Business Office Director Jobs
Business Office Director jobs are open across healthcare, senior living, and behavioral health organizations, at every level from manager-track to system-level director, with specializations in revenue cycle management, billing compliance, and administrative operations. See the openings below and apply to the ones that match your experience.
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Showing 5 of 8+ Business Office Director jobs
Regional Business Office Director
Salary: $83,200 - $91,520 (depending on experience)
Hourly Equivalent: $40 - $44/hour (depending on experience)
Shift: Full-Time (40 hrs/week)
Schedule: Monday- Friday, Days
The McGuire Group is seeking an experienced Regional Business Office Director to oversee business office operations for their Taconic Nursing Facilities. Reporting to the Chief Financial Officer, you'll provide leadership, support financial performance, ensure compliance with company procedures, and mentor facility business office teams to promote operational efficiency and financial accountability.
RESPONSIBILITIES:
- Oversee business office operations across 4–5 skilled nursing facilities
- Monitor accounts receivable, private pay collections, and Medicaid Pending accounts to identify and resolve outstanding balances
- Support month-end closing activities, bad debt analysis, resident refunds, and account adjustments
- Review accounts for attorney referrals and write-offs as appropriate
- Ensure resident trust accounts are reconciled and maintained accurately
- Conduct facility audits to ensure compliance with company policies, procedures, and financial standards
- Train, mentor, and support Business Office Managers, including onboarding and staff development
- Develop and maintain training materials, standard operating procedures, and process improvements
- Supervise the Medicaid Coordinator and coordinate support based on facility needs
- Collaborate with Administrators, regional leadership, and corporate finance to address operational concerns
- Provide onsite support during Business Office Manager vacancies and travel between assigned facilities as needed
REQUIREMENTS:
- Minimum 5 years of skilled nursing facility business office experience required
- Strong knowledge of New York State Medicaid eligibility, applications, and pending processes
- Knowledge of resident trust fund requirements, refunds, and skilled nursing financial operations
- Proficiency in PointClickCare (PCC) or similar systems and Microsoft Excel
- Strong leadership, training, communication, and organizational skills
- Ability to analyze financial information, identify concerns, and implement corrective actions
- Ability to manage multiple facilities, prioritize responsibilities, and maintain accountability
- Willingness and ability to travel between assigned facilities as needed
BENEFITS:
- Paid Time Off (PTO) for Full-Time and Part-Time
- Weekly or Same-Day Pay Options
- Health, Dental, and Vision Insurance
- Life Insurance
- Employee Referral Bonus Program
- Retirement Saving Options
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
Regional Business Office Director
Salary: $83,200 - $91,520 (depending on experience)
Hourly Equivalent: $40 - $44/hour (depending on experience)
Shift: Full-Time (40 hrs/week)
Schedule: Monday- Friday, Days
The McGuire Group is seeking an experienced Regional Business Office Director to oversee business office operations for their Taconic Nursing Facilities. Reporting to the Chief Financial Officer, you'll provide leadership, support financial performance, ensure compliance with company procedures, and mentor facility business office teams to promote operational efficiency and financial accountability.
RESPONSIBILITIES:
- Oversee business office operations across 4–5 skilled nursing facilities
- Monitor accounts receivable, private pay collections, and Medicaid Pending accounts to identify and resolve outstanding balances
- Support month-end closing activities, bad debt analysis, resident refunds, and account adjustments
- Review accounts for attorney referrals and write-offs as appropriate
- Ensure resident trust accounts are reconciled and maintained accurately
- Conduct facility audits to ensure compliance with company policies, procedures, and financial standards
- Train, mentor, and support Business Office Managers, including onboarding and staff development
- Develop and maintain training materials, standard operating procedures, and process improvements
- Supervise the Medicaid Coordinator and coordinate support based on facility needs
- Collaborate with Administrators, regional leadership, and corporate finance to address operational concerns
- Provide onsite support during Business Office Manager vacancies and travel between assigned facilities as needed
REQUIREMENTS:
- Minimum 5 years of skilled nursing facility business office experience required
- Strong knowledge of New York State Medicaid eligibility, applications, and pending processes
- Knowledge of resident trust fund requirements, refunds, and skilled nursing financial operations
- Proficiency in PointClickCare (PCC) or similar systems and Microsoft Excel
- Strong leadership, training, communication, and organizational skills
- Ability to analyze financial information, identify concerns, and implement corrective actions
- Ability to manage multiple facilities, prioritize responsibilities, and maintain accountability
- Willingness and ability to travel between assigned facilities as needed
BENEFITS:
- Paid Time Off (PTO) for Full-Time and Part-Time
- Weekly or Same-Day Pay Options
- Health, Dental, and Vision Insurance
- Life Insurance
- Employee Referral Bonus Program
- Retirement Saving Options
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
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Find Business Office Director JobsBusiness Office Director Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in business office director jobs.
