Accounting Manager II/AR-Medicaid Branch Head

Health & Human Services; North Carolina; Hybrid; USD 70,000 - 123,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement plans

Hybrid work option

Job summary

The North Carolina Department of Health and Human Services (DHHS) is seeking the Accounts Receivable–Medicaid Branch Head to oversee Medicaid accounts receivable and cash management across the Division of Health Benefits. This role manages branch staff and ensures compliant, timely receipt processing under the Cash Management Plan.

Experience directing AR operations, supervising financial teams, and updating receivable policies is essential.

Qualifications

• Experience directing accounts receivable operations across Medicaid programs.
• Ability to supervise multi-layered financial teams and ensure timely receipt processing.
• Skills in updating receivable policies and detecting control gaps.

Responsibilities

• Oversee accounts receivable and cash management for Medicaid activities.
• Lead development and implementation of procedures to ensure timely receipt processing.
• Direct supervision of an Accounting Supervisor and indirect supervision of staff.
• Coordinate billing, debt collection, and related functions across Medicaid programs.
• Serve as SME on AR and collection compliance for the Office of the Controller.
• Lead updates to Medicaid components of the DHHS Cash Management Plan.

Skills

Accounts receivable

Cash management

Supervising staff

Policy analysis

Medicaid programs

Job description

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 Accounts Receivable–Medicaid Branch Head oversees financial operations supporting Medicaid‑related accounts receivable and cash management activities for the Division of Health Benefits. The position manages branch staff and directs the processes, procedures, and systems used to ensure timely and accurate receipt processing aligned with internal control standards and the DHHS Cash Management Plan. Work includes coordinating receivable, billing, and debt collection activities across multiple Medicaid program areas and serving as a subject matter expert on compliance and accounting practices within the Office of the Controller. This role operates within a high‑volume financial environment that handles an average of $4.5B in annual receipts and requires effective oversight, analysis, and cross‑agency coordination.

Key Duties

• Manage accounts receivable and cash management operations for Medicaid‑related financial activities in alignment with the DHHS Cash Management Plan.
• Direct the development and implementation of procedures and systems that support timely, accurate receipt processing and meet internal control requirements.
• Oversee branch personnel, including direct supervision of an Accounting Supervisor and indirect supervision of accounting staff across multiple classifications.
• Coordinate receivable, billing, and debt collection functions for Medicaid programs such as cost settlement, program integrity, third‑party liability, drug rebates, nursing facility assessments, and miscellaneous invoicing.
• Monitor and ensure appropriate disposition of approximately $4.5B in annual receipts.
• Serve as a subject matter expert for the Office of the Controller on accounts receivable and collection compliance requirements.
• Lead updates for Medicaid‑related components of the DHHS Cash Management Plan, including policy analysis, billing, collections, debt set‑off, and related accounting procedures.
• Represent the AR Accounting Director on financial matters involving accounts receivable and cash management as assigned.
• Facilitate coordination with governmental, nonprofit, and for‑profit agencies participating in Division of Health Benefits programs.

Knowledge, Skills, and Abilities / Management Preferences

Applicants who possess the following skills are preferred:

• Demonstrated experience directing accounts receivable operations, including oversight of financial workflows supporting multiple Medicaid programs such as cost settlement, third‑party liability, drug rebate processing, and debt collection.
• Proven record establishing and integrating accounting procedures and system‑based controls that ensure timely receipt processing, internal control compliance, and alignment with the DHHS Cash Management Plan.
• Documented success supervising multi‑layered financial teams, including direct oversight of supervisory‑level staff and indirect supervision of accounting technicians and accountants to meet operational goals.
• Strong proficiency evaluating and updating receivable policies, including analysis of billing, collections, bad‑debt processes, disbursement practices, and debt set‑off procedures.
• Experience in Medicaid program, receivable and collection compliance, including coordination with internal leadership and external governmental, nonprofit, and for‑profit partners.

Salary and Recruitment Ranges

Salary Grade Range: $70,478.00 - $123,336.00 Recruitment Range: $70,478.00 - $122,303.00

Eligibility and Work Option

This Position Is Funded In Part Through Federal Funds This Position Is Eligible For A Hybrid Work Option

Posting Information

The Posting Will Close At 11:59 P.M. The Night Before The End Date

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 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries. All positions in the Division of Health Benefits are exempt from the State Human Resources Act (G.S. 126) except for the provisions of Articles 6 and 7 per HB 372 Section 20.

About NC Medicaid

NC Medicaid offers health care coverage to eligible low‑income individuals, including adults, children, pregnant women, seniors, and people with disabilities. It expands coverage to people with lower incomes and now includes adults ages 19 through 64. You may qualify under the expanded guidelines even if you were not previously eligible.

Compensation and 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 leave.
• In addition, paid parental leave is available to eligible employees.
• Visit the website forState Benefits.

Supplemental 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: https://www.ncdhhs.gov/. 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 Governor’s 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.

Equal Employment Opportunity 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.