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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 Accountant 4 Division of Behavioral Health & Housing (DBHH)
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 RHT Program Fiscal Manager, the Accountant IV performs senior-level federal grant accounting, fiscal reconciliation, financial reporting, and subrecipient monitoring for the Rural Health Transformation Program (RHTP). This position ensures all expenditures comply with federal cost principles (2 CFR Part 200), the HHS Grants Policy Statement, and State of Arizona financial policies, including the State Accounting Manual (SAAM).The Accountant IV maintains audit-ready documentation, processes and validates sub recipient invoices, initiates payments in AZ360, 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.
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. This position is grant funded and may be eliminated based on funding availability.
Major duties and responsibilities include, but are not limited to:
• Grant Accounting, Reconciliation & Compliance: Review, code, and validate expenditures, journal entries, and supporting documentation for federal allow-ability and cost allocation compliance. Conduct complex reconciliations between AZ360, internal tracking tools, sub recipient documentation, and federal reporting systems. Ensure expenditures adhere to 2 CFR 200, HHS GPS, and SAAM requirements. Maintain an internal control structure through review of reconciliations, financial data, and documentation, consistent with statewide Accountant role expectations. Maintain complete, audit-ready files for all accounting activities under the RHTP award.
• Invoice Review & Payment Processing: Receive, review, and verify invoices from sub recipients, contractors, and vendors for completeness, appropriateness, allowability, and accuracy. Process and initiate payments in AZ360, ensuring proper chart of accounts coding, fund source assignment, and documentation attachment. Troubleshoot transaction issues within AZ360 and work with payees to resolve discrepancies. Monitor expenditures to ensure payments do not exceed budgeted amounts, consistent with the Accountant role in statewide fiscal oversight.
• Federal Reporting & Audit Support: Compile, validate, and reconcile data for quarterly and annual Federal Financial Reports (FFRs), FFATA/FSRS reports, and federal monitoring submissions. Assist with Single Audit documentation, risk assessments, and federal site visits. Prepare financial summaries, reconciliations, and backup materials for federal or state audits.
• Financial Analysis & Performance Alignment: Prepare budget-to-actual expenditure analyses, cost projections, and trend reports. Support alignment of financial data with program performance metrics and evaluation timelines. Summarize fiscal trends to inform leadership decisions on resource allocation.
• Sub-recipient Fiscal Monitoring: Conduct desk reviews and assist in on-site/virtual monitoring of all RHTP sub recipient fiscal activities. Review ledgers, payroll allocations, procurement documentation, cost allocation methods, and receipts for compliance. Support risk assessments, identify deficiencies, recommend corrective actions, and follow up on resolution. Provide technical assistance on allowable costs, documentation standards, and invoices.
• Other duties as assigned as related to the position (typically 5% - 10%)
Knowledge, Skills & Abilities (KSAs):
Knowledge:
• Federal grant regulations, including 2 CFR 200 Uniform Guidance and HHS GPS. Governmental accounting principles, cost allocation, internal controls, and financial reporting
• State of Arizona fiscal requirements, including SAAM and statewide accounting policies.AZ360 (formerly AFIS) financial system functions, including invoice and payment processing workflows
• State Procurement Code, APP workflows, purchasing rules, and supporting documentation requirements
• Methods, procedures, and standards for technical assistance and fiscal oversight. Audit readiness requirements and documentation control practices.
• AMS continuous improvement concepts
• Standardized Accountant expectations for analysis, reporting, and recordkeeping
Skills:
• Advanced financial analysis, reconciliation, ledger review, and problem resolution. Reviewing and processing invoices and initiating payments in AZ360
• Interpreting and applying federal cost principles and State accounting policy
• Written and verbal communication, including preparing financial summaries, monitoring reports, and audit documentation
• Facilitating and participating in cross-agency fiscal meetings
• Using Excel, financial systems, grant reporting systems (PMS, FFATA/FSRS), and data visualization tools
• Managing multiple concurrent deadlines with high accuracy
Abilities:
• Complete complex analytic work with minimal supervision
• Interpret and apply federal, state, and agency financial requirements
• Prioritize and manage multiple funding streams and fiscal workflows
• Maintain audit-ready documentation across all accounting functions
• Provide technical assistance to subrecipients and internal program teams
• Present complex information clearly to diverse audiences
• Adapt to a dynamic environment with shifting programmatic and federal deadlines
• Work both independently and collaboratively with program, data, and finance teams
Qualifications:
Minimum:
• Bachelor's degree in Accounting, Finance, Business Administration, Public Administration and two (2) years of experience in state health care accounting, Medicaid financial operations, or federal grant accounting (e.g., AZ360/AFIS, SAAM, 2 CFR 200).
Preferred:
• Four (4)+ years of professional accounting experience. Preferred Credentials: CPA, CGFM, or demonstrated experience supporting federal financial reporting (FFR, FFATA/FSRS).
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.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.
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 careers@azahcccs.gov .
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.