- Five or more years of healthcare revenue cycle or business office management experience
- Proficiency with electronic health record and practice management software systems
- Knowledge of Medicare, Medicaid, and commercial payer billing regulations
- Bachelor's degree in healthcare administration, business, or a related field
- Experience managing billing, collections, and accounts receivable staff
- Strong working knowledge of HIPAA compliance and patient privacy requirements
Tips for Your Business Office Director Job Search
Quantify your revenue cycle results
Business office directors are hired to move numbers. On your resume, replace vague responsibilities with outcomes: days in accounts receivable reduced, denial rates lowered, collections rates improved. Hiring managers in healthcare and senior living scan for these figures first.
Highlight your compliance and billing credentials
Many postings require or strongly prefer candidates with certified billing or coding credentials alongside operations experience. If you hold a Certified Revenue Cycle Professional or similar credential, place it prominently near your name, not buried in a skills section.
Target postings by facility type, not just title
Business office director roles differ significantly between skilled nursing facilities, physician groups, and behavioral health centers. Filter openings by facility type so your cover letter and experience map directly to what that specific organization needs from day one.
Apply early to roles that fit
Migrate Mate lists business office director openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for scenario-based interview questions
Interviewers for this role routinely ask how you have handled a payer audit, a billing staff turnover spike, or a software conversion. Prepare two or three structured examples from your own work that show both your technical response and your team leadership during the situation.
Negotiate scope before you negotiate salary
Before accepting an offer, clarify exactly which departments, billing lines, and reporting relationships fall under your role. Business office director titles vary widely in authority, and what you manage on day one shapes your leverage at every future review.
Business Office Director Jobs: Frequently Asked Questions
Which companies are hiring the most business office directors?
Living Legends, Endeavor Health, and Duquesne University are hiring the most business office directors right now, with openings concentrated in Colorado, New York, and Florida, based on current listings on Migrate Mate as of November 2026. Healthcare systems, senior living operators, and behavioral health networks tend to post the highest volumes of openings at any given time.
How many business office director jobs are remote?
About 100% of business office director openings are fully remote or hybrid as of November 2026, with remote roles most common in revenue cycle oversight, billing auditing, and multi-site portfolio management positions. Roles tied to a single facility or requiring direct supervision of on-site billing staff are still predominantly in-person.
How do you become a business office director?
Most business office directors build their path by starting in medical billing, coding, or patient accounts and moving into a supervisor or manager role before stepping into director-level responsibilities. A bachelor's degree in healthcare administration or business strengthens your candidacy, and hands-on experience managing payer contracts, denial resolution, and billing staff is typically required before employers consider you for a director title.
Can you get hired as a business office director with limited experience?
Getting hired at the director level with limited experience is rare in this field, but candidates coming from billing supervisor or revenue cycle manager roles at smaller facilities sometimes make the jump successfully. Focusing your search on independent practices, smaller long-term care communities, or organizations undergoing rapid growth gives you a better opening than applying to large health systems where competition at the director level is steepest.
What does the business office director interview process look like?
Most employers run two to three rounds, starting with an HR or talent screen focused on your background and compensation expectations, followed by a panel interview with the CFO, administrator, or regional director of operations. Final-round interviews often include a walkthrough of a past billing challenge you resolved and sometimes a review of a de-identified accounts receivable report to assess how you read and interpret financial data.
Where can I find and apply to business office director jobs?
You can find and apply to business office director jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your experience level and facility type, then apply directly to each opening that fits.
See All 8 Business Office Director Jobs
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Find Business Office Director Jobs