Office Manager

Benefits:

401(k)

401(k) matching

Company parties

Competitive salary

Flexible schedule

Opportunity for advancement

Paid time off

Relocation bonus

Training & development

Tuition assistance

Nisma Therapy Services is an outpatient speech-language pathology and occupational therapy practice in Fairbanks, serving pediatric and adult patients across a growing caseload. We're building out our operational leadership team as the practice scales — and this role is central to that next chapter.

We're looking for an experienced, hands-on Office Manager to lead day-to-day operations at our Fairbanks clinic. You'll run the front office, own the schedule, supervise our two-person front-desk team, manage our building, and be the operational backbone that lets our clinicians focus on patient care.

This is a full-scope leadership role with real ownership from day one — not an entry-level administrative position. It's also a broad one. On any given day you might resolve a scheduling conflict, walk the building for a safety check, coordinate a repair quote, and plan a staff appreciation event. If you like variety and ownership, this role has both.

Supervise our front-desk team and daily coverage, and serve as the escalation point for patient issues

Own the daily schedule — filling openings, handling same-day changes, and applying our provider-matching guidelines

Manage the waitlist end to end: referrals filed correctly, clients contacted promptly, triage with clinical staff as needed

Oversee new-patient intake, insurance verification, and demographic accuracy

Own the pre-authorization process, including tracking approvals and renewals before they lapse

Manage patient financial agreements and time-of-service collections

Coordinate onboarding and offboarding for all new hires, clinical and non-clinical — equipment, logins, and orientation

Run our regular staff meetings, from agenda through follow-through on action items

Track staff trainings, compliance requirements, and license/CEU renewals until they're closed out

Oversee the timeclock day to day, flagging missed punches and overtime before they reach payroll

Maintain employee files, admin-staff PTO and coverage, and the paperwork side of non-clinical performance reviews

Be the first point of contact for day-to-day staff questions, and keep morale and appreciation on the calendar

Own facility maintenance as an ongoing, tracked responsibility, and coordinate outside contractors — snow removal, cleaning, lawn care, and project work

Drive deferred-maintenance items from vendor outreach through quotes and a recommendation

Manage building access and the security system, including alarm response, and hold weather/emergency closure authority under our existing policy

Own therapy room configuration, equipment rearrangement, and our equipment sanitization and rotation program

Handle basic IT support, office mail, invoices and payments, workspace assignments, and vendor and software renewals

Own OSHA workplace safety compliance and day-to-day HIPAA physical safeguards

Enforce non-clinical facility standards, including food safety and therapy-space presentability

Support development and maintenance of non-clinical office policies

Participate in annual budget-setting for your areas and manage day-to-day department budgets, tracking spend and flagging overages

Organize community events end to end and own our monthly activities calendar

Maintain administrative-level relationships with our referral sources

Manage the practice's online presence, including website listings and social media

2+ years of office management or supervisory experience, ideally in a healthcare, clinical, or medical/dental setting

A true generalist — equally comfortable with patient-facing issues, basic IT troubleshooting, HR logistics, facilities and vendor coordination, and budget tracking

Comfort owning a complex daily schedule and making real-time judgment calls

Experience with EMR/scheduling systems (Prompt a plus, not…