Job Description

Posting number: 2026-06247

Department: Health Care Authority

Division: FSD

Job classification: FISCAL ANALYST 3

Posting type: Open & Promotional

Categories: Accounting and Finance, Public Health

Fiscal Analyst 3 (FA3/FSD) – Internal

71029105

This opportunity is internal and available to current HCA employees only.

This fiscal analyst works in a specialty unit to perform fiscal tasks using the ProviderOne Medicaid Management Information System. This position manages a high volume of tasks including daily deposits, gross adjustments, claims adjustments, and communicates with insurance companies and providers to process refunding or posting of money to claims. The successful candidate will be highly detail oriented and thorough in helping to ensure Medicaid dollars are allotted where they should be.

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:

The Financial Services Division (FSD), in collaboration with other Health Care Authority (HCA) divisions and a variety of external stakeholders and legislative partners, provides strategic financial expertise for Apple Health, Community Behavioral Health (CBH), Public Employees Benefits Board (PEBB), and School Employees Benefits Board (SEBB) programs. In addition, FSD oversees the budget and compliance functions necessary to manage and monitor the single largest Washington State individual operating budget. Functions include budget management, accounting, forecasting, professional and hospital rate setting, financial analysis, and payment/collection operations.

About the position:

This position reports to the ProviderOne (P1) Accounting Unit supervisor. The position is the specialist in the coordination and accounting of the agency’s cash receipts related to claims processed through the comprehensive P1 system in accordance with Generally Accepted Accounting Principles, statutes, or regulations, which includes tracking, applying, and reconciling receipts for provider and insurance obligations which help to offset the cost of the Medicaid claims program. The position directly supports the agency mission by guaranteeing sums owed to the state under the federal Medicaid program are properly received, posted, and reconciled.

This position is eligible to telework but is required to report on-site once per month for a unit meeting 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. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location.

Examples of duties

Some of what you will do:

• Independently plan, coordinate, and conduct reviews of, and apply cash receipts to, the original claim.
• Communicate with providers, insurance companies, and HCA program management and staff regarding disputes on third-party liability (TPL) adjustments, gross adjustments, and claim adjustments.
• Process TPL, gross adjustments, and claim adjustments in P1.
• Research validity and compliance with Medicaid Services (CMS), communicate with providers and insurance companies, and maintain daily deposits.
• Analyze discrepancies in source documents, work with providers, insurance companies, and/or program staff to resolve them, then post cash receipt to claim in P1.
• Prepare, balance, and record daily bank lockbox receipts.
• Batch and process the agency A-8 through Accounting Database, reflecting accurate funding sources, and submit the A-8 to the Office of the State Treasurer through the Treasury Management System (TM$).
• Monitor all cash receipt notifications received through the HCA Cash Management mailbox or TM$ online reports.
• Communicate to staff for checks that cannot be processed.
• Post A-8 TM$ entries for cash receipts as requested for the Agency Financial Reporting System (AFRS) daily warrants, Medicaid checks, PEBB/SEBB, ACH and wires on the TM$ daily reports.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1:

• Four years of relevant professional experience in a combination of any of the following:
  • Experience analyzing complex financial data and reports, that may include federal and state accounting rules, regulations, policies, and procedures.
  • Proficient in ProviderOne and claims as well as knowledge of software systems used in an Accounting/Fiscal environment. That may include AFRS, Enterprise Reporting System, and Microsoft Excel.
  • Experience with performing research, analyzes, and draw conclusion from fiscal data and support recommendations with facts and analysis; interpret and apply rules, laws, policies, and procedures.
  • Experience in preparing, balancing, and recording daily cash receipts.

Option 2:

• Associate degree, which includes 18 quarter or 12 semester hours in accounting, auditing, or budgeting and
• Two years of relevant professional experience listed above.

Option 3:

• Bachelor’s degree or master’s degree in a financial related field.

Option 4:

• Certification as a Public Accountant, Internal Auditor, Certified Governmental Financial Manager, or Management Accountant

Required competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.
• Must be able to plan and prioritize deliverables in a fast-paced environment.
• Must be able to communicate in a positive manner with diverse audiences.
• Ability to develop positive, productive, respectful work relationships with customers and co-workers.

Preferred qualifications:

• One or two years of experience analyzing complex financial data and reports, federal and state accounting rules, regulations, policies, and procedures.
• Knowledge of AFRS, Enterprise Reporting System, P1, and Microsoft Excel as well as the ability to use various other systems for fiscal use.
• One or two years of experience with state and federal funds as it relates to Medicaid and Children’s Health Insurance Program fiscal rules and regulations.
• One or two years of experience performing research, analyzes, and draw conclusion from fiscal data; supporter commendations with facts and analysis; interpret and apply rules, laws, policies, and procedures.
• Ability to convey ideas and facts orally and in writing using language the audience will best understand.

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 in separate files:

• 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.
• 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.

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