Your next career move comes with rewarding compensation, relocation assistance, and a generous sign-on bonus.
Additional Information:
Hybrid/Remote is allowed.
Employer will assist with relocation costs.
Internal Number: 1
Director of Reimbursement & Regulatory Compliance
Golden Valley Memorial Healthcare – Clinton, MO
Hybrid (Onsite + Remote Work Options) | Full-Time | Day Shift (M–F, 8a–5p)
Shape the Future of Rural Healthcare Finance
Golden Valley Memorial Healthcare (GVMH), a thriving, mission-drive healthcare organization in Clinton, Missouri, is seeking an experienced Director of Reimbursement & Regulatory Compliance to lead strategy, compliance, and financial performance related to hospital and clinic reimbursement. This high-impact, hybrid leadership role combines strategic oversight with regulatory expertise to ensure long-term sustainability in a rural healthcare setting.
You will serve as the organization’s expert on Medicare/Medicaid cost reporting, DSH funding, and reimbursement optimization—helping GVMH stay financially strong while delivering exceptional care to its community.
What You’ll Lead
Reimbursement & Cost Reporting:
Oversee Medicare and Medicaid cost reports for hospital and provider-based clinics
Maintain Sole Community Hospital (SCH) designation and maximize DSH/Uncompensated Care recovery
Ensure RHC and provider-based billing compliance for cost-based reimbursement
Regulatory Compliance & Advocacy:
Track and interpret regulatory changes at the state and federal levels (Medicare, Medicaid, 340B, etc.)
Collaborate with legislative partners and hospital associations to advocate for rural reimbursement models
Lead Medicare Bad Debt reporting and wage index accuracy
Audit Preparedness & Risk Management:
Act as the lead contact for audits and compliance reviews
Implement internal controls and risk-reduction strategies in coordination with external partners
Strategic Leadership & Collaboration:
Partner with the CFO, revenue cycle, and executive leadership to build sustainable financial strategies
Support expansion efforts through correct setup of new provider-based clinics
Educate staff on reimbursement trends and regulatory changes impacting rural healthcare
Why Golden Valley Memorial Healthcare?
Hybrid Schedule: Flexibility to work both onsite and remotely
Sign-On + Relocation Bonus: We’ll support your move to Clinton or help you transition with ease
Executive-Level Impact: Your work will directly shape the financial future of rural healthcare
Apply today to be part of a forward-thinking leadership team dedicated to improving health access and outcomes for rural communities.
What You Bring
5+ years of experience in healthcare reimbursement, finance, or compliance (rural hospital setting preferred)
Proven understanding of rural funding models, state Medicaid programs, and cost-based reimbursement
Bachelor’s degree required in Accounting, Finance, Healthcare Administration, Business Administration, or Economics
Strategic thinker and effective communicator who thrives in collaborative, mission-driven settings
At Golden Valley Memorial Healthcare (GVMH), we are dedicated to providing you the Golden Standard of Care. This begins with knowing you, both inside and outside our facilities. Our patients are not just patients. They are members of our community—our families, friends and neighbors. It is understanding how to best care for you and treating you with the highest level of personal care, compassion and friendliness.
With GVMH, you have convenient access to highly trained medical specialists that provide a full-range of services, including specialized areas such as obstetrics, oncology, orthopedics, pediatrics, urology and more.
Ranked as one of the top 10 hospitals in Missouri, GVMH has a high-tech 56-bed hospital, 24/7 emergency department and four multi-specialty clinics located in Clinton, Osceola, Warsaw and Windsor. We also have an outpatient clinic and cancer center, as well as home health services, hospice services and therapy services.
Best of all, the Golden Standard of Care is here for you now, miles and hours closer to where you live, work and play. Let us show you the Golden Standard of Care and how we make healthcare better for you.
We’re here to answer your product-related questions
NAHQ wants to partner with you and your organization as you explore how to elevate the profession and advance the discipline of healthcare Quality & Safety.
Need customer service assistance?
For customer service issues, contact us at info@nahq.org or call us at (847) 375-4720. The team is available Monday-Friday from 8 AM-4:30 PM CT.
Important Information for CPHQ Recertification
The recertification process has been streamlined. Unlike previous years, you don’t need to list out your CE activities at the time of completing your application. Instead, you will be asked to attest to having met the requirements, further aligning with the honor-based system of recertification. In the event that your application is randomly selected for audit, you may be required to list your CE activities and submit supporting documentation.
While you may participate in NAHQ learning opportunities (Learning Labs, JHQ articles, etc.), you can only claim CE credit once for each activity. Therefore, if you’ve previously earned CE from a NAHQ learning opportunity, you can’t claim it again, nor will you see the repeat CE appear in your “My Learning� tab. This includes activities used in previous recertification cycles.
Remember, if you’re recertifying during the grace period (1/1/24-1/31/24), you already had to earn your CE hours by Dec 31, 2023.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ’s twice-validated healthcare quality competency framework.
We are excited to announce the release of the book “UNSTOPPABLE: Inspiring Stories of Perseverance, Triumph and Joy from Trailblazing Women in Healthcare“.
Be inspired by nine leading healthcare trailblazers, including our own CEO Stephanie Mercado, who empower us all with their vision and passions.
You’ll notice we’ve simplified the application process to recertify. You will not have to list your CE activities at the time of applying*. Simply attest that you met the requirements to complete the application.
*In the event of an audit, CPHQs may need to list activities and upload documentation in their NAHQ account.
Quality Education Resources
Join this informative session, “Quality Education Resources� Thursday, June 22 from 11-11:30 a.m. CT. You will learn about the range of NAHQ quality education resources available to you and hear directly from universities about the benefits they realized from implementing NAHQ’s content within their courses.
Maintain a Pulse on the Latest Quality & Safety Benchmarking Data
Learn more about NAHQ’s enhanced Quality and Safety Benchmarking Program, which provides timely insights to help U.S. hospitals and health systems create data-driven business cases for their quality and safety resourcing.
Understand the Variability Among Your Quality Team Through Workforce Accelerator
Join us Tuesday, May 2, at 11 a.m. CT, to learn more about the different options available to engage with NAHQ’s enterprise-wide solution, Workforce Accelerator®. Options range in size and scope and are designed to meet the various budgetary and timing needs of health systems as they embark on their quality journeys. Register today!
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
The National Association for Healthcare Quality® (NAHQ) has conducted groundbreaking research on the advancement of the quality and safety agenda and has published the results in a new workforce report. NAHQ’s Healthcare Quality and Safety Report answers the question: “Is today’s healthcare workforce doing the work that will advance critical priorities of quality, safety, equity, value, and system sustainability?� The answer is no.
Updated Maintenance Dates: Sunday, February 5, 2023
Maintenance is planned for Sunday, February 5, from 11 p.m.-4 p.m. CT. During this time, you will not have access to the “My Learning” section of your NAHQ account. We apologize for any inconvenience this may cause and thank you for your patience.
NAHQ’s Organizational Membership Subscription will serve as a one-stop shop for healthcare quality and safety training and education. Attend the February 2, at 11 a.m. CT, info session to further understand the new offering that will continue NAHQ’s focus of “Quality in Action.�
NAHQ has published an updated version of the CPHQ exam content outline.
The new exam content will take effect on March 15, 2023. Candidates planning to take the exam before March 15, 2023, can access the current CPHQ exam content outline and related resources on our website.
Missed NAHQ Next? Don’t worry, you can purchase NAHQ Next on-demand and receive access to all content for 60 days from purchase. Benefit from actionable content that addresses issues head-on and features “how-tos” and results. Buy now and have the opportunity to receive 40+ CEs.
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
Member Briefing Workshop and Healthcare Quality Week Webinar
October 7, at 12 p.m. CT
NAHQ will host an exclusive member briefing workshop where NAHQ CEO Stephanie Mercado and NAHQ President-Elect Nidia Williams will review the workforce report in-depth and prepare you to discuss it with your team and leadership during Healthcare Quality Week.
October 17, at 12 p.m. CT
To kick off Healthcare Quality Week, (HQW) NAHQ will host a complimentary webinar with NAHQ leaders to discuss the report, its impact and how you can leverage the report to your advantage.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ's twice-validated healthcare quality competency framework.
