[Hiring] VP of Reimbursement @Pro Talent Solutions

Role Description

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