RHT Program Fiscal Manager

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.