Agency
Dept of Health and Human Services
Division
HEALTH BENEFITS
Job Classification Title
Financial Analyst II (NS)
Position Number
60042638
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 17,000 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 Financial Analyst II supports the Provider Reimbursements Unit within the Finance Section of the Division of Health Benefits by performing financial analysis and rate‑setting activities for Medicaid programs. The position conducts reimbursement analyses, comparative reviews, and research on state and federal regulations while working within a structured financial operations environment. Although initial guidance is provided, the role requires the ability to quickly and independently complete core tasks following brief on‑the‑job training.
This position contributes to timely development and modification of payment methodologies and regulatory interpretations affecting provider reimbursement. This work supports accurate, data‑driven decisions that ensure compliant and effective Medicaid payment practices.
Key Duties Include:
– Conduct financial analyses on assigned Medicaid providers to determine appropriate payment rates.
– Support rate‑setting processes, including reimbursement modeling, comparative reviews, and documentation activities.
– Analyze cost data from prior years, 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 frequent regulatory changes into reimbursement calculations and program assessments.
– Support waiver and State Plan Amendment (SPA) processes by preparing data, documentation, and analytical inputs.
– Utilize Excel tools such as pivot tables, lookups, and large‑dataset manipulation to complete financial analysis tasks.
– Perform comparative and trend analyses to inform updates to provider reimbursement methodologies.
– Apply Medicaid claims knowledge to evaluate reimbursement impacts and assess financial program performance.
– Execute assigned tasks independently following initial training, ensuring timely delivery of accurate analytical outputs.
Knowledge Skills and Abilities/Management Preferences