Senior Fiscal Analyst Medicaid

***Recruitment Range: $90000$130000 Annually***

Closing Date: 02/17/2026 5:00pm

Description of Work:

The Fiscal Research Division (FRD) seeks dynamic individuals with strong analytical skills who excel under pressure. FRD Analysts are nonpartisan and serve as the primary budget and finance staff to the North Carolina General Assemblys 170 members as well as its funding and policy committees. We are looking for team players to help build the States $32 billion general fund budget and analyze issues that are complex diverse and cross multiple subject areas.

FRD Analysts along with other General Assembly nonpartisan staff have a unique opportunity to provide counsel to policymakers and participate directly in the policy development addition they regularly present to public committees and work with State agencies to implement legislation. This opportunity is focused on North Carolinas Medicaid program a federal/State partnership that supports the health care costs of over 3 million beneficiaries.

Medicaid Analyst Job Duties:

• Conducting actuarial financial and/or statistical analysis and forecasting of cash flow program and budgetary needs for Medicaid

• Using cost utilization demographic and outcomes data to determine service implications and estimate budgetary savings or costs due to Medicaid program changes

• Working directly with legislators to develop the States budget and other legislation

• Making presentations and answering legislators questions in public committee meetings

• Developing options to improve program efficiency and effectiveness

• Composing analyses on the fiscal impact of proposed legislation

• Collaborating closely with teammates and colleagues to support the legislative process

• Monitoring agency actions to ensure compliance with legislative intent

• Working objectively and impartially and adhering to strict confidentiality requirements

• Providing on-call support including working an extended schedule when necessary

Compensation & Benefits:

The General Assembly offers:

• Competitive State salaries with opportunities for incremental promotions and raises

• Longevity pay after 3 years of State service with the General Assembly

• Participation in health insurance options standard and supplemental retirement plans and the NCFlex program (numerous high-quality low-cost benefits on a pre-tax basis)

• Remote work opportunities when the legislature is not in session

• Paid vacation sick parental and community service leave

Abilities/Competencies:
To excel in the duties outlined above candidates should be flexible highly motivated thinkers and addition we seek candidates who demonstrate the following:

• Working experience with a state Medicaid program State Childrens Health Insurance Program (SCHIP) health care provider/payer or other similar public health care program in either the public or private sector

• Demonstrated knowledge about the major components of the health care marketplace including the interaction between medical/drug providers public/private payers of claims and utilization behavior of beneficiaries and providers

• Ability to work cooperatively and maintain composure under pressure

• Clear and concise oral and written presentation skills

• Aptitude for providing high-quality policy analysis and advice

• Commitment to delivering nonpartisan objective analysis

• Creative problem solving

Minimum Education and Experience Requirements:

1. Education & Experience: We will only consider candidates with either:

• A bachelors degree plus seven years experience performing and presenting analyses or

• A masters degree plus five years experience performing and presenting analyses.

• We have a strong preference for demonstrated experience and accomplishment in a health care policy-related setting.

1. Public Policy Background: Candidates are expected to have a working knowledge of government functions and experience performing programmatic analyses preferably related to health policy.

2. Computer Skills:Candidates will be expected to demonstrateMicrosoft Excel and Wordproficiency in any potential in-person interview.

Supplemental and Contact Information:

***NC General Assembly Positions are NOT SUBJECT to the State Human Resources Act***

Applicant Instructions:

Interested applicantsmay obtain a North Carolina General Assembly Application at be considered for this posting applicants must include the following documents when submitting the online application:

1. A fully completed North Carolina General Assembly Application
2. A detailed cover letter in which the applicant must address:

• Why the applicant is interested in joining the FRD

• All the requirements preferences and competencies listed above

• Employment and/or educational experience relevant to the position

1. A current résumé (maximum length 2 pages)

All applicant materials will be carefully reviewed for content and completeness. Please only submit the materials requested. The application must be completed in its entirety including detailed education and work history or it will not be considered.

Agency Contact Information

For additional information or questions about this vacancy announcement please email

or call.