Senior Health Care Fiscal Analyst

Overview: StaffBuffalo is working with a behavioral healthcare organization to hire a Senior Health Care Fiscal Analyst in Getzville, NY, offering $63,000 to $68,000 annually. This full-time opportunity is ideal for a financial reporting professional who wants to take ownership of complex government cost reports and help connect accurate reporting to future reimbursement decisions. In this individual contributor role, you will prepare annual Consolidated Fiscal Reports, Consolidated Budget Reports, and related audit support, while developing and maintaining Certified Community Behavioral Health Clinic (CCBHC) cost reporting. You will also build monthly reporting for individual clinics and consolidated operations, assess cost classifications and payroll allocations, and investigate trends against budgets and prior periods. You will partner with finance, business intelligence, program directors, leadership, and government agencies to clarify findings, resolve reporting questions, and strengthen repeatable, audit-ready processes. This Monday through Friday role offers flexible hours and eligibility for a sign-on bonus.

Responsibilities: Prepare and support annual behavioral health cost reports, including Consolidated Fiscal Reports, Consolidated Budget Reports, CCBHC cost reports, and associated audits; coordinate recurring submissions with state and local agencies. Develop and maintain monthly clinic-level and consolidated cost reporting, quantitative fiscal-goal measures, and financial reports in partnership with the finance team. Validate allowable and nonallowable expense classifications, operating-license requirements, supporting documentation, and the accuracy of cost-report inputs. Review staffing, payroll expenses, and employee allocations to ensure costs are recorded and attributed correctly. Compare monthly results with budgets and prior periods; investigate changes in personnel costs, service visits, cost ratios, and other material variances. Collaborate with finance, business intelligence, program directors, and leadership to gather information, explain findings to nonfinancial audiences, and address reporting concerns. Support annual submission deadlines, audit inquiries, and the summer budgeting cycle while improving repeatable processes and maintaining defensible, audit-ready documentation.

Qualifications: Bachelor's degree or higher in accounting, auditing, finance, or healthcare administration required. At least 1-2 years of professional experience reviewing and analyzing fiscal and cost operations and/or billing systems in a governmental agency, nonprofit organization, hospital, or healthcare facility, related to reimbursement rates, principles, and practices. Experience with Consolidated Fiscal Reports, government cost reporting, or similarly complex state-, county-, or government-funded reporting; direct CCBHC reporting experience preferred. Knowledge of allowable expense classifications, supporting documentation, reimbursement considerations, and audit support or defense. Advanced Microsoft Excel proficiency, including advanced formulas. Strong analytical and critical-thinking skills to investigate financial variances, identify drivers, and explain results clearly to nonfinancial stakeholders. Ability to build cross-functional relationships, communicate difficult findings proactively, and take ownership of reporting accuracy, competing priorities, and external deadlines.

Benefits: Annual salary range of $63,000 to $68,000, dependent on experience. Eligibility for a sign-on bonus. Full-time, salaried position with a 40-hour workweek, Monday through Friday schedule with flexible hours. Excellent work culture and comprehensive benefits package. The advertised pay range represents what we believe at the time of this job posting that our client would be willing to pay for this position. Only in special circumstances, where a candidate has education, training, or experience that far exceeds the requirements for the position, would we consider paying higher than the stated range. StaffBuffalo is an Equal Opportunity Employer and does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, gender, gender identity or expression, marital status, physical or mental disability, military status, or unfavorable discharge from military service.