Regional Finance Director - State Veterans Homes

Regional Finance Director – State Veterans Homes

Location: Winston‑Salem, North Carolina

Position Type: Full-Time / Regular

Current Openings Status: This is for a future opening.

Employer: STGi

The Regional Finance Director (RFD) provides leadership, oversight, and operational support to business office functions across multiple long‑term care facilities within an assigned region. This role ensures accurate billing, revenue cycle integrity, regulatory compliance, and consistent implementation of company policies while supporting facility‑based Business Office Managers and leadership teams. Extensive travel throughout the assigned region is required.

Revenue Cycle & Financial Operations

• Oversee business office operations for multiple skilled nursing and/or assisted living facilities.
• Ensure accurate and timely billing for Medicare, Medicaid, managed care, private pay, and ancillary services.
• Monitor accounts receivable, cash collections, denials, and write‑offs; implement action plans to meet financial goals.
• Support Medicaid eligibility, pending tracking, and recertification processes.

Compliance & Regulatory Oversight

• Ensure compliance with federal, state, and payer requirements related to billing and reimbursement.
• Support audit readiness and respond to billing, financial, and regulatory audits.
• Ensure adherence to company policies, procedures, and internal controls.

Leadership & Staff Development

• Provide guidance, coaching, and performance management to facility Business Office Managers.
• Support onboarding and training of new business office staff.
• Identify process gaps and implement best practices to improve efficiency and accuracy.

Reporting & Analytics

• Review and analyze financial and operational reports, including AR aging, cash and key revenue cycle metrics.
• Provide regular updates and recommendations to regional and corporate leadership.
• Partner with clinical and operational leaders to resolve reimbursement and documentation issues.

Collaboration & Communication

• Work closely with Administrators, Regional leadership, MDS, clinical teams, and payers.
• Serve as a regional resource for business office questions and issue resolution.
• Communicate effectively with residents and families regarding billing and financial matters when needed.

• Bachelor’s degree in Business, Accounting, Healthcare Administration, or related field (or equivalent experience).
• Minimum 5 years of business office or revenue cycle experience in long‑term care or post‑acute care.
• Strong working knowledge of Medicare, Medicaid, and managed care billing.
• Proven experience managing accounts receivable and cash collections.
• Ability to travel regularly within assigned region.

• Prior regional or multi‑facility management experience.
• Experience with Medicaid eligibility and state‑specific reimbursement systems.
• Familiarity with long‑term care software systems (e.g., Point Click Care , Matrix Care).

• Strong organizational and analytical skills.
• Excellent attention to detail and follow‑through.
• Effective leadership and coaching abilities.
• Clear and professional communication skills.
• Ability to manage multiple facilities and priorities.

• Position primarily involves sitting, standing, walking, twisting, reaching, bending/stooping, pushing and pulling typical weight 5–30 lbs., lifting minimum 5 lbs. and up to 100 lbs. (approx.)
• Requires repetitive finger movements, hearing and talking on the phone and in person.
• Must be able to continuously deal effectively with stress created by residents, multiple tasks, noises, interruptions, and work cooperatively as part of the healthcare team while maintaining a pleasant attitude.

The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

STGi offers a competitive benefits package which includes Medical, Dental, Vision, 401(k) with company match and a generous PTO policy.

STGi is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.