Senior Health Care Fiscal Analyst - CCBHC

Requisition Number: SENIO
004432

• Posted :
  October 9, 2026
• Full-Time

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Are you looking to work for an organization where you are able to make a difference?
Do you have finance skills you’re ready to put into action?

Then you’ve come to the right place!

What will your day look like?

At Horizon, you’ll enjoy a supportive, team-based work environment. Have a question? There’s always someone there to help! We offer a seamless onboarding experience that’ll ensure your success in your new role.

As a Senior Health Care Fiscal Analyst at Horizon, you will…

• Complete annual behavioral health cost reports due to state and local agencies, specifically Consolidated Fiscal Reports, Consolidated Budget Reports and associated audits.
• Work closely with state and local government agencies to complete recurring reporting requirements.
• Develop and maintain cost reports specific to Certified Community Behavioral Health Clinics (CCBHCs).
• Create quantitative reports for monitoring and measuring fiscal goals.
• Work with the finance team to complete monthly financial reports and analyses.

Why choose Horizon to build your career?

At Horizon, we don’t just offer a workplace—we offer a community where you can thrive while making a meaningful impact in the lives of others. Recognized as a Best Place to Work in NYS for 18 consecutive years and one of America’s Best Workplaces, we take pride in fostering a culture where motivated teammates collaborate to make a difference, every day.

Join us and experience the satisfaction of doing work that matters alongside people who share your passion!

What we offer that you’ll love…

• Company Culture:
  At Horizon, we pride ourselves on cultivating an atmosphere of teamwork where all employees feel heard and valued.
• Diversity & Inclusion:
  We are committed to equity, racial justice, and equal opportunity for all, and strive toward this goal through the work of our Diversity, Equity, Inclusion and Belonging department, frequent trainings, ongoing conversations, affinity groups, and more.
• Trainings, Trainings, and More Trainings:
  We have an entire team dedicated to your personal development and professional growth.
• Team Building, Connection, and Relationships:
  At Horizon, we’re more than co-workers, we’re a community. We support each other, celebrate our achievements and milestones together, and have fun together!
• Retirement:
  We know you want to retire comfortably and we’re here to help! Horizon offers 401(k) AND profit-sharing programs to make sure you’re set for the future.
• Student Loan Assistance:
  We help pay off our team members' student loans every month. One year after joining, you’ll have been able to pay off an extra $600!
• Paid time off and paid holidays!
• Horizon employees and their families (includes spouses and children up to age 30) are eligible for a 10% discount on their tuition through a partnership with Capella University.

What makes you a great candidate?

We can’t wait to learn more about you! Here are a few specifics of what you’ll need for the job:

• A bachelor’s or higher degree in accounting, auditing, finance, or healthcare administration required.
• 1-2 years of professional experience in the review and analysis of fiscal and cost operations and/or billing systems of a governmental agency, nonprofit organization, or hospital or healthcare facility related to reimbursement rates, principles, and practices required.
• Proficient in Microsoft Excel, including advanced formulas.
• Able to build relationships with others and collaborate within a team environment.
• Demonstrate strong critical thinking skills and an aptitude for problem-solving.

Location:

This position is located at 55 Dodge Rd, Getzville NY.

Hours:

This is a…