Business Manager Jobs in St. Louis, MO
Business Manager jobs in St. Louis are concentrated in the central business district, Clayton, and Midtown, with strong demand across healthcare, financial services, logistics, and professional services. Employers hiring right now include The Cigna, Pine Grove Manor, and Burns & McDonnell. Find a role that fits below and apply directly.
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The Business Office Manager is responsible for the community’s revenue cycle management processes and serves as a liaison between the community and the Support Center.
Responsibilities:- Ensures compliance to State, Federal or County rules and regulations and Benedictine policies and procedures regarding all accounts receivable processes.
- Develops proficiency and acts as a resource in the billing system, accounting software, online payer portals, and other applications, as needed.
- Ensures all admissions and financial related paperwork is thoroughly completed for each admitted resident and obtains prior authorizations where applicable.
- Manages resident set-up, applicable charges, payers and payer changes, and private pay set-up in billing system.
- Performs eligibility checks, verifies insurance benefits, and provides coverage details to residents.
- Responsible for initiating financial conversations and collecting down payments at referral following the Benedictine Collection Policy. These payments can be related to private pay room and board, private room differentials, copays, deductibles, estimated spenddowns, etc. This includes ongoing billing collection for in-house residents and final bill collection upon discharge.
- Drives the Medicaid application process for applicable residents.
- Responsible for census management for the community.
- Processes payments and performs daily bank deposits via desktop scanner, or a minimum of twice weekly if physical bank deposits are needed
- Enters ancillary charges and submits vendor invoices to Accounts Payable in accordance with corporate policies and procedures.
- Oversees daily management of the Resident Trust Account (RTA) and petty cash, and assists in monthly reconciliation of the RTA.
- Performs applicable month-end close activities and reconciles Expenses to Revenue on a monthly basis.
- Completes annual Medicaid and Medicare Cost Reporting and other year-end activities.
- Participates in monthly accounts receivable aging review and assist centralized billing office as needed for collection activities or other follow-up items.
- Manages the selection, training, development and performance of assigned staff where applicable to retain a professional and motivated team.
- Promotes the Benedictine Mission and Core Values of Hospitality, Stewardship, Respect and Justice by bringing the Mission and Core Values into the day-to-day activities of the company.
- Asociate’s Degree in business-related field or combination of High School Diploma and comparable experience
- Two (2) or more years of Business Office Manager experience
- One (1) or more years of healthcare accounts receivable and/or accounts payable experience
- Accounting and general office software proficiency and use of general office equipment
- One (1) year prior management experience
EEO/AA/Vet Friendly
Why work for Nazareth? We offer competitive salary, top-tier benefit options, and a welcoming community.
What’s in it for you?
- Medical, dental and vision benefits. Nazareth offers two affordable, low deductible health plans to choose from
- PTO accrual from day one - accrue one day per pay period
- 403(b) with company match
- Employer sponsored Life and Short-Term Disability insurance
- Flex spending account
- Generous tuition reimbursement
- Paid training
- Great coworkers!
At Nazareth Living Center, our values are Sacredness, Integrity, Hospitality and Collaboration.
#BHSNazareth
See All 29 Business Manager Jobs in St. Louis
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Find Business Manager JobsBusiness Manager Job Market in St. Louis
Who's Hiring
- The Cigna2

- Pine Grove Manor2P
- Burns & McDonnell2

- CBRE1

- Anders1A
Top Industries Hiring
- Insurance2
- Consulting & Professional Services2
- Retail1
- Food & Beverage1
- Distribution & Wholesale1
Business Manager Jobs in St. Louis: Frequently Asked Questions
How do I get a business manager job in St. Louis?
The strongest path is targeting St. Louis's dominant sectors: healthcare systems in the Cortex Innovation Community and Medical Center area, financial services firms in Clayton, and logistics and distribution companies tied to the region's freight infrastructure. Candidates who combine operational experience with P&L ownership stand out. Networking through local professional groups and applying to mid-size regional companies often moves faster than chasing large national employers.
Which companies hire business managers in St. Louis?
St. Louis business manager roles are posted by The Cigna, Pine Grove Manor, and Burns & McDonnell and others right now, based on current listings on Migrate Mate as of July 2026. The St. Louis market includes a mix of Fortune 500 headquarters, regional healthcare networks, and established professional services firms, all of which hire business managers at multiple levels.
Are there remote business manager jobs in St. Louis?
Yes, though with limits: business manager roles that involve direct team oversight, facility operations, or client-facing work are almost always on-site, while analytical, planning, and administrative-heavy roles are more often remote-eligible. About 57% of business manager openings tied to St. Louis are remote or hybrid as of July 2026, reflecting that pattern. Strategy, reporting, and vendor management functions are the most commonly remote components in the local market.
How can I get a business manager job in St. Louis with little or no experience?
The most realistic entry path is through operations coordinator or business analyst roles at St. Louis-area healthcare organizations, regional banks, or mid-size professional services firms, where internal promotion to business manager is common. Employers in the Cortex corridor and Clayton's financial district regularly hire entry-level operations staff with strong analytical skills and a bachelor's degree. Demonstrating familiarity with budgeting tools and cross-functional project work gives candidates a clear edge locally.
Which industries hire the most business managers in St. Louis?
The sectors hiring the most business managers in St. Louis are Insurance, Consulting & Professional Services, and Retail, based on current listings on Migrate Mate as of July 2026. St. Louis's position as a regional hub for healthcare, financial services, and freight logistics means those industries sustain consistent demand for business managers at both the unit and divisional level.
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