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Regional Business Office Director

Living Legends Health

Beacon, NYFull-time$83–92K/yrSeen 4 days agoSeen in employer's feed 4 days ago

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At a glance

Compensation
$83–92K/yr
Location
Beacon, NY
Schedule
Full-time
Work Authorization
Not specified

Olive lists jobs from US employers, including remote roles you can work from the United States.

Job overview

Living Legends Health is seeking a Regional Business Office Director to oversee business office operations at four to five skilled nursing facilities. Reporting to the Chief Financial Officer, the director will support financial performance, ensure compliance with company procedures, and mentor facility business office teams. The role includes travel between assigned facilities and onsite support during Business Office Manager vacancies.

Skills & qualifications

RequiredNice to have

Skills

New York Medicaid Eligibility, requiredMedicaid Applications, requiredMedicaid Pending Processes, requiredResident Trust Fund Management, requiredSkilled Nursing Financial Operations, requiredPointClickCare, requiredMicrosoft Excel, requiredLeadership, requiredTraining, requiredCommunication, requiredOrganization, requiredFinancial Analysis, requiredCorrective Action Implementation, requiredMulti-Facility Management, requiredPrioritization, requiredTravel Between Facilities, required

Qualifications

5+ Years Skilled Nursing Business Office Experience, required

Benefits

Paid Time Off
Medical Insurance
Dental Insurance
Vision Insurance
401(k) Match

Full job description

Pay or shift range: $83,200 USD to $91,520 USD

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, shift, benefit selection or other job-related reasons.

Description

Regional Business Office DirectorSalary: $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

Taconic Nursing and Rehabilitation is seeking an experienced Regional Business Office Director to oversee four to five 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.

How this job compares

Set against the 9,282 open Operations jobs on Olive Jobs, counted November 12, 2026.

Pay
  • This posting$83–92K/yr
  • New York median$104–150K/yr476 salary ranges
  • US median$91–135K/yr4,624 salary ranges

This range's midpoint, $87K, is 33% below the New York median midpoint ($130K) — in the middle half of Operations salary ranges in New York.

Openings
Olive Jobs lists 752 open Operations jobs in New York and 9,282 across the US. 3% of them nationwide are listed as remote or flexible.
Hiring the most in New York
Experience
This posting asks for at least 5 years of experience; Operations postings that state a minimum ask for 4 years at the median (5,774 postings).
Education
3,141 of the 9,282 open Operations jobs (34%) ask for a bachelor's degree or higher.

Counted across the open, public US postings on Olive Jobs on November 12, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.

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