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Fiscal Intermediary Manager Jobs (NOW HIRING)

Higher Ground IHS

Fiscal Intermediary Associate

Manhattan, NY · On-site

$40K - $53K/yr

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 ...

tempus

Fiscal Intermediary Intake Assistant

Stoughton, MA · On-site

$19.50/hr

The Fiscal Intermediary Assistant will provide assistance to the Intake Supervisor and staff as ... Skills Trainer Reports & Case Manager changes * Applying for EINs * Preparing 2678s to IRS * All ...

tempus

$21/hr

The Fiscal Intermediary Intake Associate works regularly with internal and external contacts. The ... Manage reports generated from the Enrollment module * Provide analysis of software performance and ...

Tempus

Fiscal Intermediary Intake Associate

Stoughton, MA · On-site

$21/hr

The Fiscal Intermediary Intake Associate works regularly with internal and external contacts. The ... Manage reports generated from the Enrollment module * Provide analysis of software performance and ...

tempus

$29/hr

The Supervisor for the Fiscal Intermediary Intake Department is responsible for overseeing the ... Provides leadership, coaching, and performance management to staff while monitoring operational ...

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$83.6K

$128K

How much do fiscal intermediary manager jobs pay per year?

As of Sep 13, 2026, the average yearly pay for fiscal intermediary manager in the United States is $83,580.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $96,000.00 per year, depending on experience, location, and employer.

What is a fiscal intermediary manager?

A Fiscal Intermediary Manager is a professional responsible for overseeing the financial operations of a fiscal intermediary organization, which acts as a third-party administrator to manage funds and payments, often in sectors like healthcare or social services. They ensure compliance with relevant regulations, supervise staff, manage budgets, and handle reporting requirements. Fiscal Intermediary Managers play a critical role in ensuring that funds are distributed accurately and efficiently to service providers or clients. They may also interact with government agencies, clients, and vendors to resolve issues and improve processes. This position requires strong financial management, organizational, and communication skills.

What are the key skills and qualifications needed to thrive as a fiscal intermediary manager?

To thrive as a Fiscal Intermediary Manager, you need a solid background in finance, accounting, and compliance, often supported by a degree in business or a related field. Familiarity with financial management software, payroll systems, and knowledge of Medicaid or self-direction program guidelines are typically required. Strong organizational skills, attention to detail, and effective communication are vital for managing client needs and regulatory requirements. These skills ensure accurate financial administration, regulatory compliance, and excellent service for individuals and agencies relying on fiscal intermediary services.

What are some common challenges faced by fiscal intermediary managers when coordinating between clients, caregivers, and funding agencies?

Fiscal Intermediary Managers often navigate the complexities of maintaining clear communication among clients, caregivers, and funding agencies while ensuring compliance with regulations. Balancing the needs and expectations of all parties, keeping up with evolving state and federal guidelines, and managing accurate and timely payroll for caregivers can be challenging. Effective time management, attention to detail, and strong interpersonal skills are crucial for overcoming these challenges and ensuring high-quality service delivery.

What is the difference between Fiscal Intermediary Manager vs Fiscal Intermediary Coordinator?

AspectFiscal Intermediary ManagerFiscal Intermediary Coordinator
CredentialsTypically requires relevant financial or administrative certifications, experience in program managementOften requires similar certifications but with a focus on coordination and support roles
Work EnvironmentSupervises teams, manages budgets, oversees compliance in a program settingSupports daily operations, assists with documentation, and coordinates activities within the program
Employer & Industry UsageUsed by agencies managing Medicaid, home care, or social service programsCommonly employed in similar settings for supporting roles

The main difference is that the Fiscal Intermediary Manager oversees the entire program operations and team, while the Fiscal Intermediary Coordinator handles day-to-day support tasks. Both roles require relevant certifications and are integral to managing financial and administrative functions within social service or healthcare programs.

What does a fiscal intermediary manager do?

A fiscal intermediary manager oversees the administration of funds and financial transactions between service providers and funding agencies, ensuring compliance with regulations. They manage billing, record-keeping, and reporting processes, often using financial management software, and coordinate with stakeholders to facilitate service delivery and funding accountability.

What states have the most Fiscal Intermediary Manager jobs?

States with the most job openings for Fiscal Intermediary Manager jobs include:

What are popular job titles related to Fiscal Intermediary Manager jobs?

For Fiscal Intermediary Manager jobs, the most frequently searched job titles are:

Infographic showing various Fiscal Intermediary Manager job openings in the United States as of September 2026, with employment types broken down into 5% As Needed, 91% Full Time, and 4% Part Time. Highlights an 90% In-person, 5% Hybrid, and 5% Remote job distribution, with an average salary of $83,580 per year, or $40.2 per hour.

Fiscal Intermediary Associate

Albany, NY • On-site

Higher Ground IHS
See more jobs at Higher Ground IHSexternal

$23/hr

Full-time

Re-posted 12 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.