Senior LTC Clinical Reimbursement Consultant

Forvis Mazars US; Tulsa (OK); On-site; USD 90,000 - 130,000; Full time

Job summary

Forvis Mazars US is seeking an experienced Senior Clinical Reimbursement Consultant to lead and support engagements focused on MDS completion, payer compliance, and clinical documentation improvement for skilled nursing and senior living providers. The role combines hands-on clinical consulting with service development, client education, thought leadership, and technology-enabled improvement.

Candidates should bring in-depth LTC clinical expertise, project management skills, and the ability to

Qualifications

• Active RN license in good standing and maintained throughout employment.
• 5+ years of clinical experience in long-term care or senior living.
• Advanced knowledge in MDS 3.0, RAI, PDPM, Medicare skilled coverage, Medicaid case-mix methodologies, and supporting clinical documentation.
• 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.
• Proficiency in Microsoft Office Suite and EMR system navigation.

Responsibilities

• Lead or support engagements focused on MDS completion and payer-specific regulatory compliance for skilled nursing providers.
• Develop and present findings via work papers, reports, and client-facing recommendations.
• Guide clients through medical reviews and audit responses, and remediation plans for CMS and state requirements.
• Provide education, training and thought leadership for DONS, MDS coordinators, and executives.
• Expand clinical consulting services, develop new revenue streams, and support strategy development and growth planning.
• Collaborate with internal teams to provide data-driven insights using clinical and operational analytics.
• Support EMR optimization and workflow improvements, and digital process enhancements.
• Manage multiple client projects and deliverables with strong communication and responsiveness.

Skills

RN license

Clinical experience

Excel

EMR reporting tools

Travel willingness

Microsoft Office Suite

Tools

PointClickCare

MatrixCare

EMR systems

Job description

Forvis Mazars US is seeking an experienced Senior Clinical Reimbursement Consultant to lead and support engagements focused on MDS completion, payer compliance, and clinical documentation improvement for skilled nursing and senior living providers. The role combines hands-on clinical consulting with service development, client education, thought leadership, and technology-enabled improvement.

Candidates should bring in-depth LTC clinical expertise, project management skills, and the ability to