# Director of Clinical Reimbursement, Skilled Nursing at Teton > Remote · United States · Director+ · Other · open. Source: https://alderhq.app/jobs/ashby%3Ateton%3A2d98abca-576f-4ba2-b18c-c4f307f919a7 (read 2026-11-09). ## Facts (observed) - Company: [Teton](https://alderhq.app/companies/teton) - Location text: US Remote - Where it can be done from (inferred): Remote · United States (evidence: "Location: US Remote") - Posted: 2026-11-03 (6 days ago) - First seen by alder: 2026-11-04 · last verified: 2026-11-07 - Reposted: 0 times · edited: 0 times - Apply on the employer's site: https://jobs.ashbyhq.com/teton/2d98abca-576f-4ba2-b18c-c4f307f919a7 ## Pay and sponsorship - Posted pay: not posted - Market band for similar posted roles (United States, n 3921): p25 $171k, median $215k, p75 $260k ## Description (the employer's text) ### Director of Clinical Reimbursement, Skilled Nursing Location: \[Remote US\] · Travel: As needed to key clientele (10%) About Teton.ai Teton is building the predictive intelligence layer for senior care. Our AI and computer vision platform passively and privately understands what is happening across residents, staff and space, then turns it into actionable insight for frontline caregivers, operators and owners. Founded in Copenhagen in 2020 and backed by a $20M Series A led by Plural, Teton is used every month by more than 10,000 care staff across the US and Europe. Operators running Teton report 50–70% fewer falls and a 20% reduction in temporary and night staffing. We are now scaling across US skilled nursing and senior living portfolios. ### The role The Director of Clinical Reimbursement, Skilled Nursing is Teton's senior authority on the RAI process, the MDS 3.0 and PDPM. You will translate deep regional and national reimbursement expertise into Teton's product, so the care our platform observes is accurately reflected in assessments, documentation and revenue. You will sit at the intersection of clinical operations, product and customers. Your work shapes what we build, how we prove value to SNF operators, and how our clients capture the reimbursement their care already earns, compliantly. ### What you'll do ### Translate RAI and MDS expertise into product Serve as Teton's subject-matter expert on the RAI Manual, MDS 3.0, PDPM, Section GG, Care Area Assessments and Quality Measures. Map what Teton's platform observes (mobility, ADLs, sleep, falls, behaviors, staff interactions) to MDS items, look-back periods and PDPM components. Define clinical and reimbursement requirements with product, data science and engineering; write specs, review models and validate outputs against real assessments. Monitor CMS rule changes, RAI Manual updates, Five-Star and SNF VBP changes, and state Medicaid case-mix methodologies, and turn them into product roadmap input. ### Protect accuracy and compliance Ensure every reimbursement-related insight Teton delivers is defensible, audit-ready and supported by documentation. Build guardrails that prevent upcoding and flag under-capture, so clients capture accurate reimbursement, not inflated reimbursement. Advise on PEPPER, TPE, RAC and survey risk in how features are designed and positioned. ### Drive client outcomes Partner with SNF operators' MDS coordinators, DONs, administrators and regional clinical reimbursement leaders to deploy Teton into their workflows. Quantify impact on case-mix index, PDPM rates, Medicaid CMI, quality measures and Five-Star ratings; build the ROI case for sales and renewals. Represent Teton at industry events and with clients, asset owners and partners as a credible clinical reimbursement voice. ### Build internal capability Train Teton's commercial, customer success and product teams on SNF reimbursement fundamentals. Develop playbooks, education content and clinical validation protocols as we scale across US portfolios. ### What you bring 5+ years of direct involvement in national-level MDS and SNF revenue oversight, such as a corporate or multi-region Director/VP of Clinical Reimbursement role at a multi-facility SNF operator. Expert, current knowledge of the RAI Manual, MDS 3.0, PDPM, Section GG, and Medicare Part A and Medicaid case-mix reimbursement. Working knowledge of state Medicaid case-mix systems across multiple states, and how regional practices differ. Track record of improving MDS accuracy, case-mix capture and reimbursement outcomes across a portfolio of facilities. Strong grasp of compliance and audit risk (PEPPER, TPE, RAC, survey) and a commitment to accurate, defensible coding. Active RN license (or LPN/LVN with equivalent senior experience). RAC-CT, RAC-CTA or equivalent AAPACN certification. Clear communicator who can explain complex reimbursement rules to clinicians, engineers and executives alike. ### Nice to have Experience translating clinical knowledge into technology: working with product or engineering teams, defining requirements, or validating software, analytics or AI outputs. --- Data: alder (https://alderhq.app). Cite https://alderhq.app/jobs/ashby%3Ateton%3A2d98abca-576f-4ba2-b18c-c4f307f919a7 and the date you read it. Observed facts come from the employer's own listing; location reach, level, family and skills are inferences.