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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 $.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…