Talent.com
Chief Clinical Reimbursement Specialist
Chief Clinical Reimbursement SpecialistGovig & Associates • Tampa, FL, US
Chief Clinical Reimbursement Specialist

Chief Clinical Reimbursement Specialist

Govig & Associates • Tampa, FL, US
1 day ago
Job type
  • Full-time
Job description

Job Description

Are you a seasoned MDS / RAI expert ready to make a nationwide impact? Our client, a mission-driven skilled nursing management organization operating across multiple states, is looking for a Chief Clinical Reimbursement Specialist to lead strategy, compliance, and education across their expanding portfolio of skilled nursing facilities.

This is your opportunity to shape reimbursement excellence at scale, partner with strong regional and facility leaders, and ensure that clinical quality translates into exceptional financial performance.

What You’ll Be Doing

  • Lead reimbursement strategy and MDS oversight across several states and payer systems.
  • Provide expert-level audit and consulting support to on-site MDS and clinical teams.
  • Stay ahead of CMS, PDPM, and Medicaid updates, then turn complex regulations into clear, actionable guidance.
  • Partner with operations, finance, and quality teams to drive rate optimization and maintain airtight compliance.
  • Mentor and develop MDS Coordinators to strengthen documentation integrity and elevate outcomes.
  • Travel frequently to facilities within the organization’s regional network (expect regular monthly travel).

What You’ll Bring

  • 10+ years of MDS / RAI experience in skilled nursing - multi-state experience is a big plus.
  • Deep knowledge of PDPM, quality-based reimbursement, and managed care strategies.
  • Strong analytical and leadership skills - you’re just as comfortable diving into data as you are leading a team.
  • Active RN license (or equivalent clinical credential).
  • A collaborative mindset and passion for developing others.
  • Why This Role

    You’ll be joining an organization that truly lives its values; one that believes in doing what’s right for residents, employees, and the communities they serve. They offer the autonomy of a boutique operator with the support of a high-performing leadership team that values innovation, trust, and accountability.

    If you’re a strategic, hands-on leader who thrives on improving systems and mentoring teams, this is your chance to take your MDS / RAI expertise to the next level and make a meaningful difference across multiple states.

    Create a job alert for this search

    Reimbursement Specialist • Tampa, FL, US

    Related jobs
    Strategic Client Executive - Regional Health Plans

    Strategic Client Executive - Regional Health Plans

    Zelis Healthcare, LLC • St. Petersburg, FL, United States
    Full-time
    Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...Show more
    Last updated: 30+ days ago • Promoted
    Nurse Bill Auditor - REMOTE

    Nurse Bill Auditor - REMOTE

    Pivotal Placement Services • St Petersburg, FL, US
    Remote
    Full-time
    Quick Apply
    This is an exciting opportunity to work for a leader of resources for payors solutions & bill review with a preferred client. Many candidates we place enjoy the thinkability and solution oriented cr...Show more
    Last updated: 30+ days ago • Promoted
    Inpatient DRG Reviewer

    Inpatient DRG Reviewer

    Zelis Healthcare, LLC • St. Petersburg, FL, United States
    Full-time
    Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...Show more
    Last updated: 30+ days ago • Promoted
    Clinical Administrative Coordinator

    Clinical Administrative Coordinator

    Boardprep Llc • Tampa, FL, US
    Full-time
    Full time position Monday through Friday 9 : 00am-5 : 30pm.We are seeking a motivated and professional Coordinator to join our team. The role is to work alongside the evaluation and intake team to ensur...Show more
    Last updated: 30+ days ago • Promoted
    Administrative Medical Assistant

    Administrative Medical Assistant

    Orthopaedic Solutions Management • Palm Harbor, FL, US
    Full-time
    The Administrative Medical Assistant is a key member of the provider’s care team, responsible for delivering a high level of support in both clinical and administrative functions.This hybrid ...Show more
    Last updated: 30+ days ago • Promoted
    Patient Experience Specialist

