Financial Analyst II

Dept of Health and Human Services

HEALTH BENEFITS

Financial Analyst II (NS)

60042529

NC15

The Financial Analyst II supports the Provider Reimbursements Unit within the Finance Section of NC Medicaid by performing financial analyses, rate setting, and reimbursement support for assigned Medicaid programs.

This position contributes to the development and maintenance of reimbursement methodologies, including waivers and State Plan Amendments, while independently performing technical tasks following brief on‑the‑job training. It researches and interprets state and federal regulations and stays current with frequent policy and regulatory changes affecting program operations.

The Financial Analyst II includes conducting comparative analyses of cost information across individual facilities, peer groups, national datasets, and industry benchmarks. This position functions within a structured financial operations environment focused on accurate, compliant, and data‑driven reimbursement activities.



Key Duties Include:
– Perform financial analysis on assigned Medicaid providers to determine accurate and compliant payment rates.

– Support rate setting, waivers, State Plan Amendments (SPAs), and other reimbursement needs across multiple Medicaid programs.

– Independently complete assigned analytical tasks following brief job‑specific training and management direction.

– Research and interpret state and federal regulations relevant to Medicaid reimbursement programs and apply findings to analytical work.

– Monitor and incorporate frequent regulatory changes into reimbursement analyses and program documentation.

– Conduct comparative cost analyses using prior years’ facility‑level data, cross‑facility comparisons, national datasets, and industry benchmarks.

– Evaluate provider cost submissions and financial documentation to support data‑driven reimbursement decisions.

– Provide analytical support for reimbursement methodology refinement and policy updates as program needs evolve.

– Maintain accurate analytical records to support audit readiness and ensure consistency in reimbursement calculations.

– Serve as a resource to the unit by contributing regulatory research and analytical insight to support program operations.

Tresha Walker