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 Accountant 4

Division of Business and Finance (DBF)

Job Location:

Address: 150 North 18th Avenue Phoenix, Arizona 85007

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:

Salary: $90,000

Grade: 24

FLSA Status: Exempt

This position will remain open until filled.

Job Summary:

Under the supervision of the Finance Administrator, the Accountant 4 performs senior-level federal grant accounting, fiscal reconciliation and financial reporting, for the Rural Health Transformation Program (RHTP). This position ensures all expenditures comply with federal cost principles (2 CFR Part 200), the US Department of Health and Human Services (HHS) Grants Policy Statement (GPS), and State of Arizona financial policies, including the State of Arizona Accounting Manual (SAAM). The accountant 4 maintains audit-ready documentation, approves RHTP payments in AZ360 (State of Arizona’s Financial System) and/or APP (Arizona Procurement Portal), initiated by other RHTP Accountants, assist DBF reporting in any RHTP draw-down as needed, and supports the preparation of required federal financial reports (FFRs), FFATA submissions, and Single Audit documentation. The position plays a central role in ensuring financial integrity, accuracy, and compliance of complex multi-year, multi-component grant activities.  

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:
• Invoice Review & Approval: Review, and approve payments initiated in AZ360 and/or APP by RHTP accountants. Ensure payment processing processes are followed appropriately. Ensure appropriate Chart of Accounts are used, and required documentations are attached. Communicate promptly with the RHTP team in case of incorrectness or insufficient documentation. Assist with troubleshooting transaction issues within AZ360 and work with payees to resolve discrepancies. Ensure duty is performed consistent with the accountant 4 role in statewide fiscal oversight. 
• Grant Accounting reconciliation, Financial Analysis & Draw-down of funds: Conduct complex reconciliations between AZ360, internal tracking tools, and federal reporting systems. Prepare budget-to-actual expenditure analyses, cost projections, and trend reports. Be a backup for the daily federal draw of the RHTP grant fund. Follow and perform all the required procedures as part of this process including: compiling the set of documentation for the Treasurer's Office, monitoring the finalization of the CACR documents by the Treasurer's Officer, alerting the Treasurer's office, if the CACR documents are not finalized timely, updating the internal deposits tracking document. Maintain an internal control structure through review of reconciliations, financial data, and documentation, consistent with statewide Accountant 4 role expectations. Maintain complete, audit-ready files for all accounting activities under t