Accounting Manager II/AR-Medicaid Branch Head
Quick Summary
– Manage accounts receivable and cash management operations for Medicaid‑related financial activities in alignment with the DHHS Cash Management Plan.
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.
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 Include:
– 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.
Requirements
~1 min readSome state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.
Bachelor's degree in accounting, or a degree in business administration, finance, public administration, or a related discipline from an appropriately accredited institution with 18 semester hours of accounting coursework; and six years of professional accounting experience in the preparation and review of interpretive or analytical accounting, financial statements and reports; of which at least two are supervisory
OR
An equivalent combination of education and experience.
Some positions may require certification as a Public Accountant.
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.
Location & Eligibility
About this job
- Pay per year
- $70,478–$123,336 a year
- 28% below the $135,000 median for Accounting Manager jobs on Jobera (141 salaries).
- Who can apply
- United States
- Posted
- Today
Listing Details
- Posted
- October 21, 2026
- First seen
- October 21, 2026
- Last seen
- October 21, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 63%
- Scored at
- October 21, 2026
Signal breakdown
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