Medicaid Fiscal Manager (#MABZ44)
$61,258.00 Yearly Min / $76,573.00 Yearly Mid / $91,888.00 Yearly Max

Summary Statement

An incumbent in this class is responsible for directing the budget analysis and development process for the state Medical Assistance Program.

  • Provides budget analysis and projections for Medical Assistance Program with annual budget over $300 million.
  • Supervises 3 Management Analysts.
  • Responsible for projection model contract of over $100,000.00.

Nature and Scope

A class incumbent reports to a Social Services Chief Administrator and is responsible for directing the budget development process which includes ensuring accurate projections of administrative and health care costs for the Medical Assistance Program. Work involves participating in the development of a statistical forecasting model for use in projecting program expenditures and maintaining the model through analysis of cost drivers and their impact on the accuracy of budget projections. In addition, the incumbent determines fiscal impact of new health care policies and makes modifications in budget projections based on changes in programmatic, economic and demographic information. Typical contacts are with a variety of federal and state health care agencies, interdepartmental task forces and committees for the purpose of presenting and explaining statistical and financial budget data for inclusion in the Department's budget.


Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

  • Supervises staff engaged in reviewing programmatic, economic and demographic information to recommend changes in forecasting model; Assesses effectiveness of forecasting model based on an analysis of cost driver factors and determines extent to which model needs modification to accurately project program budget.
  • Directs analysis of expenditures and utilization of health care services to explain treads and identifies unanticipated circumstances requiring revisions to budget projections.
  • Prepares recommendations concerning budget amounts, revision of forecasting models, and other budget issues.
  • Directs the planning, development, and maintenance of reporting systems to obtain budgetary data and other management information such as, statistics on expenditures, health care usage, demographics, and provider reimbursement and billing practices.
  • Serves as lead staff on interdivisional task force concerned with forecasting expenditures and compiles monthly report for review by Department staff as well as representing Medical Assistance or other State agencies on task forces concerning Delaware budgetary health issues.

Knowledge, Skills and Abilities

The intent of the listed knowledge, skills and abilities is to give a general indication of the core requirements for all positions in the class series; therefore, the KSA’s listed are not exhaustive or necessarily inclusive of the requirements of every position in the class.

  • Knowledge of advanced statistical and mathematical theories and forecasting methodologies
    including regression, ARIMA models, and exponential smoothing.
  • Knowledge of the factors influencing health care cost including health care utilization, census data, health trend analysis, health related social or demographic data, public health planning and health care rate setting practices.
  • Knowledge of the applicable federal and state laws and regulations governing medicaid programs.
  • Knowledge of the federal and state standards for health planning.
  • Knowledge of the principles and practices of supervision and program management.
  • Knowledge of micro and mainframe computer hardware and software packages used for statistical data collection and analysis.
  • Skill in conducting research including collection and analysis of statistical data.
  • Ability to apply advanced statistical and mathematical theories to the analysis of budget data.
  • Ability to evaluate the reliability of statistical data and make appropriate revisions to budget
  • Ability to use statistical software packages designed to perform time series analysis and
  • Ability to analyze, recommend, and implement policies and procedures.
  • Ability to express and present ideas and conclusions clearly, concisely, and effectively in oral and written form.
  • Ability to plan, assign, review and evaluate the work of staff.
  • Ability to establish and maintain effective working relationships with individuals and groups
    representing widely divergent interests.

Job Requirements

JOB REQUIREMENTS for Medicaid Fiscal Manager
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

  1. Three years experience in planning, designing, developing, implementing and evaluating fiscal management studies.
  2. Three years experience in budget development which includes analyzing financial data and making long and short range plans and projections.
  3. Six months experience in staff supervision which includes planning, assigning, reviewing, and evaluating the work of others.