduate Medical Education Program, and Hospital Upper Payment Limit payments. State-directed payments are calculated quarterly, and models are updated with every payment cycle.

Requirements

• 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.

Nice To Haves

• Experience working with large workbooks
• Experience creating formulas in MS Excel

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.
• 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees