State of North Carolina
Overview
Position is exempt from the State Human Resources Act - G.S. 126. Position is funded in part through federal funds. Position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours.
Recruitment Range:
$104,096.00 - $194,851.00
PENDING RECLASSIFICATION
“Steward of $34 Billion: Driving Fiscal Strategy for NC Medicaid”
The NC Medicaid Chief Financial Officer (CFO) position provides fiscal leadership and strategic oversight of an annual budget exceeding $34 billion, shaping financial policy for one of the most complex and high-visibility healthcare programs in the state. The CFO serves as the principal advisor on Medicaid and Health Choice financial strategy, engaging with the DHHS Secretary’s Office, Governor’s Office, Legislature, Fiscal Research Division, federal agencies, and provider organizations to ensure fiscal accountability, sustainability, and transparency.
The CFO directs the development and execution of financial policies, fiscal controls, and budget frameworks while leading comprehensive forecasting, monitoring, and reporting processes. Supported by an executive financial management team and a staff of 50–75 professionals and contractors, the CFO oversees daily operations including budgeting, revenue and expenditures, audits, and contract management. This role requires exceptional leadership, advanced financial acumen, and the ability to balance regulatory compliance with strategic planning to safeguard North Carolina’s Medicaid and Health Choice programs and advance statewide healthcare priorities.
The NC 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.
About the NC Department of Health and Human Services (DHHS):
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.
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 website for benefits.
Candidates
now meet the minimum qualifications of a position if they have the minimum education and experience listed on the vacancy announcement.
Responsibilities
Provide fiscal leadership and strategic oversight of a multi-billion dollar Medicaid program.
Develop and execute financial policies, fiscal controls, and budget frameworks; lead forecasting, monitoring, and reporting processes.
Direct budgeting, revenue and expenditures, audits, and contract management; supervise an executive financial management team and staff.
Engage with the DHHS Secretary’s Office, Governor’s Office, Legislature, and federal agencies to ensure fiscal accountability and transparency.
Balance regulatory compliance with strategic planning to safeguard Medicaid and Health Choice programs and advance statewide healthcare priorities.
Qualifications
Master’s degree in business administration, public administration, or related field, and three years of progressive administrative experience including supervising, planning, and managing a government program; OR
Bachelor’s degree in business administration, public administration, or related field, and five years of progressive administrative experience including supervising, planning, and managing a government program; OR
Equivalent combination of education and experience.
About the Organization DHHS is an Equal Opportunity Employer
and embraces an Employment First philosophy, complying with all federal and state laws and Executive Orders. Reasonable accommodations are available during the hiring process and while on the job.
Application Process
Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing the application.
Provide education, work experience, and certificates in the appropriate sections; supplemental questions are not a substitute for providing all relevant information within the body of the application.
If multiple applications are submitted, only the most recent will be considered; applications must be submitted by the closing date.
Applicants may be subject to a criminal background check; certain positions may require additional background checks.
Notes Degrees must be from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. For technical issues with your application, contact NeoGov Help Line. For questions about this posting, contact Talent Acquisition at talentacquisition@dhhs.nc.gov.
#J-18808-Ljbffr
Recruitment Range:
$104,096.00 - $194,851.00
PENDING RECLASSIFICATION
“Steward of $34 Billion: Driving Fiscal Strategy for NC Medicaid”
The NC Medicaid Chief Financial Officer (CFO) position provides fiscal leadership and strategic oversight of an annual budget exceeding $34 billion, shaping financial policy for one of the most complex and high-visibility healthcare programs in the state. The CFO serves as the principal advisor on Medicaid and Health Choice financial strategy, engaging with the DHHS Secretary’s Office, Governor’s Office, Legislature, Fiscal Research Division, federal agencies, and provider organizations to ensure fiscal accountability, sustainability, and transparency.
The CFO directs the development and execution of financial policies, fiscal controls, and budget frameworks while leading comprehensive forecasting, monitoring, and reporting processes. Supported by an executive financial management team and a staff of 50–75 professionals and contractors, the CFO oversees daily operations including budgeting, revenue and expenditures, audits, and contract management. This role requires exceptional leadership, advanced financial acumen, and the ability to balance regulatory compliance with strategic planning to safeguard North Carolina’s Medicaid and Health Choice programs and advance statewide healthcare priorities.
The NC 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.
About the NC Department of Health and Human Services (DHHS):
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.
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 website for benefits.
Candidates
now meet the minimum qualifications of a position if they have the minimum education and experience listed on the vacancy announcement.
Responsibilities
Provide fiscal leadership and strategic oversight of a multi-billion dollar Medicaid program.
Develop and execute financial policies, fiscal controls, and budget frameworks; lead forecasting, monitoring, and reporting processes.
Direct budgeting, revenue and expenditures, audits, and contract management; supervise an executive financial management team and staff.
Engage with the DHHS Secretary’s Office, Governor’s Office, Legislature, and federal agencies to ensure fiscal accountability and transparency.
Balance regulatory compliance with strategic planning to safeguard Medicaid and Health Choice programs and advance statewide healthcare priorities.
Qualifications
Master’s degree in business administration, public administration, or related field, and three years of progressive administrative experience including supervising, planning, and managing a government program; OR
Bachelor’s degree in business administration, public administration, or related field, and five years of progressive administrative experience including supervising, planning, and managing a government program; OR
Equivalent combination of education and experience.
About the Organization DHHS is an Equal Opportunity Employer
and embraces an Employment First philosophy, complying with all federal and state laws and Executive Orders. Reasonable accommodations are available during the hiring process and while on the job.
Application Process
Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing the application.
Provide education, work experience, and certificates in the appropriate sections; supplemental questions are not a substitute for providing all relevant information within the body of the application.
If multiple applications are submitted, only the most recent will be considered; applications must be submitted by the closing date.
Applicants may be subject to a criminal background check; certain positions may require additional background checks.
Notes Degrees must be from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. For technical issues with your application, contact NeoGov Help Line. For questions about this posting, contact Talent Acquisition at talentacquisition@dhhs.nc.gov.
#J-18808-Ljbffr