The Budget and Accounting Specialist role supports the Budget, Accounting and Revenue Unit within the Maryland Department of Health's Office of Finance. Key responsibilities include processing invoices, reviewing purchase requisitions for funding availability, and assisting with budget preparation, quarterly projections, and expenditure management plans. The position also involves preparing fiscal notes and handling special accounting assignments. This opportunity appeals to candidates seeking to contribute to public sector financial stability while working in a collaborative environment. The role is based on-site in Baltimore, Maryland, and offers the chance to apply extensive experience in budget execution and financial reporting to support state Medicaid programs.