12h ago
New
$70,478.00 - $123,336.00/yr

Accounting Manager II/AR-Medicaid Branch Head

United StatesUnited States·Wake Countymid
Finance & AccountingAccounting Manager
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Quick Summary

Key Responsibilities

– Manage accounts receivable and cash management operations for Medicaid‑related financial activities in alignment with the DHHS Cash Management Plan.

Technical Tools
Finance & AccountingAccounting Manager
Dept of Health and Human Services

SEC OFFICE - CONTROLLER

Accounting Manager II (NS)

60037524

NC20

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.


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 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 read

Some 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.

Tresha Walker

Location & Eligibility

Where is the job
Wake County, United States
On-site at the office
Who can apply
US

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
Employer
has 1,574 open jobs on Jobera.

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

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Accounting Manager II/AR-Medicaid Branch Head$70,478.00 - $123,336.00