Fiscal Intermediary Specialist

Company: The Arc Jefferson St Lawrence
Location: Watertown
Posted on: April 2, 2026

Job Description:

Position Type/Expected Hours of Work – Flexible to the needs of the program (typically M-F day hours 7:30am to 4pm) Qualifications - Associates Degree preferred with two years’ experience working with developmental disabilities required. Valid New York State Driver’s License. Must have knowledge of OPWDD and Medicaid regulations. Must be organized, detail oriented and able to work in a fast paced environment. Work Authorization/Security Clearance – Authorized to work in the United States. Summary/Objective - Supervision of Community Habilitation staff supporting a person’s daily program, stressing independence, inclusion and individualization with emphasis on the person’s choice. A person centered philosophy will be maintained. Oversight of the Fiscal Intermediary and Self-Direction support programs. Must have knowledge of OPWDD and Medicaid regulations. Must be organized, detail oriented and able to work in a fast paced environment. Essential Functions – Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Responsibly implement and manage a caseload of participants in the Self-Direction program. This includes collaborating with the Circle of Support, Care Manager, Broker and Self-Directed Liaison. Preparing/reviewing Monthly Expenditure Reports and work with your Circle of Support and Support Broker to use these reports to maintain spending within the budget. Support positive, collaborative relationships with colleagues, service organizations and community members. Work collectively with the person supported and circle of support on all recruitment opportunities. Track budgetary and program implementation in a web-based system. Conduct in field mentoring sessions with the DSPs who are providing the Community Habilitation services. Attend Circle of Support meetings twice a year (1 in person) or as needed for people participating in Self-Direction. Ensure documentation is accurate and prepared per OPWDD regulations for billing for both the Community Habilitation program and the Self-Direction/Fiscal Intermediary program. Responsible for assisting in the training and supervising of Direct Support Professional/Substitute to ensure staff is competent to provide rehabilitative services and meet the needs of the People We Support within the context of the regulation. Responsible for training people supported and family members on documentation submission into the web based system. Observe and provide feedback on best practices to adhere to the Code of Ethics and Core Competencies while providing person centered support. Conduct 90 day performance evaluations and annual performance evaluations for DSPs for Community Habilitation staff and encourage the completion of performance evaluations by the family for self-directed staff. Conduct routine site visits to DSPs in the field and assist them in effectively delivering the persons support based Community Habilitation plan. Effectively support DSPs in trouble shooting and work related issues/concerns. Demonstrate flexibility, accuracy, and confidentiality in work assignments. Maintain confidentiality of all work related information. Shall attend and demonstrate proficiency by written examination on all required in-services by achieving 80% competency on the exams, noted through OPWDD compliance. Shall write incident reports as defined by Incident Review Procedures. Communicate all matters concerning the People We Support to Circle of support team and direct supervisor. Agree to abide by the Code of Conduct for Service Delivery by reviewing and signing the document initially and as changes are made. Competencies – Ethical Conduct. Time Management. Organizational Skills. Personal Effectiveness/Credibility. Supervisory Responsibility – Oversight and training responsibilities of the Direct Support Professionals. Travel – Based on the needs of the program within Jefferson and St. Lawrence counties. Work Environment – 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 or hear. The employee frequently is required to stand; walk; lift; use hands to finger, handle or feel; and reach with hands and arms. Work may require lifting, pushing, or pulling in excess of 30 pounds. Other Duties – 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. I have read and received a copy of the above job description and understand the responsibilities fully. I understand that the preceding job description will be reviewed/updated at least annually; more frequent updates will depend on contract needs. AAP/EEO Statement – The Arc Jefferson – St. Lawrence has and will continue to provide all employees and applicants’ equal opportunity in the manner provided by law in all aspects of employment regardless of their age, race, creed, color, national origin, sexual orientation, disability, genetic predisposition, or carrier status, or marital status. These individuals will be recruited, referred for hiring consideration, and employed with regard to the positive and appropriate utilization of their skills and capabilities. Qualified employees will be afforded non-discriminatory consideration for promotion and job advancement, and there will be no discrimination with regard to assignments, rates of pay, promotions, transfers, training, termination, accessibility, working conditions, and benefits.

Keywords: The Arc Jefferson St Lawrence, Rochester , Fiscal Intermediary Specialist, Social Services , Watertown, New York