Vice President of Reimbursement / Corporate MDS Consultant

Job Title :  Vice President of Reimbursement / Corporate MDS Consultant

Department :  Corporate Clinical Operations

Reports To : President

FLSA Status :  Exempt

Job Type :  Full-Time

Location :  Corporate Office / Travel Required to LTC and ALF Facilities

Position Summary :

The Vice President of Reimbursement / Corporate MDS Consultant is a key member of the executive leadership team responsible for optimizing clinical reimbursement strategies across all Long-Term Care (LTC) and Assisted Living Facilities (ALFs). This role ensures compliance with federal and state regulations, enhances documentation accuracy, leads training initiatives, and monitors performance related to Minimum Data Set (MDS), Patient-Driven Payment Model (PDPM), and other reimbursement systems. The position serves as a strategic advisor on revenue cycle operations, driving improved financial outcomes and clinical integrity.

Key Responsibilities :

Reimbursement Strategy & Oversight

• Develop and implement enterprise-wide reimbursement strategies aligned with PDPM, Medicaid CMI, and other payer systems.
• Monitor and analyze reimbursement trends and regulatory changes to maximize revenue opportunities and ensure compliance.
• Provide guidance on Medicare, Medicaid, and managed care reimbursement across LTC and ALF settings.
• Lead internal audits of MDS documentation and billing practices to mitigate risk and support accurate claims.

Clinical Documentation & MDS Oversight

Leadership & Team Development

Compliance & Quality Assurance

Collaboration & Reporting

Qualifications :

Working Conditions :