Rural Health Fiscal Operations Lead

Prospect Infosystem Inc.; Nashville (TN); On-site; USD 70,000 - 95,000; Full time

Job summary

Prospect Infosystem Inc. in Nashville, TN, seeks a Fiscal Operations Manager for the Rural Health Transformation Program to provide fiscal guidance, interpret accounting rules, and coordinate between the Accounts Management Office and project staff.

You will review contracts, budgets, reimbursements, invoices, and payment provisions; assist with estimates, reconciliations, and reporting; and maintain records while ensuring compliant, efficient fiscal administration across RHTP initiatives.

Qualifications

• Knowledge of governmental accounting, federal grants management, budgeting, contract and subrecipient administration, reimbursement and payment processes, and financial reporting.
• Experience with federal or state grant programs, governmental accounting, contract management, financial reporting, or state accounting and procurement systems preferred.
• CPA, CGFM, or other relevant certification is preferred.

Responsibilities

• Serve as fiscal resource to RHTP project leads and program staff by interpreting and confirming accounting, contracting, reimbursement, invoice, payment, and documentation processes.
• Serve as primary liaison between AMO and the RHTP project team to communicate upcoming initiatives, expenditures, estimates, implementation concerns, and fiscal issues.
• Collaborate with General Ledger and Accounts Payable teams to provide advance notice of upcoming RHTP activity and ensure proper accounting, project, budget, invoice, and payment processes.
• Review proposed RHTP activities, contract budgets, deliverables, payment provisions, reimbursement requirements, and supporting documentation; identify questions or fiscal issues for resolution.
• Assist project leads with understanding relationship between contract dates, fiscal years, budget periods, obligation requirements, and liquidation periods.
• Support review of invoices, reimbursement requests, advance payment requests, and related documentation with AMO staff.
• 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, CMS FAQs, applicable federal requirements, and executed agreements; communicate changes to staff.
• Develop fiscal guidance, checklists, templates, desk guides, presentations, and tools that promote consistent RHTP fiscal processes.
• Maintain organized records and resolve documentation gaps, process questions, monitoring requests, and other fiscal issues affecting RHTP implementation.

Skills

governmental accounting

federal grants management

budgeting

contract management

financial reporting

communication

analytical skills

problem solving

attention to detail

Education

Bachelor’s degree in accounting, finance, public administration, business administration, or related field

Job description

Prospect Infosystem Inc. in Nashville, TN, seeks a Fiscal Operations Manager for the Rural Health Transformation Program to provide fiscal guidance, interpret accounting rules, and coordinate between the Accounts Management Office and project staff.

You will review contracts, budgets, reimbursements, invoices, and payment provisions; assist with estimates, reconciliations, and reporting; and maintain records while ensuring compliant, efficient fiscal administration across RHTP initiatives.