Accounting Manager II/AR-Medicaid Branch Head

Agency
Dept of Health and Human Services
Division
SEC OFFICE - CONTROLLER
Job Classification Title
Accounting Manager II (NS)
Position Number
60037524
Grade
NC20
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 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.
Knowledge Skills and Abilities/Management Preferences
Salary Grade Range: $70,478.00 - $123,336.00
Recruitment Range: $70,478.00 - $122,303.00
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 experience directing accounts receivable operations, including oversight of financial workflows supporting multiple Medicaid programs such as cost settlement, third‑party liability, drug rebate processing, and debt collection.
Proven record establishing and integrating accounting procedures and system‑based controls that ensure timely receipt processing, internal control compliance, and alignment with the DHHS Cash Management Plan.
Documented success supervising multi‑layered financial teams, including direct oversight of supervisory‑level staff and indirect supervision of accounting technicians and accountants to meet operational goals.
Strong proficiency evaluating and updating receivable policies, including analysis of billing, collections, bad‑debt processes, disbursement practices, and debt set‑off procedures.
Experience in Medicaid program, receivable and collection compliance, including coordination with internal leadership and external governmental, nonprofit, and for‑profit partners..
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
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 3.1 million beneficiaries.
All positions in the Division of Health Benefits are exempt from the State Human Resources Act (G.S. 126) except for the provisions of Articles 6 and 7 per HB 372 Section 20.
About NC Medicaid:
NC Medicaid offers health care coverage to eligible low‑income individuals, including adults, children, pregnant women, seniors, and people with disabilities. It expands coverage to people with lower incomes and now includes adults ages 19 through 64. You may qualify under the expanded guidelines even if you were not previously eligible.
Compensation and Benefits:
The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees.
Visit the website for State Benefits.
Supplemental Contact Information:
The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/.
DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position.
In accordance with the Governor’s Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified.
Application Process
Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application.
Information should be provided in the appropria