Financial Analyst II

State of North Carolina•Wake County, NC

1d•Hybrid

About The Position

The Financial Analyst II supports the Provider Reimbursements Unit within the Finance Section of the Division of Health Benefits by conducting financial analyses and rate-setting activities for Medicaid programs. The role includes reimbursement analyses, comparative reviews, and research into state and federal regulations. Initial guidance and brief on-the-job training are provided, after which the analyst is expected to complete core tasks independently and deliver accurate work on time. The position contributes to developing and modifying payment methodologies and interpreting regulations that affect provider reimbursement. Its analyses support data-driven decisions and compliant, effective Medicaid payment practices. The position is eligible for a hybrid work option and is funded in part through federal funds.

Requirements

Bachelor's degree in accounting, banking, finance, business administration, economics, or a related discipline from an accredited institution and one year of directly related experience, or an equivalent combination of education and experience.

Nice To Haves

Intermediate-level experience using Medicaid claims data to support reimbursement analysis and rate-setting.
Intermediate or higher Excel proficiency, including pivot tables, lookups, and manipulating large datasets for financial review and modeling.
Experience conducting comparative financial analysis across multiple years, facilities, and industry benchmarks to inform reimbursement decisions.
Experience researching, interpreting, and applying state and federal Medicaid regulations to support reimbursement methodologies and program updates.
Ability to complete analytical tasks independently after brief training and produce accurate financial outputs.

Responsibilities

Conduct financial analyses of assigned Medicaid providers to determine appropriate payment rates.
Support rate-setting processes through reimbursement modeling, comparative reviews, and documentation.
Analyze prior-year cost data, 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 regulatory changes into reimbursement calculations and program assessments.
Support waiver and State Plan Amendment (SPA) processes by preparing data, documentation, and analytical inputs.
Use Excel tools, including pivot tables, lookups, and large-dataset manipulation, to perform financial analyses.
Conduct comparative and trend analyses to inform updates to provider reimbursement methodologies.
Apply knowledge of Medicaid claims to evaluate reimbursement impacts and assess financial program performance.
Complete assigned tasks independently after initial training and deliver accurate analytical outputs on time.