APD Financial Analyst

ClinDCast, LLC; North Carolina; Hybrid; USD 90,000 - 130,000; Full time

Job summary

ClinDCast, LLC seeks a Financial Analyst to ensure APD funding requests align with documentation and CMS conditions. You will develop the MDBT, forecast budgets, and prepare financial narratives for MES projects, working with diverse teams to maintain budgets and document forecasts.

You will gather cost estimates, maintain the MDBT, and support budget discussions with internal and external partners, driving timely decisions and compliant MES budgeting.

Qualifications

• Experience developing budgets and financial narratives for complex programs.
• Ability to collect cost estimates and produce MDBT updates.
• Strong communication with internal and external partners.

Responsibilities

• Lead the Medicaid Detailed Budget (MDBT) development and governance.
• Coordinate budget planning, forecasting, and reporting across teams.
• Prepare financial narratives and SOPs for APDs.
• Facilitate budget review meetings with stakeholders.
• Monitor expenditures against CMS approved funding and stay within budgets.
• Collaborate with DHHS program areas, ITD Finance, Contracts and vendor teams.

Skills

Financial Analysis

Budgeting

Forecasting

Stakeholder Management

Tools

Microsoft Project Suite

MS Teams

Zoom

PowerPoint

Job description

The Division of Health Benefits, NC Medicaid Advanced Planning Office is seeking a financial analyst to develop the MDBT and ensure all project funding requests align with the documentation requirements for each APD in support of the MES Program.

Job Description

This position is responsible for ensuring that all project funding requests align with the documentation requirements for each Advanced Planning Document (APD), and that APDs accurately reflect the full funding needs of each project while meeting CMS enhanced funding conditions. The role collects project cost estimates from stakeholders to update the Medicaid Detailed Budget Table (MDBT), calculates MES APD budget tables, drafts APD financial narratives, and facilitates budget discussions with internal and external partners. The position collaborates closely with project teams, technical teams, vendors, Contracts, DHB Budget, ITD Finance, and other key stakeholders to develop APDs that support the Medicaid Enterprise System (MES) Program. It monitors APD expenditures against CMS‑approved enhanced funding, maintains the master MDBT, facilitates budget review meetings, develops financial models and forecasting tools, and ensures projects remain within approved budget parameters.

Key Responsibilities

• Lead and manage the development of the Medicaid Detailed Budget (MDBT).
• Execute effectively across multiple priorities and concurrent projects.
• Perform comprehensive budget, accounting, and financial tracking activities.
• Utilize project collaboration and tracking tools, including Microsoft Project Suite, MS Teams, Zoom, and related applications.
• Create and deliver clear and compelling PowerPoint presentations, financial summaries, and standard operating procedures (SOPs).
• Support project management activities, including planning, facilitation, documentation, and reporting.
• Engage and collaborate with stakeholders to ensure alignment, clarity, and timely decision‑making.
• Coordinate closely with DHHS program areas and other state government partners as needed.
• Ensure compliance with established policies, procedures, and fiscal standards.