Associate Director, Budget

  • Wake County, NC - Raleigh, NC View on Map
  • Post Date : March 30, 2024
  • Salary: $59752
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Job Detail

  • Company Name State of North Carolina

Job Description

Description of Work**This position is exempt from the State Human Resources Act**TELEWORK AVAILABILITY: We trust our employees to be self-motivated and successful in hybrid/remote roles; NC Department of Health and Human Services offers work from home options and variable work schedule flexibility for this position.Division of Health Benefits employees with an approved hybrid telework schedule are currently expected to work onsite at their assigned duty station at least 4 working days per month or more as needed for business operations. Telework options are subject to change at the discretion of management. More information on this arrangement may be obtained at the time of interview.This position’s duty station is assigned to Dix Campus in Raleigh, North Carolina.Position SummaryNC Medicaid strives to optimize the purchasing power of each state dollar in the quest to “buy health” efficiently for Medicaid beneficiaries. Division of Health Benefits’ Finance Section analyzes national and state economic trends, changes in the health care market, and trends in Medicaid spending using proven budget and finance practices to prepare the Department and North Carolina for financial challenges that lie ahead.The Associate Director (AD) of Budget reports to the Deputy Director (DD) of Budget. The AD of Budget manages the Budget and Financial Planning and Analysis (FP&A) teams of financial analysts.The Budget team develops the biennium and continuation budgets. This team also proactively monitors forecasted and actual spending versus budget, revises budget amounts based on the latest forecasts, and engages with the Centers for Medicare & Medicaid Services (CMS), OSBM and the Department central finance office to manage cash flow to and from NC Medicaid.The Financial Planning & Analysis team develops spending and enrollment models that inform executive management as they develop biennium budget and cash projections, creates external and internal management reporting on spending and enrollment trends and variances, quantifies the impact of program and policy changes, and responds to ad hoc stakeholder requests.Job Specific Responsibilities

  • Manage the development, execution and maintenance of DHB’s biennial and annual budgets.
  • Prepare and submit required forms and schedules in the state’s budget revision system (IBIS) and prepare needed budget adjustments throughout the year.
  • Proactively identify and advise on potential budgetary issues; advise and recommend actions as appropriate, to ensure the achievement of the approved budget.
  • Design, develop, and manage effective Budget and FP&A units to serve as a resource to program managers and DHB leadership including the facilitation of frequent meetings between analysts and program representatives to support fiscal accountability across the Division.
  • Collaborate with other DHB Finance and other leaders to establish and maintain processes, including tools, reports, and dashboards, used to monitor payments/expenditures, particularly to track against budget and forecasts.
  • Combine forecasts for each major fund and account into a comprehensive budget model (the Medicaid “rebase”) that enables mission critical fiscal planning and provides transparency for internal and external stakeholders, including the OSBM and the Fiscal Research Division (FRD) of the General Assembly.
  • Ensure forecasts reflect current and/or anticipated Medicaid program design and historical experience, as mediated by prevailing macroeconomic trends and policy context.
  • Collaborate with DHB Strategy and Actuarial Teams and vendor partners to inform, monitor, and incorporate data regarding capitation rates.
  • Coordinate the creation of formal fiscal notes for legislation, policy proposals, and/or State Plan Amendments.

Knowledge, Skills and Abilities / CompetenciesTo receive credit for all of your work history and credentials, you must list the information on the application form. Any information listed under the text resume section or on an attachment will not be considered for qualifying credit. Qualified applicants must document on the application that they possess all of the following:

  • Experience communicating effectively with internal and external stakeholders.
  • Experience monitoring, interpreting, applying and communicating fiscal regulations.
  • Demonstrated strong proficiency in Microsoft Excel.
  • Strong analytical and problem-solving skills with experience in data analysis, forecasting, and modeling.
  • Demonstrated skill preparing financially driven statements, presentations, and reports, and interpreting these artifacts effectively for non-technical audiences.

Management Preferences:

  • Previous and proven work experience at Division of Health Benefits/NC Medicaid.
  • Familiarity with relevant and current NC Medicaid operations.
  • Medicaid, Medicare, and/or health insurance industry experience.
  • Understanding of federal budgetary requirements and North Carolina’s budgeting and accounting practices.

Minimum Education and Experience RequirementsSome 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 for details.Bachelor’s degree in accounting, business administration, economics, finance, management or related discipline from an accredited institution with six years of directly related experience and at least one year of supervisory experience or an equivalent combination of education and experience.Degrees must be from appropriately accredited colleges or universities.Supplemental and Contact InformationThe North Carolina Department of Health and Human Services is an Equal Opportunity Employer.Pre-employment criminal background checks are required for all positions with the Division of Health Benefits (DHB).About NC Medicaid (Division of Health Benefits)The North Carolina Department of Health and Human Services (NCDHHS) works closely with beneficiaries, health care professionals, community leaders and advocacy groups; local, state and federal entities; and other community partners vested to improve the health and safety of all North Carolinians by providing essential human services. NCDHHS is one of the largest, most complex agencies in the state, with about 17,000 employees.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, NC Medicaid Managed Care 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 $21 billion in state and federal funds per fiscal year, DHB ensures that more than 96,000 enrolled providers are reimbursed for delivering covered services to 2.9 million beneficiaries.Realizing the strength of DHB lies in its employees, DHB remains dedicated in its efforts to create and maintain a diverse, equitable and inclusive workplace environment.Application ProcessApplicants are encouraged to apply for positions of interest, regardless of their current grade level and job classification. A pay increase may or may not result. Salary decisions are based on relevant education and experience, budget, and internal equity.To be under consideration for this vacancy, all applicants must complete an online application using this link: If multiple applications are submitted to an individual posting, only the most recent application received prior to the posting close date will be evaluated for consideration.Due to the volume of applications received, we are unable to provide information regarding the status of your application. To check the status of your application, please log in to your account. You will either receive a call or email to schedule an interview or an email notifying you when the job has been filled. For technical issues with your application, please call the NeoGov Help Line at 855-524-5627. If there are any questions about this posting other than your application status, please contact us at For temporary, contract or other supplemental staffing appointments:
There are no paid leave, retirement or other benefits associated with these appointment types.For permanent and time-limited appointments:
Eligible employees have benefits that include employee health insurance options, standard and supplemental retirement plans, NC Flex (a variety of high-quality, low-cost benefits on a pre-tax basis), and paid vacation, sick, and community service leave, to name a few. Paid parental leave is available for eligible employees. Some benefits require 30 + hours work/week for participation.

Expected salary: $59752 – 104566 per year

Location: Wake County, NC – Raleigh, NC

Job date: Fri, 29 Mar 2024 08:48:33 GMT

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