Fiscal Specialist 1
State of Washington
Posted: February 11, 2026 (8 days ago)
This job has been posted for 1-2 weeks. Still a good time to apply.
State of Washington
Health Care Authority
Location
Washington, 98504
Salary
$71,472 - $96,144
per year
Type
Full-Time
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This job involves managing how costs are divided and allocated across different programs in a state health care agency, ensuring everything follows federal and state rules to support services for clients.
It requires handling financial reports, updating systems for accurate budgeting, and working independently on complex tasks.
A good fit would be someone with strong accounting skills who enjoys strategic financial work and collaborating with teams in a supportive environment.

Fiscal Analyst 5 (FA5/FSD)
71029234
This Fiscal Analyst 5 is designed for an accounting and cost allocation professional who thrives on independence, specialized knowledge, and having a high-impact, visible role within an organization.
This role offers a rare mix of autonomy, technical, and strategic responsibilities on a collaborative and supportive team.
All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.
About the division:
The Financial Services Division (FSD), in collaboration with other Health Care Authority (HCA) divisions and a variety of external stakeholders and legislative partners, provides strategic financial expertise for Apple Health, PEBB and SEBB programs.
In addition, FSD oversees the budget and compliance functions necessary to manage and monitor the single largest Washington State individual agency operating budget.
Functions include budget management, accounting, forecasting, professional and hospital rate setting, financial analysis, and payment/collection operations.
This division maintains a close working relationship with agency program, policy, and clinical divisions to ensure financially sound implementation and monitoring of program strategies.
It is also accountable to the Governor and legislature in ensuring HCA operates within its budget.
About the position:The mission of the FSD is to support and assist in meeting the diverse needs of individuals and families by facilitating sound management of its fiscal resources.
This position, within the Federal Finance Reporting Section, supports these missions by assisting in providing fiscal support services for the FSD.
By providing grant fiscal support to both internal and external stakeholders, and monitoring grant spending and revenue whose dollars directly support the clients HCA serves, this position is very important in ensuring that the FSD is successful in its mission.
This position functions as the highest agency statewide expert in the financial specialty area of cost allocation.
This position is eligible to telework but is required to come in 1 day a week for training until completed and then quarterly thereafter.
The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA.
Frequency of onsite work will vary based on business and operational needs. HCA has currently suspended the ability to support out-of-state telework.
Some of what you will do:
Required qualifications:
Qualifying candidates will meet one of the following criteria options:
Option 1:
Option 2:
Option 3:
Option 4:
Required competencies:
Preferred qualifications:
How to apply:
Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification.
To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:
To take advantage of veteran preference, please do the following:
About HCA:
Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.
There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery.
Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.
What we have to offer:
Notes:
Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.
HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency.
HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission.
Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace.
Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description.
Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply.
If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov.
Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Angelic Matthews at angelic.matthews@hca.wa.gov
The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security.
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