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 appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.
Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers.
If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 11:59 PM on the closing date.
Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check.
Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account.  Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks.
Degrees must be received from appropriately accredited institutions.  Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent.
For a list of organizations that perform this specialized service, please visit the NACES membership website at https://www.naces.org/members.

Degree/College Credit Verification

Degrees must be received from appropriately accredited institutions. Transcripts, degree evaluations, and cover letters may be uploaded with your application.

Veterans’ and National Guard Preference

Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications.
Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing. 
Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application.

ADA Accommodations

Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation.  If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below.

CONTACT INFORMATION 

If there are any questions about this posting, please contact Talent Acquisition at talentacquisition@dhhs.nc.gov. Resumes will not be accepted in lieu of completing this application.

Minimum Education and Experience

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.

EEO Statement

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.

Recruiter:

Tresha Walker

Contact:

DHHS Workday Support Form