Vice President of Reimbursement at Cantex Continuing Care Network

Carrollton, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jan, 26

Salary

0.0

Posted On

18 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Reimbursement Strategies, Revenue Integrity, PDPM, Revenue Cycle Management, Regulatory Compliance, Managed Care Contracting, Data Analysis, Leadership, Communication, Team Management, Collaboration, Strategic Decision Making, Clinical Reimbursement, Contract Negotiation, Performance Metrics, Stakeholder Engagement

Industry

Hospitals and Health Care

Description

Job Details Job Location: Cantex Corporate - Carrollton, TX Position Type: Full Time Salary Range: Undisclosed Job Category: Corporate Leadership Description Job Summary: As the Vice President of Reimbursement, you will be the driving force behind our reimbursement strategies, ensuring our clinical practices align with revenue integrity. Reporting directly to the Chief Operating Officer (COO) and working closely with clinical leadership, you will oversee all aspects of reimbursement, including PDPM (Patient-Driven Payment Model), and revenue cycle management. Your exceptional expertise will ensure our facilities are reimbursed accurately and fairly, while maintaining full compliance with all regulatory requirements. Qualifications Qualifications: Experience: 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. We’re looking for someone who has consistently demonstrated excellence in this field. Education: minimum is a Bachelor's degree in Nursing, Expertise: In-depth knowledge of PDPM, revenue cycle management, managed care contracting, and regulatory compliance. Your expertise should be second to none. Leadership: Proven ability to lead and develop high-performing teams, with a strong focus on collaboration and achieving exceptional results. Analytical Skills: Strong data analysis skills, with the ability to leverage data to drive strategic decisions to meet organizational benchmarks. Communication: Excellent communication and interpersonal skills, with the ability to effectively engage and influence stakeholders at all levels of the organization. Key Responsibilities: Leadership and Strategy: Implement developed reimbursement strategies that support the organization’s quality measure goals that set us apart from the competition. Team Management: Lead and mentor a team of clinical reimbursement professionals, fostering a culture of excellence, collaboration, and continuous improvement. PDPM Mastery: Ensure precise and optimized PDPM reimbursement across all facilities by providing expert guidance, training, and support to MDS Coordinators and clinical staff. Regulatory Compliance: Stay ahead of industry changes and ensure compliance with federal, state, and local regulations, including CMS guidelines. Managed Care Contracting: Negotiate and manage contracts with managed care organizations, securing the best possible terms and conditions for our facilities. Data-Driven Decision Making: Utilize advanced data analytics and performance metrics to drive strategic decisions that enhance reimbursement outcomes and operational efficiency. Collaboration: Partner with clinical, financial, and operational leaders to align reimbursement practices with patient care initiatives and organizational objectives. Please visit cantexcc.com for more information on this location. We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package. #CORP

Responsibilities

The Vice President of Reimbursement will implement reimbursement strategies that support the organization’s quality measure goals and lead a team of clinical reimbursement professionals. This role involves ensuring compliance with regulations and optimizing PDPM reimbursement across facilities.