Director of Reimbursement
Company: Trilogy Health Services
Location: Louisville
Posted on: February 1, 2026
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Job Description:
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. WHAT WE'RE
LOOKING FOR: Job Summary 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
state’s 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. WHERE YOU'LL WORK : Location:
US-KY-Louisville LET'S TALK ABOUT 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 you’re looking
for a new chapter, a change of pace, or a helping hand, Trilogy is
committed to being the best place that you’ve ever belonged.
Flexibility is what you want, and flexibility is what you’ll get.
Come into the office because you want to – not because you have to.
At Trilogy, we’re 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. That’s
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. APPLY
NOW: As one of Fortune’s Best Places to Work in Aging Services, a
certified Great Place to Work, and one of Glassdoor’s 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.
Keywords: Trilogy Health Services, Lexington , Director of Reimbursement, Healthcare , Louisville, Kentucky
