Regional Business Office Director- Skilled Nursing

Location: Floresville

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