Regional Business Office Director- Skilled Nursing

Regional Business Office Director – East and Central Texas Regions (Houston, Killeen, Tyler)

( Ideally the candidate will reside in Houston, Killeen/Waco, or San Antonio/Austin, TX areas)

Make Lives Better. Lead with Purpose. 

Touchstone Communities is seeking a dynamic, results-driven leader to join our team as a Regional Business Office Director , overseeing both our East Region . This highly visible role is responsible for leading and optimizing business office and revenue cycle operations across multiple communities. In this role, you will lead and oversee Accounts Receivable (AR) and revenue cycle performance for our East Region , which includes 10 communities across Houston, Tyler, and Killeen.  This is an exciting opportunity for a seasoned professional who thrives in a fast-paced, multi-site environment and is passionate about developing teams, improving financial outcomes, and driving operational excellence.

Travel is required (up to 4 days per week), and candidates must be comfortable supporting multiple locations across both regions.

What You’ll Do

Strategic Leadership & Team Development

• Lead, mentor, and develop a team of Business Office Managers (BOMs) across multiple markets
• Drive talent strategy including hiring, onboarding, coaching, and performance management
• Foster a culture of accountability, continuous improvement, and operational excellence

Revenue Cycle & Financial Performance

• Oversee AR management, billing, collections, and revenue cycle operations
• Identify and implement strategies to optimize cash flow and reduce DSO
• Ensure accuracy, timeliness, and compliance in all billing and reimbursement processes

Operational Excellence

• Standardize and strengthen business office workflows, systems, and best practices
• Partner closely with Operations and the Community Support Office to improve financial and operational outcomes
• Lead regional audits, support regulatory compliance, and ensure readiness across communities

Project & Transition Leadership

• Support new community openings, acquisitions, and operational transitions
• Provide hands-on expertise during critical business office initiatives and process improvements

Compliance & Oversight

• Ensure compliance with all federal, state, and company policies
• Oversee resident trust fund processes, internal controls, and audit preparedness

​ What We’re Looking For

• Proven leader with experience overseeing multi-site business office or revenue cycle operations
• Minimum of 3+ years in a Business Office role within a Skilled Nursing Facility (SNF) environment is required and at least one year of regional or multi-site experience preferred. 
• Deep expertise in SNF billing, collections, AR management, and regulatory compliance
• Strong financial acumen with a track record of improving revenue cycle performance
• Exceptional communication, coaching, and leadership skills
• Highly organized, detail-oriented, and comfortable working in a fast-paced environment
• Proficient in Microsoft Office and business office systems
• Willingness to travel weekly (extensive travel required across cities)

What We Offer

At Touchstone Communities, we are committed to supporting our team members just as much as the residents and patients we serve.

• 100% company-paid medical benefits (team member only)
• Comprehensive medical, dental, and vision coverage
• Monthly car allowance + travel reimbursement
• Regional bonus plan eligibility
• Cell phone reimbursement
• Flexible PTO – start accruing on Day 1
• Employer-paid life insurance
• 401(k) matching program
• Tuition Grant Program + Employee Assistance Program
• Touchstone Emergency Fund
• Pay advance options with OnShift Wallet