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The Fiscal Analyst 4 (FA4) position at the Washington State Health Care Authority (HCA) is a full-time role that operates under general supervision, serving as a Subject Matter Expert on the Medicaid Administrative Claiming (MAC) program. The analyst is responsible for managing accounts receivable, accounts payable, accruals, and general ledger reconciliations, while ensuring compliance with federal and state accounting regulations. This role requires a strong focus on financial analysis and oversight of MAC contracts, contributing to the financial integrity of HCA's operations.