    Patient Experience Specialist

    BayCare Health System • Clearwater, FL, US
    Full-time
    BayCare is seeking a passionate and strategic Customer Experience Partner to elevate patient experience across Morton Plant, Mease Countryside, Mease Dunedin, and NorthBay Hospitals.Lead efforts to...Show more
    Last updated: 20 days ago • Promoted
    Medicare Sales Representative

    Medicare Sales Representative

    Centene Corporation • Spring Hill, FL, United States
    Full-time +1
    You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll ha...Show more
    Last updated: 1 day ago • Promoted
    Patient Account Collector

    Patient Account Collector

    Rotech Healthcare Inc. • Lakeland, FL, United States
    Full-time
    Join a Leader in Home Healthcare.As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to...Show more
    Last updated: 30+ days ago • Promoted
    Medical Bill Navigator

    Medical Bill Navigator

    Zelis Healthcare, LLC • St. Petersburg, FL, United States
    Full-time
    Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...Show more
    Last updated: 30+ days ago • Promoted
    HealthRules Premium Billing Consultant Premium Management Specialis

    HealthRules Premium Billing Consultant Premium Management Specialis

    ClinDCast LLC • Tampa, FL, United States
    Full-time
    We are seeking highly experienced HRP Consultants with a strong background in Premium Billing to join our team.The ideal candidates will possess extensive expertise in HealthRules Premium Billing a...Show more
    Last updated: 1 day ago • Promoted
    Inpatient DRG Sr. Reviewer

    Inpatient DRG Sr. Reviewer

    Zelis Healthcare, LLC • St. Petersburg, FL, United States
    Full-time
    Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...Show more
    Last updated: 30+ days ago • Promoted
    Healthcare Claims Manager

    Healthcare Claims Manager

    VirtualVocations • Tampa, Florida, United States
    Full-time
    A company is looking for a Healthcare Claims Manager to lead the ingestion of healthcare claims data and ensure data integrity across systems. Key Responsibilities Serve as primary liaison with he...Show more
    Last updated: 5 days ago • Promoted
    Patient Financial Rep II

    Patient Financial Rep II

    BayCare Health System • Largo, FL, United States
    Full-time
    BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunit...Show more
    Last updated: 1 day ago • Promoted
    Medical Accounts Receivable Billing Specialist

    Medical Accounts Receivable Billing Specialist

    ENT and Allergy of FL. • Tampa, FL, United States
    Full-time
    ENT and Allergy Associates of Florida is currently seeking a Medical Accounts Receivable Specialist for a full-time position at our Tampa office. Our practice provides comprehensive general and subs...Show more
    Last updated: 15 hours ago • Promoted • New!
    Administrative Clinical Assistant - St. Petersburg

    Administrative Clinical Assistant - St. Petersburg

    Orthopaedic Solutions Management • Saint Petersburg, FL, US
    Full-time
    To provide excellent customer service to all patients, visitor and coworkers.To be organized and detail oriented and able to conduct oneself in a professional and positive manner on a consistent ba...Show more
    Last updated: 30+ days ago • Promoted
    Scheduling / treatment plan / patient coordinator

    Scheduling / treatment plan / patient coordinator

    My Harmony Smiles • Palm Harbor, FL, US
    Full-time
    Lux Dental and Spa is looking for a friendly face to join our family team!.Excellent phone, verbal & written communication skills are very important for this position(You are the first voice ou...Show more
    Last updated: 30+ days ago • Promoted
    Branch Coordinator Home Health

    Branch Coordinator Home Health

    Centerwell • Tampa, FL, US
    Full-time
    The primary function of the Branch Coordinator is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of telephone / pers...Show more
    Last updated: 3 days ago • Promoted
    Claims Associate - Medical Only Claims - FL, GA, AL - Tampa, FL

    Claims Associate - Medical Only Claims - FL, GA, AL - Tampa, FL

    PMA Companies • Tampa, FL, United States
    Permanent
    Claims Associate - Medical Only Claims - FL, GA, AL.As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permane...Show more
    Last updated: 11 days ago • Promoted