Fiscal Intermediary

AccessCNY· Admin
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📍 Syracuse, New York, United States💰 USD 23+

About this role

Fiscal Intermediary Manager, Self-Direction

Reports to: Program Director, Self-Direction

Location: 6666 Manlius Center Road, East Syracuse, NY 13057

Pay Rate: $22.66 Hourly

Schedule: M-F: 8:30 a.m. – 4:30 p.m

The people we care for come from all walks of life, and so do we. We strive to diversify our workforce, not because it’s the right thing to do, but because it makes our agency stronger!?

About Us:

With a history stretching back more than 70 years, AccessCNY is continually growing and expanding our reach. Offering person-centered services that empower individuals of all ages and abilities to reach their full potential as part of our community. Our focus is supporting individuals by ways of residential housing, mental health and clinical services, and immersing our participants in community engagement. Working closely with the Office for People with Developmental Disabilities and the Office of Mental Health, we support 27 housing locations and 3 administrative buildings.

About the Role:

We are looking for a proactive employee to oversee assigned personnel, implement staff action plans, and manage day-to-day operations of the Self-Direction program.

Responsibilities include:

  • Responsible for the supervision of assigned FIs, and other assigned staff
  • Orient, train, and direct staff regarding specific job duties
  • Provide ongoing direction, support, and regular one on one supervision to staff
  • Conduct performance evaluations of staff-initial, 6 months, and annual; document performance concerns and follow-up with disciplinary action, if necessary
  • Provide instruction and teaching to staff regarding skills, duties, and responsibilities required for their positions; including professional, health, safety and welfare, skills; procedures and standards, and mandated OPWDD training
  • Maintain staff training records
  • Complete a Memorandum of Understanding (MOU) with self-directing individuals on assigned caseload
  • Review monthly financials/utilization for individuals on assigned caseload and rectify any items in a timely manner in conjunction with Support Broker
  • Review staff documentation, staff timecards, and monthly summaries for both completion and accuracy for billing; follow-up as needed for corrections
  • Maintain records and data required by OPWDD and Medicaid to support Medicaid billing, i.e. life plans, LCED etc.; follow-up with individuals’ care managers as needed for any missing and/or non-compliant documentation
  • Review, implement, and approve for submission to OPWDD: start-up, initial and amended budgets, including cost neutral budget amendments; communicate budget changes to Human Resources, Finance, and Compliance
  • Send monthly reports to individuals detailing their expense usage in all categories of their budget, including remainder balances through the end of the budget year
  • Provide person-centered, quality, services
  • Follow Agency standards and procedures
  • Maintain compliance with applicable program rules and regulations
  • Perform Other Duties as assigned/requested

Education & Experience

High school diploma/GED, required. One year of experience working with people with disabilities, preferred. One year of experience as an FI or Support Broker, preferred. Supervisory experience, preferred. Position requires good verbal and written communication skills.

Conditions of Employment

Must have a valid NYS driver’s license in accordance with the Agency Vehicle and Driving policy and transportation necessary to meet program needs. Must be able to lift 75 pounds.??

Did you know that AccessCNY offers great health, dental and vision insurance? Additionally, we provide a 401(k) match upon hire, PTO, and 11 paid holidays.

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Frequently Asked Questions

What is the salary for the Fiscal Intermediary role at AccessCNY?
The listed salary for this Fiscal Intermediary position at AccessCNY is USD 23+. This is an full-time role.
Where is the Fiscal Intermediary position at AccessCNY located?
This Fiscal Intermediary role at AccessCNY is based in Syracuse, New York, United States. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Which team or department does the Fiscal Intermediary at AccessCNY belong to?
This Fiscal Intermediary position is part of the Admin department at AccessCNY. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Fiscal Intermediary position at AccessCNY?
Click the "Apply Now" button on this page. You will be redirected to AccessCNY's official application portal hosted on workable where you can submit your application directly.
When was the Fiscal Intermediary job at AccessCNY posted?
This Fiscal Intermediary position at AccessCNY was posted on Jul 23, 2026. Apply as soon as possible — early applications are often reviewed first.
Fiscal Intermediary
AccessCNY · 💰 USD 23+
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You'll be redirected to AccessCNY's official application page on workable.