Fiscal Analyst 4 (FA4/FS)

Washington State Health Care Authority; Olympia (WA); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Remote work options

Comprehensive benefits package

Paid vacation and holidays

Paid family leave (PFML)

Retirement savings options

Training & professional development

Job summary

Washington State Health Care Authority is seeking a Fiscal Analyst 4 to serve as the subject matter expert for the Medicaid Administrative Claiming program. You will manage accounts payable, accounts receivable, accruals, and complex GL reconciliations under supervision, ensuring compliance with state and federal rules.

You will review MAC contracts, prepare monthly accruals, and advise stakeholders on new accounting processes while working in a hybrid setup based in Olympia, WA.

Qualifications

• Ability to learn and grow
• Ability to meet the needs of others
• Plan and prioritize deliverables to meet agency deadlines
• Communicate effectively with diverse audiences
• Interpret policies and procedures (GAAP/SAAM)
• Chart of Accounts and account coding knowledge
• Perform general ledger reconciliations
• Proficient in Microsoft Excel
• Clear oral and written communication

Responsibilities

• Plan, organize and perform accounts payable, accounts receivable, and accrual accounting for MAC program
• Review MAC invoices for accuracy and compliance
• Review MAC contracts to ensure requirements are followed
• Prepare monthly accruals for MAC contracts
• Process cash receipts with proper fund coding
• Analyze and reconcile general ledger and subsidiary accounts monthly
• Provide guidance on MAC processes to internal/external stakeholders

Skills

Learning mindset

Stakeholder communication

Policy interpretation

Accounts receivable

Accounts payable

General ledger reconciliations

Excel

Written communication

Education

Associate degree in accounting/auditing/budgeting

Bachelor’s degree in accounting/auditing/budgeting

Master’s degree in financial field or related certification

Six years of relevant professional experience

Job description

Fiscal Analyst 4

All HCA employees are required to be Washington state residents upon their first day of employment.

The Opportunity

This Fiscal Analyst 4 (FA4) position works independently under general direction and serves as a Subject Matter Expert on the Medicaid Administrative Claiming (MAC) Program for Medicaid Administrative Claiming (MAC) Cost Reporting. The position is responsible for the accounts receivable, accounts payable, accruals, general ledger reconciliations, performing the fiscal review process, and monitoring of the MAC contracts to ensure that HCA is in compliance. Keep the Supervisor informed of changes that directly impact HCA state and federal accounting operations and reporting activities. The position reports directly to the Administrative Accounting Manager within the Administrative Accounting Unit.

Key Responsibilities

• Plan, organize and perform accounts payable, accounts receivable, and accrual accounting functions for the MAC program.
• Review MAC invoices for accuracy, completeness and compliance with state and federal rules and regulations prior to processing.
• Review all contracts associated with the MAC program to ensure all requirements are followed.
• Prepare monthly accruals for the MAC contracts.
• Process cash receipts, ensuring proper account coding is provided to ensure funds are credited to the appropriate funding sources.
• Monthly independently analyze and reconcile general ledger accounts and subsidiary accounts, contract logs and liquidation JV logs for accuracy. Report irregularities or system issues to the accounting manager immediately upon discovery.
• Provide assistance and advice to HCA internal and external stakeholders on new accounting processes and procedures related to the MAC program.

Why You’ll Love This Role

Ready to elevate your accounting career? The Washington State Health Care Authority (HCA) is seeking a Fiscal Analyst 4 (FA4) to step into a high-impact, independent role as the Subject Matter Expert for the Medicaid Administrative Claiming (MAC) Program. Working directly under the Administrative Accounting Manager, you will drive critical financial operations—managing accounts payable, accounts receivable, and complex general ledger reconciliations while ensuring strict compliance with GAAP and SAAM guidelines.

What You Bring

Required Qualifications

Experience may have been gained through paid or unpaid activities. Please ensure any relevant experience defined below is outlined in your cover letter, resume, and application.

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.
• Demonstrated ability to plan and prioritize deliverables to meet agency deadlines.
• Demonstrated ability to communicate in a positive manner with diverse audiences and facilitate large and small teams.
• Demonstrated ability to accurately interpret policies and procedures to perform work.
• Demonstrated understanding of the Chart of Accounts and account coding.
• Demonstrated ability to perform general ledger reconciliations.
• Demonstrated skills in Microsoft Excel.
• Excellent oral and written communication skills.

Required Competencies

• Equity lens – All HCA employees are required to consider equity in their decisions, processes, and day-to-day work, including how their work may affect the people and communities we serve.
• The ability to take action to learn and grow – You take action to learn and grow by seeking new perspectives, learning from experiences, and using what you’ve learned to continuously improve how you work and serve others.
• The ability to take action to meet the needs of others – You take action to meet the needs of others by listening, understanding different perspectives, and responding with care, respect, and solutions that support the people of the communities we serve.

