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 with 100 percent funded by CMS/HHS.

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,