Director of Reimbursement & MDS Strategy

Legacy Healthcare Management Inc.; Michigan; On-site; USD 110,000 - 150,000; Full time

Job summary

Pioneer Healthcare Management in Michigan seeks a Clinical Director of Reimbursement to lead MDS coordination and PDPM oversight across facilities. You will standardize processes, develop corporate policies, and ensure CMS and Medicaid compliance while supporting leadership transitions and on-site surveys.

Responsibilities include supervising MDS coordinators, validating documentation, training staff, and driving accurate case mix, coding, and reimbursement outcomes in a complex regulatory

Qualifications

• Experience leading MDS coordination and reimbursement programs.
• Proficient understanding of CMS PDPM and RAI manual.
• Ability to train and mentor clinical staff across multiple facilities.

Responsibilities

• Lead MDS coordination across facilities and regional teams.
• Standardize MDS processes and implement corporate policies.
• Ensure CMS, Medicaid, OBRA, HIPAA compliance across sites.

Skills

MDS knowledge

Regulatory compliance

Leadership

Education

Bachelor's degree in healthcare administration or related field

Job description

Pioneer Healthcare Management in Michigan seeks a Clinical Director of Reimbursement to lead MDS coordination and PDPM oversight across facilities. You will standardize processes, develop corporate policies, and ensure CMS and Medicaid compliance while supporting leadership transitions and on-site surveys.

Responsibilities include supervising MDS coordinators, validating documentation, training staff, and driving accurate case mix, coding, and reimbursement outcomes in a complex regulatory