VP of Reimbursement
Location: Remote
Compensation: $250-$350K DOE
Travel: Required
About the Opportunity
Growing multi-state nursing home operator is seeking a highly skilled VP of Reimbursement to lead reimbursement and MDS strategy across its portfolio of skilled nursing facilities.
This is a high-impact leadership role for a true reimbursement expert who understands MDS, PDPM, CMI, documentation, and reimbursement strategy at a deep level. The VP will oversee regional reimbursement leadership and building-level MDS infrastructure while partnering closely with ownership and senior operations and clinical leadership.
Ideal candidate is a highly analytical operator who can identify gaps, implement recovery plans, challenge underperforming systems, and drive enterprise-level performance improvement across complex behavioral and psych-heavy populations.
Responsibilities
- Oversee multi-state reimbursement and utilization review operations
- Drive CMI improvement, PDPM optimization, and reimbursement performance initiatives
- Lead regional reimbursement teams and building-level MDS infrastructure
- Identify operational and financial gaps impacting reimbursement outcomes
- Implement systems, auditing processes, accountability measures, and recovery plans
- Partner directly with ownership on financial performance and strategic initiatives
- Hold regional and facility leadership accountable for execution and results
- Improve documentation quality, ARD management, ICD capture, and operational consistency
- Navigate complex behavioral and psych-heavy SNF populations effectively
Requirements
- Extensive SNF reimbursement and utilization review leadership experience required
- Strong PDPM, CMI, and multi-state reimbursement expertise
- Highly analytical, financially driven, and operationally aggressive mindset
- Comfortable operating in high-accountability, high-pressure environments
- Ability to challenge teams, enforce systems, and drive measurable outcomes
- Strong leadership presence with ability to influence regional and facility operators
- Experience overseeing large reimbursement infrastructures strongly preferred
- Background in sophisticated multi-state SNF organizations preferred
- Behavioral and psych population experience strongly preferred
- Multi-state oversight role, travel required