Mid Level Reimbursement Manager Jobs
Mid level reimbursement manager jobs go to professionals ready to own claims processes end to end, mentor coordinators, and drive payer strategy decisions with limited oversight. Openings are spread across on-site, remote, and hybrid settings in Healthcare & Medical Services, Medical Devices, and Technology & Software, with employers like McKesson, PROCEPT BioRobotics, and AbbVie hiring at this level now.
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This position combines hands-on clinical consulting with service development, client education, thought leadership, and technology-enabled improvement. The successful candidate will bring strong long-term care clinical expertise, sound project management skills, and the ability to translate complex reimbursement and regulatory requirements into practical client solutions.
What You Will Do:
- Lead or support engagements focused on MDS completion and payer specific regulatory compliance for skilled nursing providers, including collaboration with internal billing teams to ensure accurate reimbursement
- Develop and present findings via well-organized 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, collaborating with firm leadership and marketing on go-to-market initiatives, and assisting with strategy development 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 (PointClickCare or similar systems), workflow improvements, and digital process enhancements
- Manage multiple client projects and deliverables while maintaining strong professional communication and responsiveness
- Monitor and evaluate evolving clinical compliance requirements related to MDS completion affecting all payers and quality outcomes, and lead education and thought leadership efforts for internal teams, clients, and prospects through state and national speaking engagements, written publications, videos, and webinars
- Establish and represent the firm as a national and state industry leader in clinical compliance and MDS completion, driving recognized expertise and differentiation in the marketplace
- Exceptional written, verbal and presentation skills
- Utilizes technology and digital platforms effectively to organize work, track deliverables, analyze information, and communicate with clients and team members while maintaining exceptional attention to detail and professionalism
Minimum Qualifications:
- Active Registered Nurse (RN) license in good standing, with the ability to maintain licensure throughout employment
- 5+ years of clinical experience in long-term care or senior living
- Advanced knowledge in one or more of the following areas: MDS 3.0, RAI requirements, 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
- Comfort evaluating new technology and AI-enabled clinical tools while maintaining appropriate privacy and compliance controls
- Ability and willingness to travel for client engagements, training, and industry presentations
- Proficient in Microsoft Office Suite and EMR system navigation
Preferred Qualifications:
- 6+ years of clinical experience in long-term care or senior living preferred
- RAC-CT/RAC-CTA certification
- Experience with training and EHR optimization in PointClickCare and/or MatrixCare
- Background in SNF billing, appeals management, ADR responses, or reimbursement review practices
- Licensed Nursing Home Administrator
This position combines hands-on clinical consulting with service development, client education, thought leadership, and technology-enabled improvement. The successful candidate will bring strong long-term care clinical expertise, sound project management skills, and the ability to translate complex reimbursement and regulatory requirements into practical client solutions.
What You Will Do:
- Lead or support engagements focused on MDS completion and payer specific regulatory compliance for skilled nursing providers, including collaboration with internal billing teams to ensure accurate reimbursement
- Develop and present findings via well-organized 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, collaborating with firm leadership and marketing on go-to-market initiatives, and assisting with strategy development 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 (PointClickCare or similar systems), workflow improvements, and digital process enhancements
- Manage multiple client projects and deliverables while maintaining strong professional communication and responsiveness
- Monitor and evaluate evolving clinical compliance requirements related to MDS completion affecting all payers and quality outcomes, and lead education and thought leadership efforts for internal teams, clients, and prospects through state and national speaking engagements, written publications, videos, and webinars
- Establish and represent the firm as a national and state industry leader in clinical compliance and MDS completion, driving recognized expertise and differentiation in the marketplace
- Exceptional written, verbal and presentation skills
- Utilizes technology and digital platforms effectively to organize work, track deliverables, analyze information, and communicate with clients and team members while maintaining exceptional attention to detail and professionalism
Minimum Qualifications:
- Active Registered Nurse (RN) license in good standing, with the ability to maintain licensure throughout employment
- 5+ years of clinical experience in long-term care or senior living
- Advanced knowledge in one or more of the following areas: MDS 3.0, RAI requirements, 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
- Comfort evaluating new technology and AI-enabled clinical tools while maintaining appropriate privacy and compliance controls
- Ability and willingness to travel for client engagements, training, and industry presentations
- Proficient in Microsoft Office Suite and EMR system navigation
Preferred Qualifications:
- 6+ years of clinical experience in long-term care or senior living preferred
- RAC-CT/RAC-CTA certification
- Experience with training and EHR optimization in PointClickCare and/or MatrixCare
- Background in SNF billing, appeals management, ADR responses, or reimbursement review practices
- Licensed Nursing Home Administrator
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Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Medical Devices
- Technology & Software
- Consulting & Professional Services
- Biotechnology & Pharmaceuticals
Mid Level Reimbursement Manager Jobs: Frequently Asked Questions
How do I get a mid level reimbursement manager job?
Position your experience around ownership, not just participation. Highlight specific claims portfolios you managed, payer contracts you negotiated, or denial rate improvements you drove. Applications that quantify impact, such as reduced days in accounts receivable or improved collection rates, stand out. Tailor your resume to show you can lead a reimbursement function with minimal supervision, not just execute tasks assigned by others.
Which companies hire mid level reimbursement managers?
Companies hiring mid level reimbursement managers right now include McKesson, PROCEPT BioRobotics, and AbbVie, based on current listings on Migrate Mate as of September 2026. Health systems, specialty practices, insurance organizations, and revenue cycle management firms tend to hire most actively at this level, where deep payer knowledge and process ownership are the primary requirements.
Are there remote mid level reimbursement manager jobs?
Yes, though availability varies by employer and sector. About 27% of mid level reimbursement manager openings are remote or hybrid as of September 2026, reflecting how much of this work, including claims review, payer communication, and reporting, translates well to off-site environments. Roles tied to on-site billing operations or facility management are more likely to require in-person presence.
How do I move up to a mid level reimbursement manager role?
Getting from entry level to mid level means building depth across the full reimbursement cycle, not just one piece of it. Take ownership of payer accounts, volunteer to lead denial management projects, and develop fluency with coding standards and contract terms. Employers promoting into mid level roles look for candidates who have driven measurable outcomes, mentored peers informally, and demonstrated they can manage competing priorities without constant direction.
Which industries hire the most mid level reimbursement managers?
Mid Level reimbursement manager roles concentrate in Healthcare & Medical Services, Medical Devices, and Technology & Software, based on current listings on Migrate Mate as of September 2026. These sectors generate high claims volume, complex payer mixes, and ongoing regulatory pressure, creating consistent demand for experienced professionals who can manage reimbursement operations at scale and deliver measurable revenue cycle results.