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Fiscal Intermediary Manager Jobs (NOW HIRING)

Citizen Advocates, Inc.

SUPPORT BROKER

Malone, NY · On-site

$17 - $22/hr

Essential Functions (Job Duties) Works in close collaboration with the Participant, his/her Circle of Support, Fiscal Intermediary, Care Manager, Support Staff, Voluntary Providers, and others to ...

The Arc

Self Direction Manager FT

Rochester, NY · On-site

To manage the day to day operations and all aspects of Self-Direction Services. To act as a ... To provide leadership, guidance, and coaching to the Support Broker and Fiscal Intermediary team ...

KPC Global MSO

Utilization Review RN

Santa Ana, CA · On-site

... fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting * Able ...

KPC Health

Utilization Review RN (Hemet)

Hemet, CA · On-site

... fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting * Able ...

New

KPC Health

Utilization Review RN

Santa Ana, CA · On-site

... fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting * Able ...

KPC Global MSO

Utilization Review RN (Hemet)

Hemet, CA · On-site

... fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting * Able ...

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Fiscal Intermediary Manager information

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$48K

$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 Coordinator for Self-Direction (OPWDD)

Albany, NY • On-site

Living Resources
Individual, Family and Community Social Assistance • 501 - 1,000 employees
Learn more about Living Resourcesexternal

$52K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 17 days ago

Living Resources rating

7.9

Company rating: 7.9 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

Job Type
Full-time
Description
Living Resources is a non-profit human services agency. Our core purpose is to support and empower individuals with disabilities or other life-challenging conditions to live with dignity, independence, and happiness.
Living Resources works with, and for, families by providing peace of mind. All employees are to be respectful and supportive of families. We are working with them as partners, providing care and services.
To work for Living Resources is to make a difference in the lives of others. Living Resources provides individuals with disabilities and special needs the support they need to thrive and lead active, full lives. For many Living Resources employees, their work becomes an experience where they find fulfillment and develop both personally and professionally.
Essential Responsibilities
  • Billing and payment of approved goods and services on behalf of the participant.
  • Fiscal accounting and reporting.
  • Ensure Medicaid and corporate compliance.
  • General administrative supports.
  • Verify staff employment eligibility.
  • Help the participant manage staff.
  • Participate in annual and/or semi-annual Life Plan meetings to discuss issues related to self-directed staffing and/or supports and budget expenditures, as required or as requested.
  • Participate in Circle of Support/Care Planning Team meetings as a budget resource, as needed or as requested.
  • Incident Management - reporting/investigating related to self-hired staff, as required and in coordination with incident management team.
  • Provide training to the participant on his/her employer responsibilities.
  • Work cooperatively with independent and agency brokers.
  • Provide educational and training support to participants, families, brokers, staff, and interested parties.

Requirements
  • At least 1 year of experience working in Self-Direction programs as Fiscal Intermediary or Broker
  • Experience with Self-Direction EHR (electronic health records) preferred
  • Excellent written and interpersonal skills
  • HS Diploma or GED
  • Valid NYS Driver's License

Benefits
We offer great benefits including Paid Training, Health, Dental & Vision Insurance, Payment in Lieu of Health Insurance, Tuition Assistance, and Retirement Programs.
There are also opportunities to advance within our agency!
Salary Description
$52,000

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