Fiscal Manager for Rural Health Transformation Program; RHTP

Overview

The Massachusetts Department of Public Health (DPH) seeks a Fiscal Manager to oversee the financial stewardship of the Rural Health Transformation Program (RHTP), which receives nearly $800 million in grant funding. The role involves partnering with DPH, the Executive Office of Health and Human Services, and federal stakeholders to manage grant compliance, budgeting, and reporting for a nationally significant public‑health initiative.

• Lead and oversee all fiscal operations supporting DPH work on RHTP, ensuring compliance with federal, state, CMS, and DPH requirements.
• Manage grant compliance activities for federally funded initiatives, including interpretation of funding requirements, monitoring adherence, and implementing fiscal controls.
• Coordinate the preparation, review, and submission of financial reports and supporting documentation for CMS and other funding entities.
• Develop, implement, and maintain fiscal policies, procedures, and internal control frameworks that promote accountability, transparency, and regulatory compliance.
• Serve as the primary fiscal liaison between DPH RHTP program teams, DPH leadership, and key stakeholders to ensure consistent financial practices and reporting.
• Provide guidance and technical assistance to program staff and participating units regarding budget management, allowable expenditures, grant requirements, and fiscal compliance obligations.
• Support the development and oversight of multi‑year budgets, spending plans, financial forecasts, and resource allocation strategies.
• Monitor expenditures, encumbrances, grant utilization, and financial performance, identifying trends, variances, risks, and opportunities for corrective action.
• Conduct financial analyses and forecasting activities to support strategic planning and operational decision‑making.
• Collaborate with BCHAP Administration and Finance, DPH Accounting, Purchase of Service, and Compliance teams to align with agency fiscal policies, accounting standards, and audit requirements.
• Maintain accurate fiscal records, reconciliations, and supporting documentation for audit readiness and compliance reviews.
• Establish and manage processes for fiscal data collection, validation, tracking, and reporting while ensuring data integrity across financial systems.

• Experience managing complex federal grants, cooperative agreements, or large‑scale public sector funding programs.
• Knowledge of federal financial reporting requirements, including CMS reporting standards and compliance expectations.
• Familiarity with developing, monitoring, and analyzing multi‑year budgets, spending plans, financial forecasts, and grant expenditures.
• Expertise in federal Uniform Guidance, grant management principles, and applicable state and federal fiscal regulations.
• Demonstrated experience establishing and maintaining internal controls, fiscal policies, and procedures that support compliance, accountability, and audit readiness.
• Strong analytical skills with experience conducting financial analysis, variance reporting, forecasting, and resource allocation assessments.
• Capacity to collaborate with finance, accounting, compliance, and programmatic stakeholders to support cross‑functional initiatives.
• Knowledge of fiscal documentation standards, reconciliation processes, data validation techniques, and records management requirements for federally funded programs.
• Knowledge of, or ability to quickly learn, Commonwealth financial systems and reporting tools, including MOSAIC, the Commonwealth Information Warehouse (CIW), and other state financial management systems.
• Proficiency with Microsoft Office Suite (Word, Outlook, SharePoint, Teams), particularly Excel with advanced functions such as pivot tables, lookups, financial modeling, data analysis, and reporting tools.

• Five (5) years of full‑time or equivalent part‑time professional experience in financial management (budgeting, accounting, auditing, or related fields).
• Substitution options:
• A certificate in a relevant field may be substituted for one (1) year of required experience.
• A Bachelor’s degree in a related field may be substituted for two (2) years of required experience.
• A Graduate degree in a related field may be substituted for three (3) years of required experience.
• A Doctorate degree in a related field may be substituted for four (4) years of required experience.

The Commonwealth is an Equal Opportunity Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law.

85,967. Yearly