Senior Fiscal / Reimbursement Analyst 2026P-0757
Ascension, LLC is seeking an experienced Senior Fiscal / Reimbursement Analyst to provide specialized fiscal analysis, budget management, reimbursement review, cost allocation, and financial reporting support for public health programs administered by the State of Delaware’s Division of Public Health (DPH).
The ideal candidate brings a strong background in government financial management, public-sector budgeting, healthcare reimbursement, grant-funded program expenditures, and financial controls. This individual understands how to evaluate financial information, reconcile expenditures, assess reimbursement accuracy, and translate complex fiscal data into actionable recommendations that support program accountability and effective resource allocation.
The successful candidate is analytical, organized, and self-directed, with the demonstrated ability to manage competing priorities, identify financial discrepancies, and produce accurate financial analyses and reports with limited supervision.
Experience supporting state health departments, federal or state grant programs, Medicaid reimbursement, or other publicly funded health and human services initiatives is particularly valuable.
2. Position Summary
The Senior Fiscal / Reimbursement Analyst provides recurring financial management and analytical support to help DPH maintain sound fiscal oversight, strengthen reimbursement controls, monitor program expenditures, and support accurate budget planning and reporting.
Working approximately 10 hours per week over an anticipated 40-week engagement, the contractor analyzes budget and expenditure data, reviews reimbursement documentation, evaluates cost allocations, and prepares financial reports that help program managers understand funding utilization, identify discrepancies, and make informed resource decisions.
The position requires a professional who can independently assess financial records, resolve data inconsistencies, anticipate reporting or compliance concerns, and recommend practical improvements to fiscal management processes.
The analyst is expected to use established financial management practices, spreadsheet-based analytical techniques, and available financial reporting systems to produce accurate, timely, and well-documented deliverables.
3. Key Responsibilities and Anticipated Activities
The following responsibilities will be performed throughout the engagement based on established reporting cycles, program priorities, and the availability of financial data.
Budget Development and Financial Planning
- Develop and maintain program-level budgets, expenditure forecasts, and financial planning worksheets.
- Analyze budget-to-actual performance to identify spending variances, funding gaps, and emerging fiscal risks.
- Prepare budget summaries, projections, and supporting financial documentation for management review.
- Evaluate historical spending patterns to inform future budget requirements and resource allocations.
Expenditure Analysis and Reimbursement Review
- Review expenditure transactions and supporting financial records for accuracy, completeness, and consistency with applicable requirements.
- Analyze reimbursement requests, invoices, payment records, and supporting documentation.
- Identify reimbursement discrepancies, unsupported charges, duplicate payments, and questionable expenditures for further review.
- Reconcile financial data across expenditure records, reimbursement documentation, and program budgets.
- Recommend corrective actions to address identified financial discrepancies.
Cost Allocation and Financial Controls
- Analyze direct and indirect program costs and support the development or application of cost allocation methodologies.
- Evaluate the consistency of cost assignments with program funding requirements and established fiscal policies.
- Review existing financial controls and identify opportunities to improve accuracy, accountability, and documentation.
- Maintain supporting records and audit trails for financial calculations, adjustments, and reimbursement determinations.
Financial Reporting and Stakeholder Coordination
- Prepare recurring financial status reports, expenditure analyses, reimbursement summaries, and budget deliverables.
- Develop Excel-based financial tracking tools, variance reports, and analytical summaries.
- Present financial findings, emerging issues, and recommended actions to designated program and financial management stakeholders.
- Coordinate with program managers, fiscal personnel, and other authorized stakeholders to obtain and validate financial information.
- Document analytical procedures, assumptions, and financial reporting methodologies to support repeatability and continuity.
- Deliver assigned work products according to agreed reporting schedules and quality standards.
How to Apply
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| Job Category | Finance and Accounting |
| MINIMUM QUALIFICATIONS | Bachelor's degree in Accounting, Finance, Business Administration, Economics, Public Administration, or a closely related discipline. |
| REQUIRED SKILLS | Minimum 7 years of progressively responsible experience in financial analysis, budgeting, fiscal management, reimbursement analysis, or related financial operations. Demonstrated experience developing budgets, performing expenditure and variance analyses, and preparing financial reports. Experience reviewing reimbursement documentation and reconciling financial records. Working knowledge of cost allocation principles, financial controls, and applicable accounting practices. Experience analyzing financial data, resolving discrepancies, and preparing recommendations for management review. Demonstrated ability to manage assignments independently and meet recurring reporting deadlines. |
| TECHNICAL SKILLS | Advanced proficiency in Microsoft Excel, including pivot tables, lookup functions, financial formulas, and data validation. Proficiency in Microsoft Word, PowerPoint, and Teams. Experience using financial management, accounting, or enterprise resource planning systems. Ability to create financial models, budget tracking tools, and standardized reporting templates. Strong financial documentation, analytical writing, and professional communication skills. Knowledge of generally accepted accounting principles (GAAP) and internal financial control practices. |
| DESIRED/PREFFERED QUALIFICATIONS | Master's degree in Finance, Accounting, Business Administration, Public Administration, or a related field. 10 or more years of financial management or senior-level fiscal analysis experience. Experience supporting state or federal government agencies, particularly public health, Medicaid, health and human services, or grant-funded programs. Knowledge of federal grant financial management principles, including 2 CFR Part 200 (Uniform Guidance), where applicable. Experience evaluating healthcare reimbursement methodologies, allowable costs, and payment documentation. Familiarity with public-sector cost allocation plans, indirect cost methodologies, and budget justification development. Experience with Oracle, SAP, Workday, PeopleSoft, or comparable financial management systems. Proficiency with Power BI, Power Query, or other financial visualization and reporting tools. Relevant certifications such as Certified Public Accountant (CPA), Certified Management Accountant (CMA), Certified Government Financial Manager (CGFM), or Certified Government Financial Specialist (CGFS). Experience supporting financial audits, compliance reviews, or fiscal monitoring activities. |
| SUITABILITY/SECURITY REQUIREMENTS | Must be authorized to work in the United States. Must be able to satisfy any background screening, confidentiality, and system access requirements established by the client. Must safeguard confidential financial, reimbursement, and program information. Must comply with applicable State of Delaware information security and data handling requirements. Must not store or transfer non-public State of Delaware data outside the United States. Must be capable of handling sensitive financial data and, if assigned, information protected under applicable privacy regulations. |