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Rural Health Transformation (RHT) Fiscal Analyst (FA5/FS) – Project

State of Washington
Thurston, WA Other
POSTED ON 5/28/2026
AVAILABLE BEFORE 6/9/2026

Rural Health Transformation (RHT) Fiscal Analyst (FA5/FS) – Project 

71114286

This is a project position funded through 10/30/2030.

This position is responsible for accounting functions associated with the Rural Health Transformation (RHT) Project and responds to inquiries about RHT accounting processes and status updates. The ideal candidate will apply analytical skills, experience with accounts payable, and strong familiarity with accounting principles in this position that offers a hybrid remote work option and supports important rural health care work across Washington.

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.

About the division:

This position is located within HCA’s Financial Services Division (FS), which, in collaboration with other HCA divisions and a variety of external stakeholders and legislative partners, provides strategic financial expertise for Apple Health, Community Behavioral Health, Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs. In addition, FS oversees the budget and compliance functions necessary to manage and monitor the single largest Washington state individual operating budget. Functions include budget management, accounting, forecasting, professional and hospital rate setting, financial analysis, and payment/collection operations.

About the position:

This position serves as the principal assistant to the Deputy Accounting Section Manager supporting the Rural Health Transformation (RHT) Project and is responsible for leading the accounting functions that support Washington State’s RHT initiatives / project grant offered through the federal agency, Centers for Medicare and Medicaid Services (CMS). This position is responsible for planning, organizing, and performing at an expert level of all aspects of accounts receivable and accounts payable activities related to the RHT Project.

This position is eligible to telework but is frequently required to report on-site to meet business need.The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location. 

Some of what you will do:

  • Establish, develop, and maintain the accounting and monitoring for all aspects of the Washington State’s Rural Health Transformation Project (RHTP). 
  • Establish, develop, and maintain fiscal reports used to review, analyze, and ensure accurate reporting of the RHTP status monthly.
  • Perform research and analysis of financial expenditures and documents, technical financial problems, and other state and federal resources such as regulations, laws, and statutes.
  • Establish, develop, and revise accounting policies and procedures for compliance with state and federal rules and regulations.
  • Attend meetings with program, budget, and fiscal staff and respond to questions on the financial status of RHTP and contract records.
  • Develop, initiate, and perform the financial plan to carry out all aspects of the accounting activities for the Washington State’s Rural Health Transformation Project (RHTP).
  • Plan, organize, and perform all accounts payable, accounts receivable, and general ledger accounting functions.
  • Analyze complex financial data.
  • Develop and maintain fiscal reports.
  • Perform financial review and analysis.
  • Provide fiscal oversight and monitoring of the interagency and contractual agreements.
  • Perform monitoring of the fund source. 
  • Perform complex journal voucher adjustments.

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1: 

  • Eight (8) years of relevant professional experience in any of the following areas:
    • Experience with accounts payable and receivable processing, financial report analysis, reconciliation and resolution.
    • Experience analyzing complex financial data and reports, federal and state accounting rules, regulations, policies and procedures.
    • Experience performing research, analyzing, and drawing conclusions from fiscal data; with the ability to support recommendations with facts and analysis; interpret and apply rules, laws, policies, and procedures.

Option 2:

  • Associate degree which includes 18 quarter or 12 semester hours in accounting, auditing, or budgeting and 
  • Six (6) years of relevant professional experience in any of the areas mentioned above.

Option 3: 

  • Bachelor’s degree which includes 18 quarter or 12 semester hours in accounting, auditing, or budgeting and 
  • Four (4) years of relevant professional experience in any of the areas mentioned above.

Option 4:  

  • Master’s degree in a financial related field or certification as a Public Accountant, Internal Auditor, Certified Governmental Financial Manager, or Management Accountant and 
  • Two (2) years of relevant professional experience in any of the areas mentioned above.

Required competencies:

  • The ability to take action to learn and grow.
  • The ability to take action to meet the needs of others.
  • Must be able to plan and prioritize deliverables in a fast-paced environment.
  • Must be able to communicate in a positive manner with diverse audiences and facilitate large and small teams.

Preferred qualifications:

  • Ability to convey ideas and facts orally and in writing using language the audience will best understand.
  • Ability to develop positive, productive, respectful work relationships with customers and co-workers.
  • Ability to navigate AFRS and Financial Toolbox.
  • Ability to produce fiscal reports in Enterprise Reporting (ER) and Web Intelligence (WebI).
  • Proficient in Microsoft Office Suite Products: (Excel, Word, Outlook, etc.).
  • Ability to convey ideas and facts orally and in writing using language the audience will best understand.
  • Ability to develop positive, productive, respectful work relationships with customers and co-workers.
  • Manage change in an ever-changing environment.
  • A general understanding of principles and procedures of governmental accounting. 
  • Working knowledge of the federal grant process from application submittal to reporting and closing.
  • State of Washington’s budget and accounting policies and regulations.
  • Principles and procedures of governmental accounting.
  • Cost allocation and account code structure.
  • Apply established accounting methods to a variety of accounting transactions.
  • Assemble, analyze, and prepare reports of complex financial data.
  • Follow and comprehend complex policies, procedures, directions, and regulations.
  • Working knowledge of federal grant processes from application submittal to reporting and closing.

Experience using the following Federal Systems: 

  • Payment Management System (PMS)

Experience using the following Statewide Systems: 

  • Agency Financial Reporting System (AFRS)
  • Enterprise Reporting (ER)
  • Web Intelligence (WebI)
  • DES Contract Database (ECMS)

How to apply:

Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:

  • A cover letter that specifically addresses how you meet the qualifications for this position
  • Current resume 

To take advantage of veteran preference, please do the following:

  • Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter. 
  • Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov. 

About HCA: 

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

What we have to offer:

  • Meaningful work with friendly co-workers who care about those we serve Voices of HCA
  • A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
  • A healthy work/life balance, including alternative/flexible schedules and mobile work options.
  • A great total compensation and benefit package WA State Government Benefits
  • A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby. 
  • And free parking! 

Notes:

Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Jake Nelko at 360-725-0945 or jake.nelko@hca.wa.gov.

The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.

E-Verify® is a registered trademark of the U.S. Department of Homeland Security.

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