Position Description

Commonwealth of Pennsylvania
POSITION DESCRIPTION FOR JOB POSTING
Position Number: 50703425	Description Activated On: 3/10/2026 8:32:12 AM

Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively.

This position reports to the Director of the Division of Budget Development and Operations in the Office of Long-Term Living (OLTL) Bureau of Finance. The primary purpose of this position is to function as a subject matter expert, point of contact, and lead analyst for OLTL’s implementation of federal fiscal and financing provisions of Medicaid long-term care programs. The position involves analyzing federal statutory and regulatory requirements, assessing impacts to Pennsylvania Medicaid financing structures, and coordinating cross-program implementation to ensure fiscal integrity, compliance, and program continuity. The position provides primary ownership of fiscal provisions of P.L. 119-21 and related federal guidance, with emphasis on provider taxes, payment methodologies, and program integrity requirements affecting nursing facilities and home- and community-based services.

Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor.

Functions as lead analyst for fiscal provisions of P.L. 119-21 and related federal guidelines, including but not limited to Sections 71115 – 71117 of P.L. 119-21, proposed regulatory changes, and other related guidance from the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) with implications for Medicaid long-term care.

Interprets federal statutory language, CMS guidance, and related subregulatory materials to determine impacts to Medicaid financing arrangements, provider assessments and taxes, payment methodologies and rate structures, and program integrity and oversight requirements.

Translates complex federal requirements into clear implementation strategies for Pennsylvania Medicaid long-term care program.

Analyze impacts of P.L. 119-21 on Medicaid long-term care financing mechanisms, including nursing facility assessments, HCBS payment methodologies, supplemental or directed payment arrangements.

Identify fiscal risks, compliance vulnerabilities, and mitigation strategies related to federal financial participation in the Medicaid program.

Function as point of contact for fiscal implementation of P.L. 119-21 across program areas including State Plan services, Community HealthChoices, OBRA waiver, and other affected programs.

Coordinate with policy, actuarial, legal, budget, data, and other program teams and business partners to ensure consistent interpretation and application of federal requirements. Lead teams from a variety of program areas to analyze state and federal requirements and develop recommendations that ensure consistent and compliant implementation.

Develop and maintain implementation timelines, issue tracking, and documentation to support compliance and engagement with CMS.

Monitor changes to CMS guidelines, federal interpretations, and enforcement of fiscal provisions of P.L. 119-21 and any subsequent regulations or interpretive guidance. Provide ongoing support and recommendations regarding emerging risks, implementation challenges, and strategic considerations.

Prepare analyses, briefings, summaries, reports, tables, charts, and other written responses as needed to support the OLTL executive team in responding to CMS inquiries.

Evaluate the impact of fiscal provisions of P.L. 119-21 to long-term care providers and to OLTL’s waiver assurances to CMS.

Assist with audits, reviews, waiver renewals and other fiscal oversight of P.L. 119-21 and related guidelines.

Performs other related duties as required.

Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature.

Perform work with a high degree of independence under the direction of the Division Director of Budget Development and Operations.

Determine implementation approaches and analytical frameworks for assessing compliance, fiscal risk, and operational impact of P.L. 119-21, including identifying issues that require escalation.

Evaluate options, risks, and tradeoffs related to Medicaid financing and compliance and make recommendations consistent with federal requirements and OLTL’s program structure.

Resolve routine interpretive questions independently and escalate complex or high-risk issues to the supervisor or bureau director as appropriate.

Exercise independent judgment and analytical skills in performing responsibilities.

Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License

Experience:

Knowledge of state and federal rules and regulations that affect the Medicaid program and Medicaid financing.

Knowledge of and ability to perform quantitative and qualitative analysis.

Knowledge of the complexities of Medicaid long-term care programs, including Medicaid financing.

Knowledge of the principles and methods of human services program planning, development, and administration.

Knowledge of methods and techniques for researching, collecting, organizing, reviewing, and interpreting data.

Knowledge of the functions and resources of federal human services organizations and programs.

Ability to analyze and interpret policies, procedures and regulations.

Ability to review, analyze and evaluate human services programs and practices.

Ability to analyze and interpret program and fiscal data.

Ability to establish and maintain effective working relationships.

Ability to communicate effectively orally and in writing.

Licenses, registrations, or certifications:

1.   N/A

2.   N/A

3.   N/A

4.   N/A

5.   N/A

6.   N/A

Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.

1.	Communicate clearly and effectively both orally and in writing to a variety of audiences.
2.	Perform quantitative and qualitative analysis.
3.	Develop recommendations and solutions.
4.	Establish and maintain effective working relationships.
5.	Lead or participate in meetings and/or workgroups.
6.	Prepare documents, correspondence, and reports.
7.	Use Microsoft Office products including Outlook, Word, Excel, Access, and PowerPoint.
8.	Demonstrate an ability to work collaboratively within a complex environment.
9.	Collaborate with teams of policy, program, and data professionals.
10.	Integrate and effectively work with a team of fiscal professionals.