Fiscal Operations Manager

Title: Fiscal Operations Manager
Location: Nashville TN – Hybrid
Contract: 7 Months and Possibility of Extension
Division: Administrative Services – Accounts Management Office | Reports to: Department Controller
Position Summary
The Rural Health Transformation Program (RHTP) Fiscal Operations Manager provides fiscal support, as needed, to RHTP project leads and program staff. The position serves as a liaison between the Accounts Management Office (AMO) and the RHTP project team; helps confirm and communicate current fiscal processes; collaborates with General Ledger and Accounts Payable staff regarding upcoming initiatives, anticipated activity, estimates, issues, and required actions; and supports consistent fiscal administration across RHTP initiatives.
Key Responsibilities
• Serve as a fiscal resource to RHTP project leads and program staff by helping interpret and confirm current accounting, contracting, reimbursement, invoice, payment, and documentation processes.
• Serve as the primary liaison, as assigned, between AMO and the RHTP project team to communicate upcoming initiatives, anticipated expenditures, estimates, implementation concerns, and issues requiring fiscal attention.
• Collaborate with General Ledger and Accounts Payable teams, as needed, to provide advance notice of upcoming RHTP activity and help ensure appropriate accounting, project, budget, invoice, and payment processes are understood and followed.
• Review proposed RHTP activities, contract budgets, deliverables, payment provisions, reimbursement requirements, and supporting documentation requirements and identify questions or potential fiscal issues for appropriate resolution.
• Assist project leads and program staff with understanding the relationship between contract dates, state fiscal years, federal budget periods, obligation requirements, expenditure deadlines, and liquidation periods.
• Support the review of invoices, reimbursement requests, advance payment requests, and related documentation in coordination with AMO staff and established fiscal processes.
• Assist with expenditure estimates, budget monitoring, use-of-funds classification, reconciliations, reporting support, and drawdown or closeout activities, as assigned.
• Maintain current knowledge of RHTP guidance, the Notice of Award, approved application, CMS FAQs, applicable federal requirements, and executed agreements; communicate relevant changes to project and fiscal staff.
• Develop or assist with fiscal guidance, checklists, templates, desk guides, presentations, and other tools that promote consistent RHTP fiscal processes.
• Maintain organized records and assist with resolving documentation gaps, process questions, monitoring requests, and other fiscal issues affecting RHTP implementation.
Knowledge, Qualifications, and Core Competencies
Knowledge of governmental accounting, federal grants management, budgeting, contract and subrecipient administration, reimbursement and payment processes, and financial reporting. Bachelor’s degree in accounting, finance, public administration, business administration, or a related field preferred. Experience with federal or state grant programs, governmental accounting, contract management, financial reporting, or state accounting and procurement systems preferred. The successful candidate will demonstrate sound fiscal judgment, analytical and problem-solving skills, attention to detail, organization, effective written and verbal communication, and the ability to translate complex requirements into clear, practical guidance while managing multiple priorities and working collaboratively with fiscal and program staff. CPA, CGFM, or other relevant certification is preferred.