Benefits:

401(k)

Dental insurance

Health insurance

Vision insurance

POSITION SUMMARY

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.

KEY RESPONSIBILITIES

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

REQUIRED QUALIFICATIONS

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

PREFERRED QUALIFICATIONS

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

CORE COMPETENCIES

Confidentiality and ethical financial stewardship

Accuracy and timeliness

Compliance-focused mindset

Strong customer service orientation

Ability to manage multiple accounts and deadlines

WORKING CONDITIONS

Occasional meetings with participants, brokers, or OPWDD representatives

EQUAL OPPORTUNITY STATEMENT

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