Financial Analyst II

Adult Correction; North Carolina; Hybrid; USD 55,000 - 97,000; Full time

Benefits offered by this job

Hybrid work option

Job summary

The North Carolina Department of Health and Human Services (DHHS) is seeking a Financial Analyst II to support the Provider Reimbursements Unit within the Finance Section of the Division of Health Benefits. You will perform financial analyses, rate-setting activities for Medicaid programs, and contribute to data-driven reimbursement decisions.

Responsibilities include modeling reimbursement, reviewing costs, researching state and federal regulations, and documenting analyses.

Qualifications

• Demonstrated intermediate-level experience with Medicaid claims data to support reimbursement analysis and rate-setting.
• Proficient in Excel (pivot tables, lookups) for large datasets and financial modeling.
• Experience conducting comparative financial analyses across multiple years, facilities, and benchmarks.
• Ability to interpret and apply state and federal Medicaid regulations to reimbursement methodologies.
• Proven track record delivering accurate outputs after brief training.

Responsibilities

• Conduct financial analyses on Medicaid providers to determine payment rates.
• Support rate-setting with reimbursement modeling and documentation.
• Analyze cost data and compare facility results with benchmarks.
• Research and apply state/federal Medicaid regulations to reimbursement methods.
• Track regulatory changes and incorporate into calculations and program assessments.
• Prepare data and inputs for waiver and SPA processes.
• Perform analyses using Excel to support financial decisions.
• Deliver tasks independently after initial training with timely outputs.

Skills

Medicaid claims data

Excel pivot tables

Lookups

Large dataset analysis

Independent work

Tools

Excel

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 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

Salary Grade Range: $55,221.00-$96,639.00

Recruitment Range: $55,221.00-$75,930.00

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:

• Demonstrated intermediate‑level experience working with Medicaid claims data to support reimbursement analysis and inform rate‑setting activities.
• Documented success using Excel at an intermediate or higher proficiency level, including pivot tables, lookups, and manipulation of large datasets for financial review and modeling purposes.
• Proven track record conducting comparative financial analysis by evaluating cost information across multiple years, facilities, and industry benchmarks to inform reimbursement decisions.
• Established experience researching, interpreting, and applying state and federal Medicaid regulations to support reimbursement methodologies and program updates.
• Consistent performance completing analytical tasks independently after brief training, producing accurate financial outputs that support the Provider Reimbursement Unit's operational requirements.

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

• This Position Is Funded In Part Through Federal Funds
• This Position Is Eligible For A Hybrid Work Option
• EHRA: Per G.S. 126-5(c1) (37), This Position Is EXEMPT From All Provisions Of NC General Statute Chapter 126 (State Human Resources Act) With The Exception Of Articles 6 And 7

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