Alicia Cantinieri, MBA, managing director of clinical reimbursement and regulatory compliance at Zimmet Healthcare Services Group LLC, has built a distinguished career in clinical reimbursement and regulatory compliance, specializing in the complexities of Medicare, Medicaid, and post-acute care operations. In her current role, she oversees compliance auditing, consulting, and quality innovations to ensure that nursing home operators navigate reimbursement regulations effectively. With nearly three decades of experience in the healthcare industry, Cantinieri has earned a reputation as a respected authority in clinical policy, education, and reimbursement strategy.
For her years of dedication, Cantinieri has been recognized by Marquis Who’s Who and included in its prestigious biographical listings.
Using Hands-On Experience to Inform Thoughtful Leadership
Cantinieri began her career as a registered nurse in 1996, working in long-term care facilities in Ohio before relocating to New York. Early in her tenure as a Minimum Data Set (MDS) coordinator, she encountered a nurse consultant whose expertise and insight inspired her to shift her focus to consulting. Determined to follow that path, she transitioned into clinical reimbursement consulting in 2010 and took her decade of experience to Zimmet Healthcare Services Group. Over the years, she advanced through several leadership roles, including senior vice president of clinical policy and education, vice president of MDS policy and education, and vice president of clinical services.
Cantinieri’s work at Zimmet Healthcare has centered on optimizing reimbursement strategies for skilled nursing facilities while ensuring compliance with ever-changing regulatory frameworks. A recognized expert in Medicare Parts A and B, Medicaid, and clinical reimbursement, she has developed educational programs and policy initiatives that have guided healthcare professionals in navigating the complexities of post-acute care practices.
Advancing the Field Through Self-Improvement, Education, and Mentorship
Through a lifetime of continuous learning, Cantinieri has expanded her academic and professional credentials. She earned a bachelor’s degree in nursing from Wright State University in 1995, graduating cum laude, and later pursued a Master of Business Administration in data analytics from Louisiana State University Shreveport in 2019. She stays at the forefront of her practice with extensive certifications, which include credentials from the American Association of Post-Acute Care Nursing, the Compliance Certification Board, and the American Institute of Healthcare Compliance.
In addition to her career, Cantinieri has taken on leadership as an educator and mentor in her field. As a Master Teacher for the Resident Assessment Coordinator Certification, she has played a pivotal role in training healthcare professionals in reimbursement methodologies. She is also actively involved in the American Association of Post-Acute Care Nursing’s awards committee, helping to uplift rising professionals in her field.
Building Professionalism to Lead Clinical Reimbursement Practices into the Future
Cantinieri has built her career on problem-solving and helping healthcare organizations enhance their overall processes. She credits her success to the unwavering support of her mother, who raised her with the determination to pursue education and professional growth. As she leads healthcare practices into the future, Cantinieri plans to deepen her expertise in auditing and business operations while continuing to provide resources and education for those navigating the complexities of clinical reimbursement.
