Lead SUD Financial Operations Analyst

California Mental Health Services Authority

. Oversee day-to-day DMC-ODS financial operations across multiple county jurisdictions .

Posted 10/23/2026full-timeRemote • California • United StatesSenior💰 $110,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial operations management, including reimbursement systems, financial analysis, and compliance within DMC-ODS and Medi-Cal frameworks. Proficient in utilizing advanced financial tools and methodologies to enhance operational efficiency and maintain audit-ready records.

Highest-signal resume keywords

Financial Operations ManagementReimbursement Systems ExpertiseAdvanced Microsoft Excel ProficiencyBehavioral Health Finance KnowledgeFinancial Analysis and Monitoring

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial AnalysisBudgetingCost AccountingReconciliationProvider PaymentsFinancial MonitoringOperational FinanceContract Fiscal OversightMedi-Cal AdministrationDMC-ODS Financing

Soft Skills

Analytical SkillsProblem-SolvingCommunication SkillsDetail-OrientedOrganizational Skills

Tools & Technologies

Microsoft ExcelMicrosoft WordEHR SystemsClaims PlatformsVirtual Collaboration Tools

Industry Keywords

Behavioral Health FinanceManaged Care OperationsCounty Government FinanceHealthcare ReimbursementMedi-Cal Administration

About the role

Key responsibilities & impact

Oversee day-to-day DMC-ODS financial operations across multiple county jurisdictions
Review, validate, and process provider reimbursement requests and financial transactions
Manage county-specific invoicing and reconciliation processes
Monitor financial activity across multiple funding sources
Coordinate provider payment workflows and supporting documentation
Coordinate financial aspects of provider contracting and payment methodologies
Track and monitor non-DMC expenditures, including room-and-board and other non-claimable services
Analyze service utilization, reimbursement trends, and expenditure patterns
Reconcile claims activity, provider invoices, county billings, and accounting records
Support cost centers and project accounting structures
Maintain audit-ready financial records and supporting documentation
Evaluate denied services, payment variances, and reimbursement discrepancies
Develop executive and operational reports on financial performance and operational trends
Assist with financial policies, procedures, contract terms, and workflow documentation
Support implementation and administration of DMC-ODS financial systems and reporting tools
Review provider financial records and monitoring documentation for compliance
Assist counties with financial reporting requirements for delegated DMC-ODS functions and Medi-Cal Administration and QA/UR claiming
Identify improvements to operational efficiency, internal controls, and financial transparency
Collaborate with county fiscal staff, providers, auditors, consultants, and CalMHSA leadership
Provide technical guidance and financial subject matter expertise
Serve as the primary financial operations resource for provider reimbursement, county billing, and reconciliation
May supervise fiscal analysts and coordinate financial operations staff
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in Accounting, Finance, Public Administration, Health Care Administration, Business Administration, Economics, or a related field required
Five (5) or more years of progressively responsible experience in behavioral health finance, managed care operations, healthcare reimbursement, county government finance, Medicaid/Medi-Cal administration, or similar fields
Demonstrated experience with reimbursement systems, provider payments, financial analysis, financial monitoring, budgeting, accounting concepts, and operational finance
Experience overseeing financial reconciliations, cost accounting, and contract fiscal oversight for behavioral health or Medi-Cal programs
Demonstrated knowledge of DMC-ODS and Medi-Cal financing, provider reimbursement, county billing, reconciliation, and delegated administrative functions
Advanced proficiency in Microsoft Excel, including pivot tables, complex formulas, financial modeling, and reconciliation tools
Proficiency in Microsoft Word and relevant financial or data management systems, including EHR and claims or billing platforms
Ability to identify confidential and sensitive information and handle it with tact and discretion
Strong analytical, problem-solving, presentation, written, and verbal communication skills
Ability to communicate complex financial concepts clearly to county leadership, provider representatives, fiscal staff, and diverse audiences
Ability to exercise independent judgment, conduct research, and ask appropriate probing questions
Ability to manage multiple priorities and concurrent projects and collaborate with internal and external stakeholders
Comfortable using virtual collaboration tools, including Teams, Zoom, and SharePoint
Detail-oriented and organized, with commitment to accuracy, financial integrity, and best practices
Initiative, independence, sound judgment, and resourcefulness
Adaptability in a fast-paced, high-stakes environment
Comfortable working remotely and maintaining accountability to leadership
Willingness to travel as needed
Ability to perform the stated physical, sensory, and mental demands
Ability to drive a motor vehicle on public roads and highways

Benefits

Comp & perks

Fully remote work arrangement
Flexible work schedule depending on business needs
Company normal business hours of 8:00am to 5:00pm, Monday–Friday
Virtual collaboration tools, including Teams, Zoom, and SharePoint
Travel support for county partners and meetings or trainings