Regional Clinical Reimbursement Director

Job Summary

Step into a high impact leadership role where your expertise truly shapes outcomes. As our Regional Clinical Reimbursement Director, you will guide reimbursement strategy across multiple skilled nursing markets, ensuring accuracy, compliance, and financial strength. This role is ideal for a clinical reimbursement leader who thrives on collaboration, innovation, and elevating performance across diverse teams.

You’ll partner with clinical, financial, and operational leaders to optimize billing, coding, and documentation processes—ultimately supporting exceptional resident care while safeguarding organizational sustainability. Your leadership will drive smarter workflows, stronger compliance, and improved revenue cycle performance across the region.

• Competitive salary
• Comprehensive health, vision, and dental benefits
• Employer HSA contribution: $100/month
• Employer paid life insurance: 1x annual salary (up to $100k)
• 401(k) program
• Employee Assistance Program (EAP) for personal and professional support

• Develop and execute regional reimbursement strategies that align with organizational goals and industry best practices.
• Collaborate with clinical teams to ensure accurate documentation that supports compliant billing and coding.
• Monitor reimbursement performance across payers—including Medicare, Medicaid, and private insurers—and lead initiatives to improve outcomes.
• Conduct routine audits to identify gaps, strengthen processes, and reduce compliance risks.
• Stay ahead of evolving healthcare regulations, coding updates, and reimbursement policies.
• Partner with Administrators, DONs, and interdisciplinary teams to elevate documentation quality and clinical excellence.
• Analyze reimbursement trends, identify opportunities for improvement, and support facilities in achieving both financial and quality benchmarks.

• Proven experience in healthcare revenue cycle management, with emphasis on clinical reimbursement in a regional or multisite environment.
• Strong knowledge of medical coding systems, billing workflows, and payer requirements.
• Demonstrated success leading cross functional teams and influencing stakeholders at all levels.
• Exceptional analytical skills with a meticulous approach to auditing and process improvement.
• Strong communication skills for training, coaching, payer interactions, and presenting strategic insights.

• Active RN license (required).
• Minimum 3 years of MDS/clinical reimbursement experience in skilled nursing (preferred).
• Deep understanding of PDPM, Medicare/Medicaid regulations, and state/federal compliance standards.
• Strong leadership, coaching, and communication abilities.
• Ability to travel regionally and support multiple facilities with professionalism and flexibility.
• A passion for accuracy, integrity, and elevating clinical outcomes across the continuum of care.