Business Office Manager

UHS•Mansfield, OH

22d•Onsite

About The Position

Foundations for Living is a secure, residential treatment center for youth ages 10-17 where we offer proven, pro-social programs that capitalize on the strengths of youth with emotional or behavioral problems. This position is responsible for planning, directing, and overseeing the financial operations of the behavioral health residential treatment facility. This includes accounting, budgeting, financial reporting, internal controls, revenue cycle oversight, and compliance with state and federal regulations. The Director of Business Office Services ensures financial integrity and partners with clinical and operational leadership to support high‑quality, sustainable behavioral health services.

Requirements

Experience in financial management, reporting, budgeting, and internal controls.
Knowledge of GAAP.
Experience with MITS, PNM, NPI, DOI.
Experience with Medicaid, commercial insurance, and self-pay billing.
Supervisory experience.
Ability to partner with leadership on financial decisions.
Ability to support cost-containment initiatives and operational efficiency.
Ability to maintain/exceed standards of Service Excellence.
Ability to exhibit attributes of Leadership Excellence.

Nice To Haves

Experience in a behavioral health residential treatment facility.
Experience with CARPACS.

Responsibilities

Manage monthly, quarterly, and annual financial statements for accuracy in accordance with GAAP.
Conduct variance analysis and present findings to leadership.
Develop annual budgets, county budgets, projections, and long‑range financial plans.
Assists Central Business Office in month end close, contract issues, collections, etc.
Prepares specialized accounting reports, Daily Operating reports, FTE, census and financial analyses for management.
Monitors all outstanding accounts of payables and receivables (i.e.,room and board revenue, MITS, pass-through 1292, school/lunch program).
Partner with CEO, Directors and CBO staff on financial decisions, provide financial guidance for program expansion, staffing and capital projects.
Develop, implement, and monitor internal controls and fiscal policies.
Oversee billing, collections, payroll, IT and accounts receivable.
Ensure accurate payer setup for Medicaid, commercial insurance, and self‑pay.
Monitor/report on census, authorizations, and reimbursement trends.
Support denial management and payer issue resolution.
Oversees MITS, PNM, NPI, DOI and Outcome Measures. Audits billings entered in the systems.
Manage accounts payable, procurement, and vendor relationships.
Oversee payroll processing and FTE and labor cost reporting.
Manages and processes new vendors and CARPACS.
Supervise accounting staff and support professional development. Interviewing, hiring, training; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Partner with CEO, Directors, and Senior Leadership on financial decisions. Provide financial guidance for program expansion, staffing, and capital projects.
Support cost‑containment initiatives and operational efficiency.
Maintains/exceeds the standards of Service Excellence by treating everyone as a guest, by demonstrating professionalism and excellence in the position, and by practicing teamwork.
Exhibits the attributes of Leadership Excellence by balancing productivity and people to create a culture of high achievement and creativity that supports the mission, values and principles of the facility.
Performs other duties as assigned/required by this position.