Assistant Budget Director

Hamilton County, Ohio; Cincinnati (OH); Hybrid; USD 90,000 - 112,000; Full time

Benefits offered by this job

Flexible scheduling

Hybrid work-from-home

Vacation: 3 weeks

Personal days

Sick leave with accrual

Medical/Dental/Vision coverage

HRA option

Life insurance

PSLF eligibility

Tuition reimbursement

Wellness program

OPERS retirement

Job summary

Hamilton County Developmental Disabilities Services in Cincinnati is seeking an Assistant Budget Director to oversee daily fiscal operations, supervise staff, and coordinate with external partners. You will review financial statements, Medicaid billing, budgeting, and cash-flow planning in a hybrid work environment.

The role requires a Bachelor’s degree (Master’s preferred) in accounting/finance/public administration and at least five years of related experience, with travel within Hamilton

Qualifications

• Bachelor's degree required; master’s preferred in accounting, finance, public administration, business administration, or related field.
• Minimum 5 years of demonstrably related experience.
• Ability to travel within Hamilton County as needed.

Responsibilities

• Direct daily fiscal operations, including accounting, billing, contracting, purchasing, grants, and financial reporting.
• Supervise the Finance Manager, Contracts & Local Funding Manager, and Grants Accountant.
• Ensure accurate monthly financial statements, effective internal controls, and fiscal compliance.
• Coordinate agency responses to fiscal audits and monitoring activities.
• Oversee Medicaid and TCM billing for accuracy, timeliness, documentation, and regulatory compliance.
• Monitor revenue, utilization, billing variances, and error trends; resolve discrepancies.
• Collaborate with program staff to improve documentation and billing practices.
• Ensure appropriate Medicaid claiming and related internal controls.

Skills

Budgeting

Financial analysis

Communication skills

Education

Bachelor's degree

Master’s degree preferred

Job description

At Hamilton County Developmental Disabilities Services, we believe everyone deserves the opportunity to live a full and meaningful life. Our team makes that possible every day - and we're looking for people who want their work to matter.

We are committed to building a team as diverse as the people we serve, where every member feels valued, supported, and set up to succeed.

You'll thrive here if you:

• Are driven by purpose and find fulfillment in improving the lives of others
• Communicate clearly and compassionately — in writing and in person
• Want to grow within an organization that invests in its people and its community

What we offer:

Competitive Pay

• Starting salary is based on experience: $47.50/hr ($89,500.00/yr) with no experience, up to $59.38/hr ($111,900.00/yr) with 10+ years in the same role.

Work-Life Balance

• Flexible scheduling and hybrid work-from-home options
• 3 weeks’ vacation accrual per year to start, with 1 week allocated immediately upon hire
• 3 personal days per year
• 15 sick days allocated upon hire; accrues at 15 days per year after year one with unlimited accrual
• Medical, Dental, and Vision coverage; HRA available for those who opt out of medical coverage
• FREE medical care and prescriptions through Marathon Health
• Employer-paid life insurance
• Tuition reimbursement and Public Service Loan Forgiveness (PSLF) eligibility
• Wellness incentives and a robust Employee Assistance Program
• Ohio Public Employees' Retirement System (OPERS): 10% employee / 14% employer contribution

Assistant Budget Director

A typical day in the life of an Assistant Budget Director involves overseeing the agency’s day-to-day fiscal operations and supporting a team responsible for finance, grants, contracts, and local funding. You may spend part of your day reviewing financial statements and revenue trends, working with staff on Medicaid billing or compliance issues, preparing budget and cash-flow projections, responding to an audit request, or helping solve a complex fiscal or operational issue. You will supervise and support staff, collaborate with leaders and departments across the agency, and work with external partners including Hamilton County and the Ohio Department of Developmental Disabilities. The work varies throughout the year based on budget, reporting, audit, and other fiscal deadlines. Overall, the Assistant Budget Director plays a key role in maintaining strong fiscal operations and providing accurate, timely financial information to support agency decision-making.

Job Duties (Summary):

Fiscal Operations & Staff Supervision

• Direct daily fiscal operations, including accounting, billing, contracting, purchasing, grants, and financial reporting.
• Supervise the Finance Manager, Contracts & Local Funding Manager, and Grants Accountant.
• Ensure accurate monthly financial statements, effective internal controls, and fiscal compliance.
• Coordinate agency responses to fiscal audits and monitoring activities.
• Oversee Medicaid and TCM billing for accuracy, timeliness, documentation, and regulatory compliance.
• Monitor revenue, utilization, billing variances, and error trends; resolve discrepancies.
• Collaborate with program staff to improve documentation and billing practices.
• Ensure appropriate Medicaid claiming and related internal controls.

Department of Developmental Disabilities (DODD) Cost Reporting & Fiscal Compliance

• Lead preparation of the annual DODD cost report and related schedules.
• Ensure appropriate cost allocations and compliance with DODD, state, and federal requirements.
• Oversee reconciliations for Medicaid, TCM, waiver services, MAC, and other program funding.
• Coordinate fiscal and Medicaid audits, monitoring, and compliance activities.

Contracting, Local Funding & Purchasing

• Oversee contracts, procurement, purchasing, and local funding activities for compliance with applicable requirements.
• Provide fiscal oversight of FCFC, waiver-funded contracts, fuel card programs, insurance, and the School Lunch Program.
• Review vendor agreements, purchase requests, bids, and related fiscal and procurement documents.

Budgeting & Financial Analysis

• Assist with agencywide budgets, forecasts, and revenue projections.
• Monitor budget-to-actual performance, identify variances, and recommend corrective action.
• Review financial reports, reconciliations, and cost center activity.
• Provide fiscal guidance to departments and support accurate, timely financial reporting.

Medicaid Administrative Claiming (MAC)

• Oversee MAC processes, documentation, and Random Moment Time Study (RMTS) support.
• Review staff coding and position descriptions for Medicaid claiming eligibility.
• Ensure MAC submissions meet state requirements and are supported by appropriate documentation and controls.
• Provide MAC guidance, training, and technical assistance to agency staff.
• Collaborate with the Director on changes to statewide MAC guidance and requirements.
• Performs additional duties as assigned.

Requirements:

• Bachelor's degreerequired, master’s preferred, in accounting, finance, public administration, business administration, or related field
• 5 years of demonstrably related experience
• Ability to travel within Hamilton County as needed

Hybrid locations - work is performed both away from the office and at Hamilton County Central Campus - 1701 Patricia McCollum Way, Cincinnati, OH 45237

Employees are expected to travel within the county to meet with individuals and attend in-office meetings as needed. The flexibility to work from home is available when job duties allow.

Deadline to Apply:

Monday, September 7 th at noon ET

Applicantsmust be currently authorized to work in the United States without the need for visa sponsorship now or in the future.

Hamilton County Developmental Disabilities Services offers equal employment opportunities to qualified individuals without regard to race, religion, color, national origin, age, gender, disability, sexual orientation, gender identity, gender expression, marital status, veteran status, or any other characteristic protected by law.