The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana. [Learn more about Louisiana Department of Health](https://ldh.la.gov/) Step into a key leadership role at the heart of LDH’s financial operations! As the lead accountant for the Cash Management Unit, serve as the lead accountant producing highly responsible work in managing and controlling the revenue deposit functions within the Cash Management Unit of the Financial Management Section in the Division of Fiscal Management with the Office of Management and Finance of the Louisiana Department of Health (LDH). This position will be responsible for implementing financial operation policies and procedures, monitoring and maintaining a wide variety of coding sources in order to provide smooth and timely financial services to assigned agencies within LDH. In addition, the incumbent will require advanced knowledge of the banking system processes and will serve as the point of contact. The accounting activities required of the incumbent are complex in nature and includes budgeting, cash and revenue management, revenue control, and program analysis. The work is performed in accordance with State, Federal and departmental laws, policies and procedures, and is reviewed on the basis of results, reports and by outside independent audits, both Federal and State. Three years of experience in accounting, auditing, financial operations, payroll, or banking; OR Six years of full-time experience in any field plus twenty-four semester hours in accounting; OR A bachelor’s degree with twenty-four semester hours in accounting; OR A bachelor’s degree in accounting, finance, business administration, management, economics, or statistics; OR An advanced degree in accounting, finance, business administration, management, economics, quantitative methods, or statistics; OR Possession of a Certified Public Accountant (CPA) license. EXPERIENCE SUBSTITUTION: Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. The official job specifications for this role, as defined by the State Civil Service, can be found [here.](https://apps01.civilservice.louisiana.gov/onestopjobinfo/DisplayJobSpec.aspx?JobCode=160180)Job Duties: - Manages and oversees daily, monthly, and quarterly accounting activities for the Medical Assistance Trust Fund, including billing, reconciliations, audits, analysis, and payment posting. - Performs complex cash management, revenue control, accounts receivable, accounts payable, funds disbursement, expenditure control, and program analysis to support efficient financial operations. - Implements and maintains financial operating policies and coding structures to ensure timely and accurate financial services for LDH agencies and external providers. - Conducts detailed accounting research, prepares fiscal reports for revenue monitoring, forecasting, and reconciliation, and ensures accuracy through monthly, quarterly, and annual reporting cycles. - Serves as a technical specialist by collecting, analyzing, and tracking Hospital Stabilization Assessments, Ambulance Assessments, and Outstation data for auditing and compliance purposes. - Establishes and maintains audit-ready financial files, schedules, and subsidiary records; communicates with internal and external partners including OSRAP, State Treasury, Legislative Auditors, and LDH leadership. - Exercises independent judgment in carrying out responsibilities under the direction of the Accountant Manager 2 and 3 in the Cash Management Section. Position-Specific Details: Location: Office of the Secretary / Fiscal Services / East Baton Rouge Parish Appointment Type: This position may be filled as a Probationary appointment or Promotional appointment Center: 3071050701 Position Number(s): 2223 Career Progression: This position may be filled as an Accountant 1, 2, or 3 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series. Compensation: This position is eligible for the following Special Entrance Rates (SER): Accountant 1 - $21.63 hr / $1,730.40 bi-weekly Accountant 2 - $23.14 hr / $1,851.20 bi-weekly Accountant 3 - $26.50 hr / $2,120.00 bi-weekly How To Apply: No Civil Service test score is required in order to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. \ Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete. For information on how to check your application status and understand status updates, please click [HERE](https://ldh.la.gov/assets/docs/hr/Forreferenceonly/LDH-Application-Status-Guide-4.2026.pdf). Contact Information: Deanda Thymes Deanda.Thymes@la.gov LA Department of Health (LDH) Division of Human Resources PO Box 4818 Baton Rouge, LA 70821 225-342-6477 This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities. Information on the Louisiana Works, Louisiana Rehabilitation Services is available [here](https://www.laworks.net/workforcedev/lrs/lrs_rehabilitation.asp). LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.