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How much do fiscal intermediary jobs pay per year?

As of Jun 10, 2026, the average yearly pay for fiscal intermediary in the United States is $43,639.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,500.00 and $48,500.00 per year, depending on experience, location, and employer.

What is a Fiscal Intermediary job?

A Fiscal Intermediary (FI) is an organization or individual that manages financial transactions on behalf of clients, typically in healthcare or social services. They process payroll, handle reimbursements, and ensure compliance with regulations related to funding sources. FIs commonly support programs like Medicaid or consumer-directed care, helping individuals manage budgets for personal assistance services. Their role is crucial in maintaining accurate financial records and ensuring timely payments.

What are the typical daily responsibilities of a Fiscal Intermediary?

Fiscal Intermediaries are responsible for processing timesheets, managing payroll for personal assistants or care workers, ensuring accurate record-keeping, and submitting required documentation to funding agencies. They regularly interact with clients, caregivers, and government entities to address questions, verify information, and help ensure proper use of allocated funds. Coordinating payments, staying up-to-date on regulatory changes, and providing training to clients or providers are also part of the role. This position involves a blend of back-office financial management and client-facing support, making strong interpersonal and organizational skills essential.

What job makes $10,000 a month without a degree?

A Fiscal Intermediary can earn around $10,000 per month, especially with experience and specialized knowledge in healthcare or social services. These roles often involve managing funds or services for individuals with disabilities and may require certifications but not necessarily a college degree.

What are the key skills and qualifications needed to thrive in the Fiscal Intermediary position, and why are they important?

To excel as a Fiscal Intermediary, you need strong financial management skills, attention to detail, and a relevant background in accounting or finance. Familiarity with financial software such as QuickBooks, Excel, and payroll processing systems, as well as compliance with regulations like Medicaid or other governmental funding requirements, is typically required. Excellent communication, organizational ability, and problem-solving skills help Fiscal Intermediaries effectively liaise with clients, providers, and regulatory agencies. These abilities are vital to ensure accurate financial transactions, regulatory compliance, and smooth program administration.

More about Fiscal Intermediary jobs
What cities are hiring for Fiscal Intermediary jobs? Cities with the most Fiscal Intermediary job openings:
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What job categories do people searching Fiscal Intermediary jobs look for? The top searched job categories for Fiscal Intermediary jobs are:
Fiscal Intermediary jobs near you
Infographic showing various Fiscal Intermediary job openings in the United States as of June 2026, with employment types broken down into 1% Internship, 76% Full Time, 4% Part Time, 5% Temporary, and 14% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $43,639 per year, or $21 per hour.

Fiscal Intermediary Associate

Higher Ground IHS

Albany, NY • On-site

$23/hr

Full-time

Posted 6 days ago

Job description

POSITION SUMMARY
Higher Ground Integrated Human Services (IHS), Inc. is seeking a knowledgeable and detail-oriented Fiscal Intermediary (FI) to support individuals enrolled in OPWDD Self-Direction services. The Fiscal Intermediary is responsible for ensuring accurate financial management, payroll processing, compliance with OPWDD and Medicaid requirements, and timely payment of staff and vendors, while supporting the individual’s person-centered plan and budget.
The FI plays a critical role in safeguarding public funds, maintaining compliance, and supporting individuals and families in successfully managing their Self-Directed services.
KEY RESPONSIBILITIES
Financial & Payroll Management
  • Process payroll for Self-Direction employees (DSPs, support staff) in accordance with approved budgets and service authorizations
  • Manage withholding, taxes, and payroll reporting

  • Process vendor payments and reimbursements
  • Ensure payments align with approved Individual Budgets and Life Plans

Budget Oversight & Compliance
  • Monitor individual budgets to ensure expenditures remain within OPWDD-approved limits
  • Track spending and alert Higher Ground and participants of potential budget overages
  • Maintain compliance with OPWDD Self-Direction Fiscal Intermediary requirements

  • Assist with budget amendments and revisions as needed
Documentation & Recordkeeping
  • Maintain accurate financial records, payroll documentation, and vendor files
  • Ensure proper collection and maintenance of required forms (W-9s, I-9s, timesheets, service documentation, etc.)
  • Prepare financial reports for Higher Ground, participants, brokers, and OPWDD as required
Coordination & Communication
  • Work closely with Self-Direction Brokers, Care Managers, and Higher Ground staff
  • Support individuals and families with understanding payroll timelines, budgets, and FI processes
  • Respond to participant, staff, and OPWDD inquiries in a timely and professional manner
OPWDD & Medicaid Compliance
  • Stay current on OPWDD Self-Direction regulations, guidance, and policy updates
  • Ensure all FI operations comply with Medicaid billing, OPWDD standards, and audit requirements
  • Assist with audits, reviews, and corrective action plans if needed
REQUIRED QUALIFICATIONS
  • Knowledge of OPWDD Self-Direction and Fiscal Intermediary operations
  • Experience with payroll processing and financial management
  • Strong attention to detail and organizational skills
  • Ability to interpret budgets, service authorizations, and Life Plans
  • Proficiency with accounting, payroll, or FI management systems
  • Strong written and verbal communication skills
PREFERRED QUALIFICATIONS
  • Prior experience as an OPWDD Fiscal Intermediary

  • Familiarity with Medicaid billing and compliance

  • Experience working with individuals with developmental disabilities and their families
  • Associate’s or Bachelor’s degree in Accounting, Finance, Business Administration, Human Services, or related field
CORE COMPETENCIES
  • Confidentiality and ethical financial stewardship
  • Accuracy and timeliness
  • Compliance-focused mindset
  • Strong customer service orientation
  • Ability to manage multiple accounts and deadlines
WORKING CONDITIONS
  • Occasional meetings with participants, brokers, or OPWDD representatives

EQUAL OPPORTUNITY STATEMENT
Higher Ground Integrated Human Services (IHS), Inc. is an equal opportunity employer and values diversity. We encourage applications from individuals of all backgrounds.