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Behavioral Health Fiscal Accountability Analyst (WMS2/DAIO)

State of Washington Health Care Authority
Olympia, WA Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 4/28/2025

Description



Behavioral Health Fiscal Accountability Analyst (WMS2/DAIO)

71062432


As a Behavioral Health Fiscal Accountability Analyst, you’ll play a key role in managing the finances of large behavioral health programs in Washington State. In this position, you’ll handle important work such as monitoring budgets, creating financial models, and ensuring Medicaid and grant-funded contracts run smoothly. You’ll work closely with teams across different departments and agencies, take part in important projects, and help improve financial policies that impact health services. This role offers telework flexibility, chances for statewide travel, and great benefits. It’s a great fit for someone with strong accounting skills, experience in complex financial systems, and a passion for public service.

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.

About the division:

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

About the position:

This position is responsible for overseeing and ensuring proper financial monitoring of HCA contracts, especially those related to Medicaid, state and federal grants, and behavioral health services through Behavioral Health and Administrative Services Organizations (BHASOs). Key duties include developing and managing fiscal oversight activities, helping program managers create service contracts and financial policies, and supporting the design of reimbursement methods for Medicaid and other services provided by BHASOs and Managed Care Organizations (MCOs). The role also involves estimating costs for audits and ensuring financial compliance across various HCA programs statewide.

This position is eligible to telework but is occasionally required to travel or report on-site to meet business need. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.

Duties

Some of what you will do:

  • Evaluates fiscal activities, financial records, procedures, processes, and policies to ensure compliance with state and federal regulations, as well as legislative requirements.
  • Creates and monitors corrective action plans in line with federal requirements and legislative mandates.
  • Designs, develops, and implements fiscal structures for federal reimbursement policies, procedures, surveys, and monitoring to ensure continued federal funding.
  • Writes clear and effective audit reports, prepares and delivers formal and informal reports, memos, and presentations to both internal and external stakeholders, and provides findings and recommendations for corrective actions to BHASOs.
  • Acts as Project Lead as needed and ensures high-quality audit engagements by defining audit objectives, conducting risk analysis, developing criteria, and determining project scope, approach, and evidence review.
  • Conducts entrance and exit conferences with BHASOs during audit engagements.
  • Coordinates and responds to fiscal audits.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

  • Bachelor's degree in accounting or a closely related field and
  • Three (3) years of the required experience below

Option 2:

  • Associate degree in accounting or a closely related field and
  • Five (5) years of the required experience below

Option 3:

  • Seven (7) years of the required experience below


The required experience includes the following:

  • Professional auditing or accounting experience.
  • Ability to travel statewide using a state-owned vehicle.
  • Knowledge of Generally Accepted Accounting Principles (GAAP), Governmental Accepted Cash Accounting, and Auditing Standards.
  • Ability to interpret policies, procedures, financial reports, legislation, and other financial data.
  • Ability to effectively communicate both orally and in writing with peers, contractors, executive management, and staff from other agencies.

Note: Position requires the incumbent to successfully meet all contracts training requirements within the first 30 days of employment.


Preferred qualifications:

  • Master’s degree in public administration or related field, with two years of professional experience working with large, complex financial systems/information (experience within state or government entities strongly preferred).
  • Seven years of experience in the financial field.
  • Four or more years of experience in financial modeling.
  • Two or more years of experience querying data using programs such as SQL.
  • Expert/advanced skill level with Microsoft Excel, including designing complex models, structuring data for pivot tables, and composing nested formulas.
  • Strong analytical skills for financial research and modeling in complex multi-system environments.
  • Ability to analyze data, develop problem-solving strategies, establish benchmarks, and support ideas using data.
  • Experience analyzing budgeted, forecasted, and actual expenditures, identifying variances, and effectively communicating reasons for differences.
  • Working knowledge of analytical query protocols/software such as SQL.
  • Experience working with Washington State systems, including AFRS, BDS, and Provider One.
  • Familiarity with state and federal laws, rules, and regulations governing grant, Medicaid, CHIP, and state-funded health programs.
  • Knowledge of executive and legislative processes in state government, with experience contributing to decision packages and fiscal notes.
  • Effective verbal and written communication skills, with the ability to present complex financial information to non-financial audiences.
  • Experience communicating with diverse audiences, including government officials, federal auditors, and staff with varying levels of financial expertise.
  • Ability to build consensus among internal and external stakeholders for departmental and legislative initiatives.
  • Experience developing and reviewing complex written materials, providing detailed policy analysis, and supporting policy recommendations.
  • Experience working with the federal government.
  • Ability to travel for several days at a time.


How to apply:

Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach:

  • A cover letter that specifically addresses how you meet the qualifications for this position
  • Current resume

To take advantage of veteran preference, please do the following:

  • Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
  • Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.

Supplemental Information

About HCA:

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

What we have to offer:
  • Meaningful work with friendly co-workers who care about those we serve Voices of HCA
  • A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
  • A healthy work/life balance, including alternative/flexible schedules and mobile work options.
  • A great total compensation and benefit package WA State Government Benefits
  • A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
  • Tuition reimbursement
  • And free parking!

Notes:

Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Jake Nelko at (360) 725-0945 or jake.nelko@hca.wa.gov.

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.


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