Fiscal Technician
Commonwealth of Pennsylvania
Posted: April 13, 2026 (0 days ago)
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Commonwealth of Pennsylvania
Department of Human Services
Location
Pennsylvania, 17120
Salary
$59,345 - $90,211
per year
Type
Full-Time
More Finance & Accounting jobs →Closes
Base salary range: $147,649 - $221,900
Typical requirements: Executive-level leadership experience. Senior executive qualifications required.
Note: Actual salary includes locality pay (15-40%+ depending on location).
This job involves managing payments, recoveries, and financial analyses for Pennsylvania's HealthChoices program, which provides medical care to people on public assistance through managed care organizations.
You'll ensure everything is accurate, compliant, and supports community health services.
It's a great fit for detail-focused professionals with experience in budgeting or accounting who want to make a real difference in public health funding.
Are you a proactive professional with strong judgment and a drive to excel in fiscal administration?
The Department of Human Services is seeking a highly motivated, detail-oriented Fiscal Management Specialist 2 to join and grow within our Office of Medical Assistance Programs team.
In this pivotal role, you will oversee the validation and processing of payments and recoveries for the Physical Health HealthChoices program, ensuring accuracy, accountability, and compliance.
Elevate your career by applying today for an exceptional opportunity to deepen your expertise, sharpen your analytical skills, and contribute to work that creates meaningful, lasting impact in the communities we serve!

In this position, you will oversee the physical health component of the HealthChoices Program, Pennsylvania’s mandatory managed care program for Medical Assistance (MA) beneficiaries.
Through Physical Health Managed Care Organizations (PH-MCOs), beneficiaries receive high-quality medical care and timely access to appropriate physical health services.
The department issues capitation and other payments to PH-MCOs for enrolled MA beneficiaries, while the PH-MCOs assume responsibility for reimbursing providers and managing the costs and risks associated with care delivery.
To address the financial risks tied to high-cost populations, HealthChoices agreements incorporate risk-sharing, non-risk-sharing, and risk pool arrangements.
These agreements also include performance-based incentives that provide additional funding to PH-MCOs for meeting targeted outcomes, as well as payments supporting the Hospital Quality Incentive Program.
Additionally, overpayment recoveries are administered in accordance with HealthChoices agreements and Bureau of Program Integrity findings.
This role is responsible for validating and processing all related payments and recoveries, as well as conducting research, analysis, and fiscal impact assessments associated with House Resolution 1 (H.R.
1).
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
Telework: You may have the opportunity to work from home (telework) part-time, up to 3 days per week.
In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania.
If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time.
Additional details may be provided during the interview.
QUALIFICATIONS
Minimum Experience and Training Requirements:
Other Requirements:
How to Apply:
Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position.
Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
All application materials and interview responses must reflect the applicant’s own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only.
Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.
Veterans:
Telecommunications Relay Service (TRS):
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce.
The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania.
The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law.
All diverse candidates are encouraged to apply.
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