Rural Health Transformation Program (RHTP) Job Openings
A total of $233 million in RHTP funds is available to fund five core initiatives: Workforce Development, Sustainable Access, Innovative Care Models, Community Health and Prevention, and Technology Innovation.
DPHHS will collaborate with rural providers, hospitals, community organizations, and other health care stakeholders to deliver five core initiatives tailored to Montana's rural health care challenges.
*Please note that $12 million in RHTP funds are allocated to administering the program.
Transforming Rural Health in Montana – Join Our Team!
Montana is launching one of the most ambitious rural health transformation efforts in its history. The Rural Health Transformation Program (RHTP) is a five-year, federally funded initiative investing hundreds of millions annually to strengthen rural health care, expand access, drive innovation, and improve long-term sustainability.
What We’re Doing
- Build and retain a strong health workforce.
- Ensure rural facility sustainability and access through partnerships and restructuring.
- Launch innovative care delivery and payment models.
- Invest in community health and preventive infrastructure.
- Deploy modern health care technologies to guide rural interventions.
Why Join Us
By joining the RHTP team, you’ll help shape the future of rural health care in Montana. These positions offer impactful work improving access and equity for rural communities, competitive salaries and benefits (including health coverage, retirement plans, paid leave, and eligibility for Public Service Loan Forgiveness), hybrid work options, and opportunities to collaborate statewide.
Open Positions
We’re hiring for multiple roles. All positions are term-limited through Sept. 30, 2030, contingent on federal funding. Additional positions for Community Engagement, Tribal Liaisons, Research/Data Scientists, and Electronic Health Records Integration Specialists will be posted in the coming weeks.
To be considered for any of these positions, you must complete the state application and attach all required documents through the Montana State Careers site.
Required documents: Cover Letter, Resume, References.
Positions are term-limited through Sept. 30, 2030, contingent on federal funding.
What is the Rural Health Transformation Program?
RHTP is a statewide initiative funded by a federal cooperative agreement to strengthen rural health systems, improve access, and ensure sustainability.
Are these positions permanent?
No, they are term-limited through September 30, 2030, aligned with the federal funding period.
Will I need to travel?
Yes, most roles require some travel within Montana. Travel expectations vary by position (see job postings for details).
Is telework available?
Yes, occasional telework is available with supervisor approval, and full-time remote work will be considered on a case-by-case basis.
Salary: $125,000-$131,440
About the Role
As the Program Director for the Rural Health Transformation Program (RHTP), you will lead one of the most significant rural health initiatives in Montana’s history. This role sits at the center of a five-year, federally funded effort investing hundreds of millions of dollars annually to strengthen rural health care, improve access, and ensure long-term sustainability for communities across the state.- Provide overall strategic direction for RHTP, translating federal cooperative agreement terms and state priorities into a clear, actionable work plan for Montana.
- Coordinate across state agencies, health systems, tribal partners, and community organizations to ensure efforts are aligned, data-driven, and responsive to local needs.
- Oversee day-to-day implementation of the program, including timelines, milestones, and key deliverables across the five major initiative areas (workforce, facility sustainability, care models, community health, and technology).
- Supervise a multidisciplinary team that includes program managers, fiscal and grants staff, compliance, communications, and partner liaisons.
- Work closely with external experts, providers, and stakeholders to co‑design solutions that reflect Montana’s rural realities and tribal priorities.
- Represent RHTP in high-visibility meetings and forums with CMS, legislative partners, health systems, and community leaders.
Salary: $75,000-77,000
About the Role
As the Budget Analyst for RHTP, you will provide the financial backbone for a large, multi‑year transformation program. Your analysis will help leaders make informed decisions about where and how to invest to get the greatest impact for rural communities.
- Support development and management of the overall RHTP budget, including annual planning, revisions, and alignment with CMS requirements.
- Monitor expenditures across multiple initiatives and funding streams, identify variances, and recommend adjustments to keep the program on track.
- Analyze spending trends, utilization, and projections to inform leadership, grantmaking strategies, and sustainability planning.
- Prepare clear financial reports, dashboards, and supporting documentation for state leadership, CMS, and auditors.
- Develop and refine tools for tracking project costs, allocations, and obligations, promoting transparency and fiscal accountability.
This role is term‑limited through Sept. 30, 2030, and is telework eligible with supervisor approval; some in‑state travel may be required.
Salary: $71,159
About the Role
The Compliance Officer ensures that the Rural Health Transformation Program’s (RHTP) work is carried out with transparency, federal compliance and adherence to all applicable rules. You will build and oversee a compliance framework that protects the program, its partners, and the rural communities it serves.
- Lead compliance activities related to federal, state, and CMS regulations, grant terms, and cooperative agreement requirements.
- Design and implement internal monitoring systems, policies, and procedures to identify and address compliance risks early.
- Review contracts, reports, and program documentation to ensure consistency with legal and regulatory expectations.
- Conduct risk assessments and prepare or coordinate internal audits, summarizing findings and recommending corrective actions.
- Provide training, guidance, and technical assistance to RHTP staff and subrecipients so they understand and can meet compliance obligations.
This term‑limited role runs through Sept. 30, 2030, with telework eligibility and some travel expected.