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Fiscal Intermediary Manager Jobs (NOW HIRING)

The Arc of Monroe

Self Direction Manager FT

Rochester, NY · On-site

$26 - $29/hr

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

Prime Healthcare

Medical Review Coordinator I

Lewiston, ME · On-site

$28 - $43.41/hr

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

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Fiscal Intermediary Manager information

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$48K

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$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.

Self Directed Community Support Professional

Chemung, NY • On-site

Racker
Individual, Family and Community Social Assistance • 501 - 1,000 employees
Learn more about Rackerexternal

$18.45 - $25.41/hr

Other

Re-posted 13 days ago

Racker rating

5.7

Company rating: 5.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Overview
Are you looking to make a difference in your career? Want to positively affect individuals in the community you live? Do you picture yourself as a valued member of an industry-leading organization?
Come join Racker as a Self Directed Community Support Professional where you can provide community based services for individuals with developmental disabilities and their families.
The Self Directed Community Support Professional works in accordance with service plans and individual interests of the people they support. The positioned is co-managed by the service recipient and their family along with the employing agency.
Hourly Rate: $18.45 - $25.41*
*Higher rates are possible depending on the candidate and service receipient meeting certain criteria. The team at Racker will review rate expectations prior to offering the position.
Responsibilities
  • Responsible for the health and safety of the individuals supported
  • Provide individualized services to people with disabilities and their families which may include: respite for families, teaching, modeling, and supporting skill development in a variety of areas at home and in the community
  • Participate as an active member of the person's team providing ideas, input, and advocacy for the person related to his or her Staff Action Plan
  • Follow objectives as described in the person's Staff Action Plan and as discussed with the person receiving services and their Team
  • Attend training to improve services provided
  • Complete job requirements (training, PPD, etc) within designated time frames
  • Report any potential incidents to the supervising/assigned Fiscal Intermediary, or the Self-Direction Coordinator
  • Accurately enter time and services into Racker's electronic health record, eVero, documenting service times, supports provided, and mileage according to program and regulatory requirements (e.g., contemporaneously documenting service provision)
  • Provide and use a smartphone for required documentation and other assigned tasks. (Ownership/usage of personal smartphone is strongly preferred)
  • Provide input concerning goals and service of the individual receiving support
  • Communicate regularly with the person being supported and their team regarding service provision
  • Uphold standards of professionalism with regard to behavior and dress
  • Assume responsibility for related duties as required or assigned

Working Relationships:
  • Directly responsible to the person receiving services, their identified designee/family, AND the assigned Fiscal Intermediary
  • Member of the team which may include: the person and his or her family members, the person's circle of support, the Care Manager, Support Broker, Fiscal Intermediary, teachers, therapists and other providers as selected by the person receiving services

Qualifications
  • High school diploma or GED
  • Must meet Approved Driver Status

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