1

Fiscal Intermediary Jobs (NOW HIRING)

$29/hr

The Supervisor for the Fiscal Intermediary Intake Department is responsible for overseeing the daily operations, staff, and workflow of the FI Intake team to ensure timely, accurate, and compliant ...

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 ...

Be Seen First

Community Habilitation

New York, NY · On-site

$24 - $32/hr

Hired staff will be employed through the individual's Fiscal Intermediary (FI) as part of the NYS OPWDD Self-Direction program * Staff must complete all required onboarding, training, and background ...

Be Seen First

Community Habilitation

New York, NY · On-site

$24 - $32/hr

Hired staff will be employed through the individual's Fiscal Intermediary (FI) as part of the NYS OPWDD Self-Direction program * Staff must complete all required onboarding, training, and background ...

Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. * Performs other duties as assigned. This position is a mid-shift (3pm - 11:30pm) and will ...

Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. * Performs other duties as assigned. This position is a mid-shift (3pm - 11:30pm) and will ...

Showing results 21-40

Fiscal Intermediary information

See salary details

$26K

$43.6K

$62K

How much do fiscal intermediary jobs pay per year?

As of Sep 14, 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?

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 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.

How to become a fiscal intermediary?

To become a fiscal intermediary, individuals typically need relevant experience in finance, accounting, or program management, along with knowledge of Medicaid or other funding programs. Some roles require certification or training in financial management or compliance. Employers may also prefer candidates with strong organizational skills and familiarity with record-keeping systems.
More about Fiscal Intermediary jobs

What cities are hiring for Fiscal Intermediary jobs?

Cities with the most Fiscal Intermediary job openings:

What states have the most Fiscal Intermediary jobs?

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

What are popular job titles related to Fiscal Intermediary jobs?

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

Infographic showing various Fiscal Intermediary job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 78% Full Time, 19% Part Time, and 1% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $43,639 per year, or $21 per hour.

Supervisor for Fiscal Intermediary Intake

Stoughton, MA • On-site

Tempus Unlimited
Personal Services • 201 - 500 employees

Other

Medical, Dental, Life, Retirement, PTO

Posted 13 days ago


Key responsibilities

  • Oversee the daily operations, staff, and workflow of the Fiscal Intermediary Intake team to ensure timely, accurate, and compliant processing of department work.

  • Manage staff performance, provide coaching and training, and support recruitment and onboarding activities.

  • Develop, monitor, and report on operational metrics, identify process improvements, and ensure compliance with regulatory requirements.


Tempus Unlimited rating

5.7

Company rating: 5.7 out of 10

Based on 43 frontline employees who took The Breakroom Quiz


Job description

Supervisor for Fiscal Intermediary Intake

Tempus Corporate Headquarters, 600 Technology Center Drive, Stoughton, Massachusetts, United States of America

Job Description

Posted Monday, August 3, 2026 at 4:00 AM

Tempus Unlimited, Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment. The agency, through its programs and services, encourages the inclusion of people with disabilities into the mainstream of society, including social, recreational, family and work activities.

The Supervisor for the Fiscal Intermediary Intake Department is responsible for overseeing the daily operations, staff, and workflow of the FI Intake team to ensure timely, accurate, and compliant processing of department work. Provides leadership, coaching, and performance management to staff while monitoring operational metrics, driving process improvements, and leveraging technology to improve efficiency and service quality. Collaborates with internal and external stakeholders to support organizational objectives, regulatory requirements, and the overall mission of Tempus Unlimited. Actively participates as a member of the department leadership team in support of strategic and operational goals.

  • Full time at 35 hours a work week
  • Monday - Friday
  • 8:30am to 4:30pm core hours
  • Stoughton, MA location only
Essential Job Functions Staff
  • Train, coach, and develop staff through performance management, employee development activities, and challenging assignments.
  • Cross-train staff and build redundant capabilities to ensure operational continuity and workforce flexibility
  • Supervise daily activities, workload distribution, and staffing coverage to ensure group and individual productivity.
  • Conduct performance evaluations, including annual reviews and ongoing feedback discussions
  • Support recruitment, interviewing, onboarding, and training of new employees
  • Foster a positive, accountable, collaborative, and customer-focused team culture.
Operations
  • Manage staff, workload, and operational priorities to ensure work is completed accurately, efficiently, and in accordance with established service levels.
  • Develop, monitor, analyze, and report key performance metrics, productivity trends, quality measures, and departmental outcomes.
  • Establish departmental goals and strategies to achieve performance, quality, and operational targets.
  • Identify, design, and implement process improvements and technology solutions to enhance efficiency, reduce manual effort, and improve service delivery.
  • Ensure compliance with MassHealth, PCA Program, organizational policies, and applicable regulatory requirements.
  • Develop and maintain departmental procedures, training materials, and workflow documentation.
  • Review operational trends and performance data to identify risks, improvement opportunities, and resource needs.
  • Manage escalated participant, surrogate, provider, and stakeholder issues and facilitate timely resolution
  • Partner with leadership and cross-functional teams to support organizational initiatives, operational changes, and departmental objectives
Communication
  • Coordinate with other functions in payroll & billing to streamline workflows/handoffs
  • Liaise with other departments as necessary
  • Serve as point of escalation for external contacts
  • Encourage and provide free flow of bi-directional communications
  • Collaborate with cross-functional and internal teams
  • Prepare and present operational updates, metrics, and recommendations to leadership
  • Communicate process changes and organizational updates to staff effectively.
Quality & Compliance
  • Support overall mission and objectives of Tempus Unlimited
  • Must report all suspected incidents of consumer sexual abuse, physical abuse and neglect to the Disabled Person Protection Commission (D.P.P.C.).
  • Ensure adherence to all applicable state, federal, contractual, and organizational policies and regulations.
  • Monitor quality metrics and implement corrective actions when necessary.
  • Participate in internal and external audits and compliance reviews.
  • Promote data integrity and accuracy within departmental processes.
  • Perform other duties as assigned by Assistant FI Director
Requirements
  • High School diploma or equivalent preferred
  • Minimum 2-3 years of supervisory or team leadership experience preferred
  • Strong organizational skills with a high degree of accuracy and attention to detail
  • Experience managing operational workflows, productivity metrics, and employee performance.
  • Proficiency in Microsoft Office applications, including Excel, Outlook, and Teams.
  • Strong problem-solving, conflict resolution, and decision-making skills.
  • Ability to adapt to new technologies and support change management initiatives.
  • Excellent oral and written communication
Other Skills/Abilities
  • Familiarity with Intake process & PCA program procedures and regulations
  • Ability to maintain confidentiality

This job operates in a professional office environment. This role routinely uses standard

office equipment such as computers , phones, photocopiers , filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk and/or hear . The employee is frequently required to sit; stand; walk; use hands to finger , handle or feel; and reach with hands and arms .

Travel

Travel to company sites and agencies as required.

Other Duties

Note this job description is not designed to cover or contain a comprehensive listing of activities , duties or responsibilities that are required of the employee for this job. Duties , responsibilities and activities may change at any time with or without notice .

Tempus Unlimited offers great benefits that foster a happy fulfilling human work experience. We also have an array of growth opportunities for our employees to develop your career and enhance your experience.

  • Sign on bonus
  • Work/Life Balance
  • Paid time off - 25 days per year for full time staff
  • 14 paid Holidays
  • Tempus Wellness - Medical, Dental, Dependent Care Reimbursement, FSA and HSA
  • Basic Life, Short Term and Long-Term Disability
  • On-site gym (Stoughton Location) and wellness initiatives
  • Annual Reviews with merit-based increases
  • Employee Recognition Program
  • Financial Wellness - 403(b) Retirement Plan with matching
  • Continuing Education, Training and Advancement opportunities

Work Authorization/Security Clearance

All offers of employment made by Tempus Unlimited are contingent upon satisfactory background check results. Pre-employment background checks will be conducted on all candidates that are offered a position at the agency in compliance with program policy as well as state and federal regulations. From time to time, these checks may be conducted on current employees to ensure compliance with all state and federal regulations and contracts.

EEO Statement

Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Tempus Corporate Headquarters, 600 Technology Center Drive, Stoughton, Massachusetts, United States of America

#J-18808-Ljbffr

What Tempus Unlimited employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom