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The Health Safety Net (HSN) Fiscal Operations team's duties include, but are not limited to, the areas of accounting, payment processing, fiscal analysis, data collection, public information, policy development, and general fiscal operation and administrative costs related to the Health Safety Net, a fund that compensates providers, including Massachusetts acute care hospitals and Community Health Centers, for health care provided to low-income patients.
The HSN Fiscal Policy Analyst serves as a policy, fiscal, and operational resource for the HSN Fiscal Operations team, supporting the administration and continuous improvement of a complex public health care financing program. The position applies policy analysis and project management skills to evaluate how statutory, regulatory, programmatic, and operational changes affect HSN fiscal operations; identify gaps, risks, and opportunities for improvement; and develop recommendations to strengthen payment accuracy, reporting, stakeholder support, and program administration. Working at the intersection of policy and operations, the HSN Fiscal Policy Analyst helps translate complex policy requirements into practical fiscal processes and supports cross-functional projects that advance accurate, consistent, and compliant administration of the Health Safety Net.
Duties and Responsibilities (these duties are a general summary and not all inclusive) :

• Support the administration of the HSN Fiscal Operations team in the areas of accounting, payment processing, fiscal analysis, policy implementation, data collection, and daily operations.
• Support and assist with the accurate and timely processing of the monthly HSN payment cycle.
• Record, track, and reconcile HSN transactions by HSN Fiscal Year to ensure alignment with the Commonwealth's accounting system.
• Investigate and analyze issues related to HSN payments, provider assessments, collections, account balances, and other fiscal transactions.
• Produce monthly, annual, and ad hoc fiscal and accounting reports, including GAAP-related reporting, monthly cash records, account status reports, and other materials as required.
• Analyze hospital, Community Health Center, cost report, payment, and other provider data to support policy development, operational improvements, and fiscal decision-making.
• Support HSN policy design, development, and implementation by identifying fiscal, operational, and policy gaps; developing work plans; tracking deliverables; and preparing recommendations.
• Coordinate with internal MassHealth teams, vendors, providers, and other stakeholders to resolve operational issues and support implementation of HSN fiscal policies and procedures.
• Review and respond to inquiries from providers, patients, and other stakeholders.
• Perform other duties, as assigned.

Required Qualifications :
• Knowledge of the principles and practices of general accounting terminology and standard abbreviations.
• Knowledge of the principles and practices of auditing.
• Knowledge of the methods of general report writing.
• Knowledge of the methods used in the preparations of charts, graphs and tables.
• Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations.
Preferred Qualifications :
• Knowledge of accounting and/or finance.
• Knowledge of the methods and techniques of financial and policy analysis.
• Ability to interpret financial reports, payment data, cost reports, and accounting records.
• Ability to use Microsoft Excel or similar tools to organize, analyze, and validate financial data.
• Ability to reconcile financial transactions and identify discrepancies.
• Ability to analyze and determine the applicability of data, to draw conclusions and make appropriate recommendations.
• Ability to exercise sound judgment.
• Ability to adjust to changing situations to meet urgency or changing requirements for the HSN.
• Ability to manage projects, track deliverables, and coordinate work across internal and external stakeholders.
• Ability to interpret policy changes and assess operational, fiscal, and reporting impacts.
• Ability to communicate fiscal and policy information clearly to internal and external stakeholders.
• Ability to learn complex program rules, payment methodologies, and fiscal processes.
To Apply :
Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.
About MassHealth :
The mission of MassHealth is to improve the health outcomes of our diverse members, their families, and their communities by providing access to integrated health care services that sustainably promote health, well-being, independence, and quality of life.
For more information about our agency and programs please visit: www.mass.gov/masshealth
Pre-Offer Process :
A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.
ADA Reasonable Accommodation:
If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests .
For questions, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 and select option #4.
Qualifications:
First consideration will be given to those applicants that apply within the first 14 days.
MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) four years of full-time, or equivalent part-time, professional experience in accounting or auditing, of which at least (B) one year must have been in supervisory, administrative or managerial capacity, or (C) any equivalent combination of the required experience and the substitutions below.
Substitutions:
I. A Bachelor's degree with a major in accounting, business administration or business management may be substituted for a maximum of one year of the required (A) experience.*
II. A Graduate degree with a major in accounting, business administration, or business management may be substitute for a maximum of two years of the required (A) experience.*
*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.
NOTE: Educational substitutions will only be permitted for a maximum of two years of the required (A) experience. No substitution will be allowed for the required (B) experience.
Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range .
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.