Budget Analyst (Medicaid / Federal Funds) – Remote Contract, NC DHHS

Overview

This role supports North Carolina in tracking and reporting federal funds behind its Medicaid systems and Medicaid Expansion program. The position is a remote contract assignment with the North Carolina Department of Health and Human Services, Division of Health Benefits (DHB), focusing on federally funded Medicaid system project spending (Advance Planning Documents, or APDs) and analysis of pharmacy rebates and spending for the Medicaid Expansion population.

Pay & Schedule

• $28 – $31 per hour, based on experience
• Full-time: 40 hours per week
• 100% remote (interviews by webcam)
• Contract through September 30, 2027 (start as soon as possible)
• W-2 hourly employee (direct deposit)

Responsibilities

• Monitor and report APD spending, confirming it matches approved budgets by fund type and federal requirements
• Analyze spending by fund and reconcile actual spend to budget
• Track spending by project phase and report phase budget status and remaining balances
• Prepare, review, and process journal vouchers for APD and Expansion activities
• Analyze Expansion pharmacy rebate collections and pharmacy spend; reconcile rebate receivables and report net pharmacy cost trends
• Monitor contract spend across multiple contracts and track fund use across state and federal sources

Requirements

• 3+ years of budget analysis, accounting, financial reporting, or federal grants management; ideally in government or healthcare finance
• 3+ years tracking fund use across state and federal sources and monitoring contract spend
• Strong spreadsheet and financial systems skills, with the ability to produce clear reports for leadership
• Ability to manage multiple priorities and meet reporting deadlines independently
• Comfortable collaborating and tracking work using Microsoft Project, Teams, and Zoom
• Excellent written and verbal communication
• Authorized to work in the U.S.; able to pass a national background check and E-Verify

Preferred Qualifications

• State government or public sector experience with Medicaid, MMIS, or other health and human services programs
• Knowledge of federal financial participation (FFP), Advance Planning Documents, or similar federally funded projects
• Pharmacy rebate or drug rebate reconciliation experience

Compensation & Benefits

• Medical insurance with a choice of PPO plans
• Dental and vision coverage
• Basic life insurance
• 401(k) retirement plan
• Optional savings and early pay access

Location

• 100% remote
• Contract assignment with the North Carolina Department of Health and Human Services, Division of Health Benefits (DHB)