Regional Business Office Manager - Skilled Nursing

Your Numbers Keep Healthcare Running

Every budget you build, every variance you catch, every audit you pass — it means facility administrators can focus on residents instead of spreadsheets. NHS Management supports skilled nursing and long-term care facilities across Alabama, Arkansas, and Florida, and we're looking for a Regional Financial Specialist who wants their analytical work to have a visible, human impact in the Birmingham, AL market.

This isn't a back-office reporting role. You'll be the financial partner facility leaders call when they need to understand why a number moved and what to do about it — combining hands-on accounting rigor with the kind of business judgment that gets you a seat at the table.

What You'll Own

Financial Analysis & Reporting

• Own monthly, quarterly, and annual financial reporting for your region
• Spot trends and variances before they become problems — and explain what's driving them
• Turn financial data into decisions administrators can actually act on

Budgeting & Forecasting

• Build and monitor annual budgets with facility leadership
• Develop forecasts and projections that hold up under scrutiny
• Diagnose budget variances and recommend real corrective action, not just flag them

Compliance & Audit Readiness

• Keep financial records audit-ready, always — not scrambling in Q4
• Support internal and external audits as the person who already knows where everything is
• Ensure practices align with company policy and healthcare finance regulations

Facility Partnership

• Be the go-to financial advisor for administrators and staff across your region
• Roll out financial best practices facilities can sustain, not just comply with
• Resolve financial questions and issues fast — regions run better when finance is responsive

What You Bring

• 3–10 years in financial analysis, accounting, or a related role — skilled nursing experience required.
• Solid grasp of GAAP and financial reporting principles
• Experience with Medicare/Medicaid billing in long-term care (this one matters — it's a real differentiator for this role)
• Collections experience
• Staff management experience
• Strong Excel skills and comfort with financial software
• The kind of attention to detail that catches the error before it becomes a finding

Education: Associate's degree in Accounting, Finance, or related field required; Bachelor's preferred. We'll also consider equivalent hands-on experience in long-term care finance in place of a degree — if you've done the job, we want to talk to you.

Why NHS Management

• Competitive salary and comprehensive benefits plus company car!
• Real professional growth — this is a company that promotes from within
• A collaborative team where your work is visible and valued
• The chance to keep healthcare facilities financially healthy, one region at a time