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Vice President of Clinical Reimbursement / MDS

United States, Des Moines · Job Posted June 29, 2026
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Job Description

Vice President of Clinical Reimbursement / MDS at Azria Health. Azria Health is seeking an experienced and strategic Vice President of Clinical Reimbursement / MDS to lead reimbursement operations and clinical assessment processes across our skilled nursing and long-term care facilities throughout Iowa and Kansas. This executive leadership role is responsible for overseeing MDS operations, reimbursement optimization, regulatory compliance, clinical documentation integrity, and team development to ensure excellence in resident care and financial performance.

Job Responsibility

  • Provide strategic oversight and leadership for all MDS and clinical reimbursement operations across multiple skilled nursing facilities
  • Ensure accuracy, timeliness, and compliance of MDS assessments and reimbursement processes
  • Lead and support regional and facility MDS coordinators and reimbursement teams
  • Monitor and optimize Medicare and Medicaid reimbursement performance under PDPM and state-specific reimbursement methodologies
  • Analyze reimbursement trends, case mix indices, quality measures, and financial outcomes to identify opportunities for improvement
  • Develop and implement policies, procedures, and best practices related to clinical reimbursement and MDS operations
  • Ensure compliance with all federal and state regulations, CMS guidelines, and company standards
  • Partner with clinical, operational, and financial leadership to improve documentation accuracy and reimbursement integrity
  • Conduct audits and provide education, training, and mentorship to facility teams
  • Assist facilities during surveys, audits, appeals, and regulatory reviews related to reimbursement and documentation
  • Stay current on regulatory changes, reimbursement updates, and industry best practices
  • Support acquisition onboarding, transitions, and operational initiatives as needed

Requirements

  • Active RN license required
  • multistate licensure preferred
  • Minimum of 5 years of experience in long-term care reimbursement and MDS leadership
  • Multi-facility oversight experience strongly preferred
  • Extensive knowledge of PDPM, Medicare, Medicaid, OBRA regulations, and CMS guidelines
  • Proven ability to analyze financial and clinical data to drive operational outcomes
  • Strong leadership, communication, organizational, and problem-solving skills
  • Ability to travel regularly throughout Iowa and Kansas facilities
  • RAC-CT, RAC-CTA, or other reimbursement-related certifications preferred

Nice to have

  • Experience leading clinical reimbursement teams across multiple facilities
  • Strong auditing and education background
  • Ability to build collaborative relationships with facility leadership teams
  • High level of attention to detail and regulatory compliance
  • Proficiency with electronic medical records and long-term care software systems

What we offer

  • Health, dental, and vision insurance
  • Paid time off
  • Retirement plan options
  • Professional development opportunities
  • Supportive and collaborative leadership environment

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Vice President of Clinical Reimbursement / MDS

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Vice President of Clinical Reimbursement / MDS

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Location
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Not provided
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Expiration Date
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Requirements
Requirements
  • Active RN license required
  • multistate licensure preferred
  • Minimum of 5 years of experience in long-term care reimbursement and MDS leadership
  • Multi-facility oversight experience strongly preferred
  • Extensive knowledge of PDPM, Medicare, Medicaid, OBRA regulations, and CMS guidelines
  • Proven ability to analyze financial and clinical data to drive operational outcomes
  • Strong leadership, communication, organizational, and problem-solving skills
  • Ability to travel regularly throughout Iowa and Kansas facilities
  • RAC-CT, RAC-CTA, or other reimbursement-related certifications preferred
Job Responsibility
Job Responsibility
  • Provide strategic oversight and leadership for all MDS and clinical reimbursement operations across multiple skilled nursing facilities
  • Ensure accuracy, timeliness, and compliance of MDS assessments and reimbursement processes
  • Lead and support regional and facility MDS coordinators and reimbursement teams
  • Monitor and optimize Medicare and Medicaid reimbursement performance under PDPM and state-specific reimbursement methodologies
  • Analyze reimbursement trends, case mix indices, quality measures, and financial outcomes to identify opportunities for improvement
  • Develop and implement policies, procedures, and best practices related to clinical reimbursement and MDS operations
  • Ensure compliance with all federal and state regulations, CMS guidelines, and company standards
  • Partner with clinical, operational, and financial leadership to improve documentation accuracy and reimbursement integrity
  • Conduct audits and provide education, training, and mentorship to facility teams
  • Assist facilities during surveys, audits, appeals, and regulatory reviews related to reimbursement and documentation
What we offer
What we offer
  • Health, dental, and vision insurance
  • Paid time off
  • Retirement plan options
  • Professional development opportunities
  • Supportive and collaborative leadership environment
  • Fulltime
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Vice President of Clinical Reimbursement / MDS

