Financial Analyst II

Agency

Dept of Health and Human Services

Division

HEALTH BENEFITS

Job Classification Title

Financial Analyst II (NS)

Position Number

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 17000 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 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.

Primary Duties:
* 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.
* Audit Support 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.

Knowledge Skills and Abilities/Management Preferences

Salary Grade Range $53164 - $93038
Recruitment Range $53164 - $70000

**Position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours**

Knowledge Skills and Abilities/Management Preferences

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:

• Experience working with large workbooks

• Experience creating formulas in MS Excel

This position will close at 11:59 p.m. the night before the end date.

This Position Is Funded in Part Through Federal Funds

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 108000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries.

Compensation & 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 addition paid parental leave is available to eligible employees.
Visit website forState Benefits

Supplemental and Contact Information

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employerthat embraces an Employment First philosophy which consists of complying with all federallaws 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: 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 Governors 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 must be submitted by 11:59 PM on the closing date.

• Applicantsmaybe subject to a criminal background check. All candidates selected for positions considered Positions of Trustwill besubject to a criminal background check.

• Due to the volume of applications received we are unable to provide information regarding the status of your application over the phone. To check the status of your application please log in to your account. Upon the closing date applications are Under Review and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks.

• Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent.

• For a list of organizations that perform this specialized service please visit the NACES membership website at Credit Verification

  Degrees must be received from appropriately accredited institutions. Transcripts degree evaluations and cover letters may be uploaded with your application.

  Veterans and National Guard Preference

  • Applicants seeking Veterans Preference must attach aDD-214 Member-4 Form(Certificate of Release or Discharge from Active Duty) to their applications.

  • Applicants seeking National Guard Preference must attach an NGB 23A (RPAS) along with the state application if they are a current member of the NC National Guard in good standing.

  • Applicants who are former members of either the NC Army National Guard or the NC Air National Guard with honorable discharge and six years of creditable service must attach a copy of the DD 256 or NGB 22 along with the state application.

  ADA Accommodations

  Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA) DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment DHHS will ensure that people with disabilities or known limitations covered by the PWFA are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process please contact the person Substance Abuse Professional Practice Board etc.) indicated below.

  CONTACT INFORMATION:

  If there are any questions about this posting please contact Talent Acquisition at. Resumes will not be accepted in lieu of completing this application.

  Minimum Education and Experience

  Some state job postings say you can qualify by an equivalent combination of education and experience. If that language appears below then you may qualify through EITHER years of education OR years of directly related experience OR a combination of both. See the Education and Experience Equivalency Guide for details.

  Minimum Education and Experience

  Some state job postings say you can qualify by an equivalent combination of education and experience. If that language appears below then you may qualify through EITHER years of education OR years of directly related experience OR a combination of both. See the Education and Experience Equivalency Guide for details.

  • Bachelors 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.

  EEO Statement

  The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination harassment or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy childbirth or related medical conditions; and for religious beliefs observances and practices.

  Recruiter:

  Tandrea Jones

  Email: