Fiscal Intermediary Associate

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

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.

• 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

• 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

• 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

• Confidentiality and ethical financial stewardship
• Accuracy and timeliness
• Compliance-focused mindset
• Strong customer service orientation
• Ability to manage multiple accounts and deadlines

Occasional meetings with participants, brokers, or OPWDD representatives

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