Vice President

• Lead the development, implementation, and continuous improvement of MDS-related reimbursement strategies for long-term care facilities
• Oversee the MDS process, ensuring accurate and timely completion of assessments, coding, and data submission to maximize reimbursement
• Collaborate with clinical and administrative teams to develop strategies that align care delivery with optimal reimbursement opportunities
• Provide leadership and guidance to MDS coordinators, billing, and clinical staff on best practices for MDS documentation and reimbursement
• Analyze reimbursement trends and implement strategies to improve payer mix, case mix index (CMI), and overall revenue capture
• Review and interpret payer policies, regulatory updates, and billing codes to ensure compliance while optimizing financial outcomes
• Drive continuous improvement initiatives to streamline workflows, reduce inefficiencies, and enhance reimbursement accuracy
• Monitor financial performance relative to MDS coding and reimbursement, ensuring adherence to budgetary goals
• Ensure MDS-related processes are compliant with federal and state regulations, including CMS guidelines
• Partner with internal audit and compliance teams to ensure proper documentation and prevent audit or billing disputes
• Serve as liaison between clinical, operational, and financial departments and advise executive leadership on MDS reimbursement trends
• Foster relationships with external payers, auditors, and regulatory agencies to ensure timely and accurate reimbursement
• Lead data analysis and reporting related to MDS, reimbursement performance, and case mix analysis and provide regular reports to senior leadership
• Build and lead a high-performing remote team of MDS professionals through recruitment, training, mentorship, and performance management

Vice President, Clinical Reimbursement

VP, Colleague Relations

SVP, Network Strategy, Performance

VP, Carrier Relations

AVP – Corporate Accounts, Data Centers

Credit Officer – Asset Backed Securities, CLO - Assistant Vice President