Director of Quality Incentive Reimbursement

Company: EmpRes Healthcare
Location: Olympia
Posted on: May 10, 2022

Job Description:

Director of Quality Incentive ReimbursementTurn your job into a career with EmpRes!EmpRes Healthcare Management remains dedicated to a culture and environment that is welcoming, inclusive, and safe for everyone. We are proud to have a workforce that includes different races, ethnicities, backgrounds, cultures, sexual orientation, gender, and disability status. Together, we have an opportunity to play a leading role in healing each of the communities we serve. By embracing change, and walking forward arm-in-arm, we have the opportunity to make a real difference. To make this happen, we must remain committed to being part of the solution.Regarding COVID-19 Vaccination Mandate(s)Employees are required to be fully vaccinated as a term and condition of employment. Employees may request a vaccine exemption on the basis of a medical or genuinely held religious belief accommodation if applicable..To help us continue our commitment to making a real difference, we are currently looking for a remote Director of Quality Incentive Reimbursement to join our team.Job Summary:EmpRes Healthcare Management is currently seeking a remote Director of Quality Incentive Reimbursement to obtain the most appropriate reimbursement for each states quality incentive programs by staying up to date on specifics on each program, educating center staff, developing detailed metric reporting to drive results, and working on quality measure improvements.Essential Functions:

• Maintain data on state Case Mix reimbursement programs and remain current on changes in programs. Continue to work on specialty reimbursement state specific programs in conjunction with center, divisional and VSO level staff.
• Understands all aspects of each state case mix and quality incentive programs in all state EmpRes operates within and be the expert.
• Understands quality measure coding, metrics and how to drive results in measures through systems and processes.
• Maintains data for the field to drive results and assists centers and divisions to drive positive financial results within programs.
• Educate the center/division employees on all aspects of state specific reimbursement programs. Identify trends and opportunities.
• Report quarterly on center/division/company results and continued opportunities.Knowledge, Skills & Abilities:
  • State specific Quality incentive payment programs (Western States)
  • MDS coding understanding
  • Quality Measures and Five Star Measures
  • State Case Mix programs
  • Ability to report and manipulate data in multiple forms including excel worksheets
  • Ability to drive results based off clinical programming and quality outcomes
  • Ability to communicate both verbally and in writingEducation, Licensure & Experience:
    • NHA; RN, BSN preferred
    • RAC CT preferred or within 60 days of job acceptance
    • Min 5 years in LTC SNF managementBenefit Highlights:
      • Private Health Care Plan (Medical, Dental, Vision)
      • Employee Stock Ownership Plan (EmpRes Healthcare is Employee Owned)
      • Daily Pay - Work Today, Get Paid Tomorrow!
      • Life Insurance
      • Employee Assistance Program
      • Education Reimbursement Program
      • Training & Development Opportunities
        EmpRes Healthcare is a 100% Employee Owned Company. We strive to embody and stand for both a spirit and value system that encourages loyalty, honest, and a commitment to caring from our belief that people are always the number one priority.EmpRes Healthcare is an Equal Opportunity Employer.#EMPRESWA

Keywords: EmpRes Healthcare, Olympia , Director of Quality Incentive Reimbursement, Executive , Olympia, Washington