RHT Program Fiscal Manager

Arizona Department of Administration•Phoenix, AZ

5d•$113,000

About The Position

Under the direction of the Deputy Assistant Director of Grants Administration, the RHT Program Fiscal Manager is responsible for the full financial administration, compliance oversight, reporting, and audit readiness of the Rural Health Transformation Program (RHTP), a complex federal initiative funded through HHS and subject to 2 CFR Part 200 and the HHS Grants Policy Statement. This position ensures the integrity, accountability, and transparency of all financial activities for a multi-year, statewide grant initiative involving sub recipients, contracted partners, and major programmatic investments in rural health access, behavioral health, prevention, digital transformation, workforce development, and system capacity. The Fiscal Manager provides independent decision-making in budgeting, financial analysis, internal controls, and compliance risk mitigation, and serves as AHCCCS’s primary fiscal liaison for internal leadership, ADHS, OEO, HHS federal partners, auditors, and cross-agency stakeholders. This position is critical to ensuring that all RHTP expenditures align with federal cost principles, program objectives, and performance outcomes. The position is grant funded and may be eliminated based on the availability of funding. Arizona’s Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as a part of a financial assistance award with 100 percent funded by CMS/HHS.

Requirements

Federal Grants Management, including 2 CFR Part 200 (Uniform Guidance), HHS Grants Policy Statement, federal audit requirements, and program-specific terms and conditions
Governmental accounting principles and practices, including fund accounting, cost allocation, internal controls, and financial reconciliation requirements for grant-funded programs
State government operations, including budgeting cycles, fiscal planning, appropriations, and statewide policy constraints
State Procurement Code, Arizona Procurement Portal (APP), purchasing rules, contracting processes, and documentation standards
State accounting systems, including the State of Arizona Accounting Manual (SAAM), policies, procedures, chart of accounts structure, and documentation standards
Federal grant systems, including Payment Management System (PMS), SAM.gov, FFATA/FSRS, and other federal reporting portals
Methods, techniques, and procedures for providing effective technical assistance to sub-recipients, contractors, and internal teams
Quality assurance practices, risk assessment frameworks, audit readiness expectations, and corrective action processes
Principles of supervision, training, and performance development, including best practices for leading Accountant level staff
Arizona Management System (AMS) principles, including problem-solving, continuous improvement, standard work, and performance metrics
Rural health system financing, Medicaid delivery systems, and public health investment structures (preferred but not required)
Extensive financial analysis, including interpreting complex financial data, forecasting expenditures, variance analysis, and multi-year planning
Federal reporting, including completion of FFRs, FFATA reports, and audit certifications with accuracy and timeliness. Problem analysis and resolution, using structured methodologies (e.g., root cause analysis, AMS problem-solving)
Clear written and verbal communication, including preparing fiscal reports, policies, SOPs, audit responses, and presentations for internal and external stakeholders
Utilizing multiple computer programs and systems, including Excel (advanced), financial management systems, procurement systems, dashboards, and federal grant systems
Facilitating and leading meetings, including cross-agency coordination, sub recipient training, and leadership briefings
Project management, including development of work plans, scheduling, tracking deliverables, coordinating multiple work streams, and managing competing priorities
Supervising professional financial staff, including delegation, coaching, workload distribution, review of deliverables, and performance evaluation
Data interpretation, including linking fiscal results to program outcomes and identifying trends for decision-making
Communicate effectively in verbal and written form with diverse audiences, including executives, federal partners, subrecipients, and program administrators
Complete difficult analytic work, including reconciliation of complex data sets, financial modeling, and cost-effectiveness analyses
Adapt and perform in a dynamic environment, adjusting priorities, solving emergent issues, and maintaining accuracy under pressure
Work both independently and as part of a team, demonstrating initiative, accountability, and collaboration
Prioritize and manage multiple complex assignments, meeting deadlines and ensuring compliance with federal and state requirements
Accept responsibility and interact professionally with individuals at all organizational levels, representing AHCCCS with integrity
Facilitate and lead meetings involving diverse stakeholders, including finance staff, program teams, leadership, and cross agency partners
Think independently and make sound decisions, using judgment consistent with regulations, internal controls, and agency mission and values
Organize and present information in structured and non-structured settings, including financial briefings, reports, dashboards, or rapid-response analyses
Develop, implement, and enforce internal controls, fiscal procedures, and monitoring protocols that ensure transparency and compliance
Train and mentor staff, fostering continuous improvement, accuracy, and audit readiness
Bachelor’s degree in accounting, Finance, Public Administration, Public Health, Business, or related field.
Three (3) years of experience in grant fiscal management, governmental accounting, auditing, or related work.

Nice To Haves

Five (5) years of experience managing federal grants subject to 2 CFR 200.Experience monitoring sub recipients or conducting audits. Experience in Medicaid financing or public health funding streams. CPA, CGFM, or similar credential (not required but desirable).

Responsibilities

Federal Grant Fiscal Oversight & Compliance: Ensure RHTP fiscal operations comply with 2 CFR 200, the HHS Grants Policy Statement, and federal terms & conditions. Oversee internal controls, fiscal documentation, and risk mitigation strategies. Provide direction to Accountant staff in completing compliance reviews, fiscal validation, documentation audits, and federal cost principal alignment.
Budget Development and Financial Planning: Lead creation, management, and revision of multi-year grant budgets. Guide Accountant staff in preparing expenditure analyses, projections, and reconciliation materials. Ensure fiscal planning aligns with program goals, performance data, and spending trajectories.
Federal Financial Reporting: Prepare, review, and submit FFRs, FFATA submissions, audit certifications, and other required federal fiscal reports. Direct Accountant staff in preparing draft reports, validating data, and ensuring supporting documentation is complete and audit ready.
Sub-recipient and Contractor Fiscal Monitoring: Oversee and validate monitoring activities conducted by Accountant staff, including financial review of budgets, invoices, ledgers, and documentation. Lead monitoring planning, ensure consistency in reviews, and approve monitoring findings, corrective action plans, and follow-ups. Provide escalation guidance on high-risk or non-compliant sub recipients.
Supervision, Training and Workforce Leadership: Supervise Accountant positions, including hiring, on boarding, delegation, mentoring, performance management, and evaluation. Train staff on federal grant compliance, 2 CFR Part 200 requirements, fiscal monitoring standards, internal controls, and documentation protocols. Ensure quality and consistency of staff deliverables, including expenditure reviews, reconciliations, monitoring reports, and fiscal summaries. Promote continuous staff development and professional growth.
Cross-Agency Coordination, Liaison Functions and Strategic Financial Alignment: Serve as fiscal liaison between AHCCCS, ADHS, OEO, and federal oversight bodies. Represent AHCCCS in statewide meetings, leadership briefings, and cross-agency planning. Ensure fiscal decisions and spending patterns align with program outcomes and evaluation metrics.

Benefits

10 paid holidays per year
Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
Other Leaves - Bereavement, civic duty, and military.
A top-ranked retirement program with lifetime pension benefits
A robust and affordable insurance plan, including medical, dental, life, and disability insurance
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
RideShare and Public Transit Subsidy
A variety of learning and career development opportunities

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