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Vice President Reimbursement Jobs in Decatur, GA

AON PLC

Vice President, National Casualty

Atlanta, GA · On-site

$175 - $200/hr

Posting Description Vice President, Primary Casualty Broker The National Casualty Practice is a ... reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D ...

Oscar Health

Director, Internal Audit

Atlanta, GA · On-site

$162K - $213K/yr

You will report into the VP, Internal Audit and Enterprise Risk. Work Location: This is a remote ... reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of ...

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All JobsVice President Reimbursement JobsVice President Reimbursement Jobs in Decatur, GA

Vice President Reimbursement information

See Decatur, GA salary details

$42.5K

$153.8K

$270.9K

How much do vice president reimbursement jobs pay per year?

As of Aug 21, 2026, the average yearly pay for vice president reimbursement in Decatur, GA is $153,804.00, according to ZipRecruiter salary data. Most workers in this role earn between $112,300.00 and $185,500.00 per year, depending on experience, location, and employer.

What is a vice president reimbursement?

A Vice President of Reimbursement is a senior executive responsible for overseeing a company's reimbursement strategy, ensuring compliance with healthcare regulations, and optimizing revenue cycle processes. They work closely with payers, providers, and internal teams to develop policies that maximize reimbursement efficiency. This role requires in-depth knowledge of healthcare reimbursement models, government regulations, and payer negotiations. Strong analytical skills and leadership abilities are essential for driving financial performance and operational success.

What are the typical responsibilities of a vice president reimbursement?

As a Vice President Reimbursement, your daily responsibilities typically include overseeing the development and execution of reimbursement strategies, managing payer relationships, and ensuring compliance with all relevant regulations. You will collaborate closely with finance, legal, clinical, and operational teams to optimize reimbursement outcomes and address complex billing or claims issues. Regular tasks may also involve analyzing reimbursement data, leading process improvement initiatives, and representing the organization in high-level negotiations. This role demands both a strategic vision for long-term revenue optimization and hands-on management of ongoing operational details.

What are the key skills and qualifications needed to thrive in the vice president reimbursement position?

To thrive as a Vice President Reimbursement, you need deep knowledge of healthcare reimbursement strategies, payer contracting, and regulatory compliance, typically supported by an advanced degree in healthcare administration, business, or a related field. Expertise with revenue cycle management systems, claims processing platforms, and familiarity with CMS guidelines or certifications such as HFMA are highly valuable. Exceptional leadership, negotiation, and cross-functional communication skills set strong candidates apart. These abilities ensure effective reimbursement operations, drive organizational financial performance, and maintain compliance in the rapidly evolving healthcare landscape.

What are the most commonly searched types of Reimbursement jobs in Decatur, GA?

The most popular types of Reimbursement jobs in Decatur, GA are:

What are popular job titles related to Vice President Reimbursement jobs in Decatur, GA?

For Vice President Reimbursement jobs in Decatur, GA, the most frequently searched job titles are:

What job categories do people searching Vice President Reimbursement jobs in Decatur, GA look for?

The top searched job categories for Vice President Reimbursement jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Vice President Reimbursement jobs?

Cities near Decatur, GA with the most Vice President Reimbursement job openings:

Vice President Reimbursement jobs near you
Infographic showing various Vice President Reimbursement job openings in Decatur, GA as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% In-person job distribution, with an average salary of $153,804 per year, or $73.9 per hour.

MDS Reimbursement Director

NurseCare Buckhead

Atlanta, GA • On-site

Full-time

Re-posted 10 days ago

Job description

We are seeking a MDS Director of Reimbursement to strategically lead our clinical reimbursement team. Our goal is to be a resource to a resource to our communities, providing short-term rehabilitation for a short stay with long term success in addition to providing a variety of skilled services
Job Summary:
The MDS Director of Reimbursement is responsible for overseeing Clinical Reimbursement initiatives for the company. Manage and evaluate clinical reimbursement staff in the company. Track, trend and identify arears of improvement as well as opportunities for growth. Ensure that reimbursement structures are managed, evaluated, and capture accurate resource utilization at all the facilities levels. Partner with the Clinical, Financial and Rehab teams to develop and enhance clinical reimbursement tools and systems.
Essential Duties and Responsibilities:
  • Develop and implements case management and clinical reimbursement programs
  • Review weekly/monthly RUG distribution/reimbursement reports. assist in identification of trends
  • Provide instruction to the Facility MDS Coordinators on the RAI Processes and Systems
  • Track, trend and analyze current RUG scores. end splits. CMI on a weekly and monthly basis and report to the management team
  • Assist the VP of Clinical Services in developing a plan of action to improve the clinical reimbursement / RAJ functions and processes at the Facilities level
  • Serve as the subject matter expert for the Company on all areas related to Clinical Reimbursement and RAI
  • Serve as the Corporate Liaison with V. P. of Rehab, reviewing RUGs utilization, Forecasts, ADL Index and Reimbursement Utilization
  • Collaborate with the Company Chief Compliance Officer to ensure adherence to company's policies and procedures plus Federal and State Regulations
  • Partner with Medical Review to ensure that accurate ADR information is submitted to the fiscal intermediaries
  • Maintain Current information on OBRA regulations, licensure requirements, and other regulatory and agency standards
  • Assesses the knowledge, skills, techniques, procedure and performance of the nursing MDS and staff as it relates to coding of the MDS and related assessments
  • Trains the MDS staff on the appropriate CAAs and trigger worksheets and assessment reference dates
  • Serves as the subject matter expert for the company on all areas related to clinical reimbursement
  • Assist in identification development and implementation of education opportunities
  • Routinely visits facilities to review, monitor and audit the quality of coding to reflect nursing care provided to residents
  • Coordinate with other functional executives and managers to properly scope projects, coordinate their execution across functions and develop training and educational programs as required. Manage change control
  • Participate in the recruitment, evaluation and retention of MDS Staff

Qualifications :
  • RN/Therapist or completion of a Bachelor's Degree in a Health Care or related field, consistent with the duties to be performed
  • Five to Ten years of Clinical Reimbursement or MOS experience
  • Current knowledge of computer technology and systems
  • Extensive knowledge of MOS and back-up documentation required and extensive knowledge of state grouper and calculator field relative to MOS and state payment
  • Extensive knowledge of Medicare reimbursement, RUG IV systems, compliance and edibility
  • Strong project management skills with a record of successful project execution. Competence in computer technology and systems needed to manage Medicare/State Case Mix systems
  • Five years' .experience in Long Term Care Management
  • Communicate effectively with staff, doctors, and corporate leadership, utilizing diplomacy and discretion
  • Travel to other facilities required

Apply