Vice President of Clinical Reimbursement

4 weeks ago


Carrollton, Texas, United States Cantex Continuing Care Network Full time
Job Summary

At Cantex Continuing Care Network, we are seeking a highly skilled and experienced Vice President of Reimbursement to lead our clinical reimbursement strategies and ensure our facilities are reimbursed accurately and fairly. As a key member of our leadership team, you will be responsible for overseeing all aspects of reimbursement, including PDPM, revenue cycle management, and regulatory compliance.

Key Responsibilities:
  • Develop and implement reimbursement strategies that support the organization's quality measure goals.
  • Lead and mentor a team of clinical reimbursement professionals, fostering a culture of excellence, collaboration, and continuous improvement.
  • Ensure precise and optimized PDPM reimbursement across all facilities by providing expert guidance, training, and support to MDS Coordinators and clinical staff.
  • Stay ahead of industry changes and ensure compliance with federal, state, and local regulations, including CMS guidelines.
  • Negotiate and manage contracts with managed care organizations, securing the best possible terms and conditions for our facilities.
  • Utilize advanced data analytics and performance metrics to drive strategic decisions that enhance reimbursement outcomes and operational efficiency.

Requirements:
  • A minimum of 7-10 years of experience in clinical reimbursement within the skilled nursing industry, with at least 5 years in a leadership role.
  • Expertise in PDPM, revenue cycle management, managed care contracting, and regulatory compliance.
  • Proven ability to lead and develop high-performing teams, with a strong focus on collaboration and achieving exceptional results.
  • Strong data analysis skills, with the ability to leverage data to drive strategic decisions to meet organizational benchmarks.
  • Excellent communication and interpersonal skills, with the ability to effectively engage and influence stakeholders at all levels of the organization.

Why Cantex?
  • Be a key player in shaping the quality of care across our network of skilled nursing facilities.
  • Lead the charge in adopting and implementing the latest industry trends and innovations in clinical reimbursement.
  • Join a top-tier leadership team dedicated to excellence, where your contributions will be recognized and valued.
  • Enjoy unparalleled opportunities for professional growth and development in a supportive and dynamic environment.


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