Lead Financial Analyst II

State of North Carolina

1d • Hybrid

About The Position

The Division of Health Benefits is seeking a Financial Analyst III/Team Leader to lead complex federal reporting and Medicaid financial operations during a transformative period. This senior-level position is responsible for ensuring accuracy and compliance in CMS financial reporting (CMS-64, CMS-21, CMS-21B, CMS-37) and managing financial oversight for specialized programs including DSH, Healthy Opportunities, Managed Care capitation, supplemental payments, and Tribal Option. The role requires advanced technical expertise to coordinate high-stakes financial transactions, prepare federal expenditure analyses, and maintain compliance with CMS and DHHS standards. As a team leader and mentor, you'll provide technical guidance to financial analysts, support cross-training initiatives, and help build unit capacity as North Carolina implements Managed Care transformation. This is an exceptional opportunity for an experienced finance professional ready to combine technical excellence with leadership development—managing $27+ billion in Medicaid funding while advancing your career and mentoring colleagues in a mission-driven environment.

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

• Ability to conduct federal budget alignment reviews, evaluate funding allocation accuracy across multiple cost pools or programs, and perform cash impact analyses to support federal draw calculations (Federal Grant & Expenditure Analysis).
• Proven expertise in analyzing capitation payments, Medical Loss Ratio (MLR) calculations, liquidated damages, and other managed care financial mechanisms within Medicaid or similar healthcare programs (Managed Care Financial Operations).
• Demonstrated experience managing and reconciling multiple concurrent payment streams, including Disproportionate Share Hospital (DSH), supplemental payments (AUBP/WRAP), and value-based reimbursement programs across diverse stakeholders (Complex Program Financial Oversight).
• Strong ability to provide technical guidance, training, and mentorship to staff on complex accounting processes, federal compliance standards, and financial system workflows (Team Leadership & Mentorship).
• Extensive experience utilizing enterprise financial systems (e.g., NCFS, SAP, PeopleSoft, Oracle Financials) for general ledger management, journal voucher processing, financial reconciliation, and rapid adaptation to new platforms (Advanced Financial Systems Proficiency).

Responsibilities

• Lead complex federal reporting and Medicaid financial operations.
• Ensure accuracy and compliance in CMS financial reporting (CMS-64, CMS-21, CMS-21B, CMS-37).
• Manage financial oversight for specialized programs including DSH, Healthy Opportunities, Managed Care capitation, supplemental payments, and Tribal Option.
• Coordinate high-stakes financial transactions.
• Prepare federal expenditure analyses.
• Maintain compliance with CMS and DHHS standards.
• Provide technical guidance to financial analysts.
• Support cross-training initiatives.
• Help build unit capacity as North Carolina implements Managed Care transformation.
• Manage $27+ billion in Medicaid funding.
• Mentor colleagues.

Benefits

• Health insurance options
• Standard and supplemental retirement plans
• NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis)
• Paid vacation leave
• Paid sick leave
• Paid community service leave
• Paid parental leave (for eligible employees)

What This Job Offers

• Job Type: Full-time
• Career Level: Senior