Vice President of Clinical Reimbursement / MDS Location: This is a regional pos...
Location
Location
United States , Des Moines
Salary
Salary:
Not provided
azriahealth.com Logo
Azria Health Longview
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Active RN license required
  • multistate licensure preferred.
  • Minimum of 5 years of experience in long-term care reimbursement and MDS leadership.
  • Multi-facility oversight experience strongly preferred.
  • Extensive knowledge of PDPM, Medicare, Medicaid, OBRA regulations, and CMS guidelines.
  • Proven ability to analyze financial and clinical data to drive operational outcomes.
  • Strong leadership, communication, organizational, and problem-solving skills.
  • Ability to travel regularly throughout Iowa and Kansas facilities.
  • RAC-CT, RAC-CTA, or other reimbursement-related certifications preferred.
Job Responsibility
Job Responsibility
  • Provide strategic oversight and leadership for all MDS and clinical reimbursement operations across multiple skilled nursing facilities.
  • Ensure accuracy, timeliness, and compliance of MDS assessments and reimbursement processes.
  • Lead and support regional and facility MDS coordinators and reimbursement teams.
  • Monitor and optimize Medicare and Medicaid reimbursement performance under PDPM and state-specific reimbursement methodologies.
  • Analyze reimbursement trends, case mix indices, quality measures, and financial outcomes to identify opportunities for improvement.
  • Develop and implement policies, procedures, and best practices related to clinical reimbursement and MDS operations.
  • Ensure compliance with all federal and state regulations, CMS guidelines, and company standards.
  • Partner with clinical, operational, and financial leadership to improve documentation accuracy and reimbursement integrity.
  • Conduct audits and provide education, training, and mentorship to facility teams.
  • Assist facilities during surveys, audits, appeals, and regulatory reviews related to reimbursement and documentation.
What we offer
What we offer
  • Health, dental, and vision insurance
  • Paid time off
  • Retirement plan options
  • Professional development opportunities
  • Supportive and collaborative leadership environment
  • Fulltime
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Azria Health is seeking an experienced and strategic Vice President of Clinical ...
Location
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Salary:
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Expiration Date
Until further notice
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Requirements
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  • Active RN license required
  • multistate licensure preferred
  • Minimum of 5 years of experience in long-term care reimbursement and MDS leadership
  • Multi-facility oversight experience strongly preferred
  • Extensive knowledge of PDPM, Medicare, Medicaid, OBRA regulations, and CMS guidelines
  • Proven ability to analyze financial and clinical data to drive operational outcomes
  • Strong leadership, communication, organizational, and problem-solving skills
  • Ability to travel regularly throughout Iowa and Kansas facilities
  • RAC-CT, RAC-CTA, or other reimbursement-related certifications preferred
Job Responsibility
Job Responsibility
  • Provide strategic oversight and leadership for all MDS and clinical reimbursement operations across multiple skilled nursing facilities
  • Ensure accuracy, timeliness, and compliance of MDS assessments and reimbursement processes
  • Lead and support regional and facility MDS coordinators and reimbursement teams
  • Monitor and optimize Medicare and Medicaid reimbursement performance under PDPM and state-specific reimbursement methodologies
  • Analyze reimbursement trends, case mix indices, quality measures, and financial outcomes to identify opportunities for improvement
  • Develop and implement policies, procedures, and best practices related to clinical reimbursement and MDS operations
  • Ensure compliance with all federal and state regulations, CMS guidelines, and company standards
  • Partner with clinical, operational, and financial leadership to improve documentation accuracy and reimbursement integrity
  • Conduct audits and provide education, training, and mentorship to facility teams
  • Assist facilities during surveys, audits, appeals, and regulatory reviews related to reimbursement and documentation
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