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AHCCCS Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.


Come join our dynamic and dedicated team.

RHT Program Fiscal Manager
Division of Behavioral Health & Housing (DBHH)


Job Location:



Address: 150 N. 18th Ave. Phoenix, AZ 85007 All AHCCCS Employees must reside within the state of Arizona.


Posting Details:



Salary: $113,000 Grade: 28
FLSA Status: Exempt

This position will remain open until filled.


Job Summary:


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 totaling $166,988,955.92 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor endorsement, by CMS/HHS, or the U.S. Government.

Major duties and responsibilities include, but are not limited to:
• 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.

Knowledge, Skills & Abilities (KSAs):


Knowledge:
• 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)

Skills:
• 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

Abilities:
• 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

Qualifications:


Minimum:
• 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.


Preferred:
• 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).

Pre-Employment Requirements:


• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency's ability to reasonably accommodate any restrictions.


• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)


If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements.


All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).


Benefits:


Among the many benefits of a career with the State of Arizona, there are:
• 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


By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.


Learn more about the Paid Parental Leave program here . For a complete list of benefits provided by The State of Arizona, please visit our benefits page


Retirement:


Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.

Contact Us:


Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing View email address on click.appcast.io .


Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.