Accounting Manager II/AR-Medicaid Branch Head

Location: Wake County, NC

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