VP of Reimbursement

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