Scottsdale is looking for a new city manager.
Fritz Behring has been fired after a nine-month absence from City Hall following medical problems.
Behring suffered a seizure during a City Council meeting last June.
His recovery was set back after a stroke about a month later.
Behring also spent much of 2014 on medical leave recovering from an undisclosed surgery.
The City Council voted 7-0 last week after a closed-door executive session to terminate Behring's employment.
Scottsdale will soon begin a search for a permanent replacement.
The city's water resources director, Brian Biesemeyer, will continue as acting city manager.