Lead Long-Term Care Clinical Reimbursement Consultant

Forvis-Mazars; Branson (MO); On-site; USD 110,000 - 170,000; Full time

Job summary

Forvis Mazars, LLP is seeking a Manager, Long Term Care Clinical Reimbursement to lead MDS completion, reimbursement strategy, and regulatory compliance for skilled nursing providers. You will collaborate with billing teams and deliver client-focused recommendations.

The role blends hands-on clinical consulting with service development, education, and thought leadership, requiring strong LTC clinical expertise, project management, and the ability to translate complex regulations into practical

Qualifications

• Active RN license in good standing and ability to maintain licensure.
• 5+ years of clinical experience in long-term care or senior living.
• Advanced knowledge: MDS 3.0, RAI, PDPM, Medicare skilled coverage, Medicaid case-mix methodologies.
• Ability to analyze clinical, reimbursement, and quality data using Excel and EMR reporting tools.
• Experience developing standardized workpapers, reports, training materials, and presentations.
• Willingness to travel for client engagements, training, and industry presentations.
• Proficient in Microsoft Office Suite and EMR system navigation.

Responsibilities

• Lead or support engagements focused on MDS completion and payer regulatory compliance.
• Develop and present findings via work papers, written reports, and client-facing recommendations.
• Guide clients through medical review and audit responses, and remediation plans for CMS and state-level requirements.
• Provide education, training and thought leadership for DONS, MDS coordinators, and executives.
• Lead the expansion of clinical consulting services including building new revenue streams and multi-year growth planning.
• Collaborate with internal teams to provide data-driven insights using clinical and operational analytics.
• Support technology-enabled solutions, including EMR optimization and workflow improvements.
• Manage multiple client projects and deliverables while maintaining strong professional communication.
• Monitor evolving clinical compliance requirements and lead education efforts via speaking engagements, publications, videos, and webinars.

Skills

Clinical analysis

Project management

Communication

Training delivery

Travel readiness

Education

Active RN license

Tools

Excel

EMR reporting tools

PointClickCare

MatrixCare

Microsoft Office

Job description

Forvis Mazars, LLP is seeking a Manager, Long Term Care Clinical Reimbursement to lead MDS completion, reimbursement strategy, and regulatory compliance for skilled nursing providers. You will collaborate with billing teams and deliver client-focused recommendations.

The role blends hands-on clinical consulting with service development, education, and thought leadership, requiring strong LTC clinical expertise, project management, and the ability to translate complex regulations into practical