Fiscal Analyst ; FA​/FS

All HCA employees are required to be Washington state residents upon their first day of employment.

This Fiscal Analyst 4 (FA4) position works independently under general direction and serves as a Subject Matter Expert on the Medicaid Administrative Claiming (MAC) Program for Medicaid Administrative Claiming (MAC) Cost Reporting. The position is responsible for the accounts receivable, accounts payable, accruals, general ledger reconciliations, performing the fiscal review process, and monitoring of the MAC contracts to ensure that HCA is in compliance.

Keep the Supervisor informed of changes that directly impact HCA state and federal accounting operations and reporting activities. The position reports directly to the Administrative Accounting Manager within the Administrative Accounting Unit.

• Plan, organize and perform accounts payable, accounts receivable, and accrual accounting functions for the MAC program.
• Review MAC invoices for accuracy, completeness and compliance with state and federal rules and regulations prior to processing.
• Review all contracts associated with the MAC program to ensure all requirements are followed.
• Prepare monthly accruals for the MAC contracts.
• Process cash receipts, ensuring proper account coding is provided to ensure funds are credited to the appropriate funding sources.
• Monthly independently analyze and reconcile general ledger accounts and subsidiary accounts, contract logs and liquidation JV logs for accuracy. Report irregularities or system issues to the accounting manager immediately upon discovery.
• Provide assistance and advice to HCA internal and external stakeholders on new accounting processes and procedures related to the MAC program.

Ready to elevate your accounting career? The Washington State Health Care Authority (HCA) is seeking a Fiscal Analyst 4 (FA4) to step into a high-impact, independent role as the Subject Matter Expert for the Medicaid Administrative Claiming (MAC) Program. Working directly under the Administrative Accounting Manager, you will drive critical financial operations-managing accounts payable, accounts receivable, and complex general ledger reconciliations while ensuring strict compliance with GAAP and SAAM guidelines.

This is an exceptional opportunity for a detail-oriented fiscal professional who thrives on problem-solving, strategic financial monitoring, and providing expert guidance to both internal and external stakeholders. If you are looking for a meaningful role where your expertise directly shapes state and federal health care accounting, apply today to make a lasting impact!

Experience may have been gained through paid or unpaid activities. Please ensure any relevant experience defined below is outlined in your cover letter, resume, and application.

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.
• Demonstrated ability to plan and prioritize deliverables to meet agency deadlines.
• Demonstrated ability to communicate in a positive manner with diverse audiences and facilitate large and small teams.
• Demonstrated ability to accurately interpret policies and procedures to perform work.
• Demonstrated understanding of the Chart of Accounts and account coding.
• Demonstrated ability to perform general ledger reconciliations.
• Demonstrated skills in Microsoft Excel.
• Excellent oral and written communication skills.

• Equity lens – All HCA employees are required to consider equity in their decisions, processes, and day-to-day work, including how their work may affect the people and communities we serve.
• The ability to take action to learn and grow – You take…