Senior Director of Medicaid Reimbursement | Marquis Health Consulting Services


Senior Director of Medicaid Reimbursement-Mid Atlantic

Come Join an amazing team-amazing salary and benefits!!

The Senior Director of Medicaid Reimbursement is responsible for overseeing and management of all Medicaid Reimbursement initiatives for all case mix facilities for the company. Manage and evaluate clinical reimbursement staff in the company. Track, trend and identify arears of improvement as well as opportunities for growth. Ensure that reimbursement structures are managed, evaluated, and capture accurate resource utilization at all the facilities levels. Partner with the Clinical, Financial and therapy teams to develop and enhance clinical reimbursement tools and systems. Engage Regional RDCM, regional team, and facility teams in problems solving process to identify process opportunities for case mix index in Medicaid reimbursement.Recognizes, advises, and promotes facility best practices and systems for dealing with state Case Mix/Medicare, and Managed Care payment systems. Coordinates the MDS and Care Planning process with the facilities assigned and travels to assigned facilities as needs dictate.

Please Have The Following Qualifications

Clinical experience, education or specialty skills specific to geriatrics is desired.

Must have knowledge in PDPM assessment as well as OBRA compliance.

Demonstrates clinical assessment skills at the level necessary to meet the job requirements.

Ability to make independent decisions and follow through with limited supervision.

Knowledgeable and understanding of state and federal regulations and guidelines governing the practices of the facilities.

Effective interpersonal communication skills and the ability to work cooperatively with an interdisciplinary care team.

Able to relate positively, favorably and cooperatively with others, including, residents, family members, employee and personnel of outside agencies and organizations.

Job Requirements

Licensed Therapist or Registered Nurse

Minimum of 5 years of experience in long term care reimbursement

Multi-site Experience With Management Skills.

Excellent oral and written communication.


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