Director of Reimbursement

Join Team Trilogy

Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

Position Overview

The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance.

Roles and Responsibilities

Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin.

Ensures compliance with CMS Form 2540-10 and each states Medicaid cost reporting requirements.

Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals.

Leads audit responses and manages appeals with state agencies and CMS intermediaries.

Analyzes cost report data to identify trends, risks, and reimbursement opportunities.

Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting.

Monitors regulatory changes and communicates financial implications to leadership.

Maintains documentation and internal controls to support audit readiness.

Provides training and guidance to internal team on reimbursement and cost reporting.

Other duties as assigned.

Qualifications

Education : Bachelor Degree

Experience : 5-8 years

Licenses and Certifications

CPA certification preferred

2 years of Management Experience required

Physical Requirements

Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

Location

US-KY-Louisville Trilogy Health Services 303 N. Hurstbourne Parkway Louisville KY

Benefits

• Competitive salaries and weekly pay
• 401(k) Company Match
• Mental Health Support Program
• Student Loan Repayment and Tuition Reimbursement
• Health, vision, dental & life insurance kick in on the first of the month after your start date
• First time homebuyers program
• HSA / FSA
• And so much more!

Life at Trilogy

Whether youre looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that youve ever belonged.

Flexibility is what you want, and flexibility is what youll get.

Come into the office because you want to not because you have to. At Trilogy, were proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.

Six months of training, orientation, and fun!

We believe in setting our employees up for success. Thats why your first six months are referred to as your blue-badge period a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.

About Trilogy Health Services

As one of Fortunes Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoors Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.