Vice President of Reimbursement - Cantex - CANTEX : Job Details

Looking for a dynamic leader who is an expert in PDPM and QIPP.

Are you a top-tier leader with unparalleled expertise in clinical reimbursement? Do you excel at driving financial performance while ensuring the highest standards of patient care? If you are among the best in the industry, we invite you to join our elite team at Cantex Continuing Care Network as the Vice President of Reimbursement.

At Cantex, we are committed to setting the standard for excellence in skilled nursing care. Our network of facilities is known for its innovative practices, compassionate care, and unwavering commitment to quality. We are seeking an Elite Clinical Reimbursement Specialist-a visionary leader who can elevate our clinical reimbursement strategies to new heights and assist our team to achieve our ambitious goals.

The Role:

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 Nursing Officer (CNO) 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.

Benefits:

* Competitive Compensation Package

* 401k with match

* Medical, Dental, Vision & Supplemental Insurance

* Vacation, Sick, Personal Holiday & Holidays

* Long-Term & Short-Term Disability

* Life Insurance

* Education Assistance & Tuition Reimbursement

* Rewards & Recognition Program

Qualifications

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.

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.

Why Join Us?

* Impact: Be a key player in shaping the quality of care across our network of skilled nursing facilities.

* Innovation: Lead the charge in adopting and implementing the latest industry trends and innovations in clinical reimbursement.

* Leadership: Join a top-tier leadership team dedicated to excellence, where your contributions will be recognized and valued.

* Growth: Enjoy unparalleled opportunities for professional growth and development in a supportive and dynamic environment.

Apply Now:

If you are a distinguished leader ready to take your career to the next level and make a lasting impact on both our organization and the residents we serve, we want to hear from you. Join us at Cantex and be part of an elite team that is setting the standard for excellence in clinical reimbursement and patient care.

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

Please visit cantexcc.com for more information on this location.

#ZR