Preferred Qualifications

While these are not required, having them may help you stand out as an applicant.

• An associate degree, which includes 18 quarter or 12 semester hours in accounting, auditing, or budgeting and four years of relevant professional experience in any of the areas mentioned above.

OR

• A bachelor’s degree, which includes 18 quarter or 12 semester hours in accounting, auditing, or budgeting and two years of relevant professional experience in any of the areas mentioned above.

OR

• A master’s degree in a financial related field, certification as a Public Accountant, Internal Auditor, Certified Governmental Financial Manager or Management Accountant.

OR

• Six (6) years of relevant professional experience in any of the following areas: Experience with accounts payable and receivable processing, financial report analysis, reconciliation and resolution.

AND

• Experience analyzing complex financial data and reports, federal and state accounting rules, regulations, policies and procedures.
• Experience performing research, analyzing, and drawing conclusions from fiscal data; with the ability to support recommendations with facts and analysis; interpret and apply rules, laws, policies, and procedures.
• Experience with using State of Washington Agency Financial Reporting System, including Financial Toolbox application.
• Experience with using State of Washington’s Enterprise Reporting and/or Web-Intelligence applications.

About the Financial Services Division

Financial Services Division (FSD), which in collaboration with other HCA divisions and a variety of external stakeholders and legislative partners, provides strategic financial expertise for Apple Health, Community Behavioral Health (CBH), PEBB and SEBB programs. In addition, FSD oversees the budget and compliance functions necessary to manage and monitor a $14.5 billion annual budget. Functions include budget management, accounting, forecasting, professional and hospital rate setting, financial analysis, and payment/collection operations. This division maintains a close working relationship with agency program, policy, and clinical divisions to ensure financially sound implementation and monitoring of program strategies. It is also accountable to the Governor and legislature in ensuring HCA operates within its budget.

About the Washington State Health Care Authority

Better Health. Better Care. A Healthier Washington.

At HCA, we work to ensure people across Washington have the opportunity to be as healthy as possible. As the State’s largest health care purchaser and behavioral health authority, HCA serves nearly 3 million Washington residents through Apple Health (Medicaid), Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs, and behavioral health services. Through this work, HCA purchases and coordinates care coverage, supports behavioral health prevention, treatment, crisis response, and recovery and helps strengthen access to high-quality care across Washington.

More than a benefits package:

We want our employees to have the support, flexibility, and benefits they need to do their best work and build a career that works for their life. As a Washington State HCA employee, you’ll have access to a comprehensive benefits package that supports your health, financial well-being, and work-life balance. Our benefits are designed to support you today while helping you plan for the future. Learn more about why HCA by visiting Voices of HCA and the "Who we are" section of our website.

Your total compensation is more than your paycheck:

• Remote work and flexible schedules
• Medical, dental, vision, and basic life insurance
• Paid vacation, sick leave, and 12 paid holidays
• Paid Family and Medical Leave (PFML)
• Retirement options to plan for the future
• Training and professional development opportunities
• Employee wellness programs
• Learn more about Washington State Employee Benefits

Work Location and Schedule

This is a full-time 40-hour-per-week hybrid position. You will report to the HCA office located in Olympia, WA for in-person work approximately 1 day a week during your training period. Our standard business hours are Monday through Friday, 8 a.m. to 5 p.m., with alternative work schedules considered based on business needs. When working in-person, you will work in a shared space, open office environment. In this role you’ll regularly collaborate with colleagues, agency leaders, state and federal partners, and other external partners or customers. Occasional travel and in person attendance may be required for meetings, training, or other business needs. All employees are required to report to our Olympia office on their first and final day of employment.

Our commitment to an inclusive workplace:

The Health Care Authority is an equal opportunity employer. We are committed to creating a workplace where employees are respected, included, and supported in bringing their experiences, perspectives, and ideas to work. Our commitment to inclusion is reflected in how we work together and serve the people of Washington. HCA also supports five voluntary employee led Employee Resource Groups (ERGs), which create opportunities for connection, community, learning, and professional growth.

Veterans

We value the experience and skill veterans bring to the workforce and encourage veterans, transitioning service members, and military spouses to apply. Eligible veterans may qualify for veterans’ preference in accordance with Washington State Law. If you are claiming veterans’ preference, you must attach your applicable DD-214 documentation to your application. Please redact your social security number, date of birth, and any other sensitive information before uploading and attaching the document.

The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.

E-Verify® is a registered trademark of the U.S. Department of Homeland Security.