Medicaid Disproportionate Share Hospital – Payment Analyst

Job not on LinkedIn

🕒 October 16

🗿 South Dakota – Remote

🗿 South Dakota – Remote

💵 $25 - $30 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🧐 Analyst

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📋 Description

• Assess recent court decisions and changes or clarifications in federal DSH policy and advise the state on potential impacts to its Medicaid program and State Plan • Assess whether State Plan resubmissions are needed and support their preparation • Evaluate administration of DSH supplemental payments and recommend improvements • Identify artifacts, information, and documentation needed to calculate DSH payments under federal and state rules • Draft communications to eligible hospitals on methodology, data collection, and submission deadlines • Gather, review, validate, and reconcile hospital, state, and other data • Calculate DSH rates and payments and build, review, modify, and finalize the annual payment model • Draft the DSH payment schedule for the upcoming state fiscal year • Support DSH program audits, including auditor requests and data reconciliation • Develop and deliver education for DSH-eligible hospitals on requirements, data sources, survey tools, and documentation best practices • Keep work activities on schedule and aligned with proven standards and methodologies

🎯 Requirements

• At least three years of experience working with Medicaid DSH rules, regulations, and related issues, including DSH payment calculations, DSH audits, or hospital DSH survey work • At least three years of experience working with Medicaid rules, regulations, and related issues, including State Plan payment methodologies • Hands-on experience working with Medicaid data, such as claims, eligibility, or payment data • Advanced Excel skills for building and documenting payment models • Availability for a two-year engagement beginning about June 2027 • Availability for occasional travel to Pierre, SD • Must currently reside in the continental United States • Three professional references who can speak to Medicaid DSH or Medicaid payment work • SQL or SAS for data validation is a plus • Experience with a state Medicaid agency, Medicaid financing or reimbursement consulting firm, or hospital association on DSH or other supplemental payment programs is preferred • Experience with hospital cost report data, including Medicare cost report (CMS 2552) data, and uncompensated care data is preferred • Experience with federal DSH audit and reporting requirements under 42 CFR 455 Subpart D and the hospital-specific DSH limit is preferred • Experience with other Medicaid supplemental payment programs, such as upper payment limit or directed payments, is preferred • CPA, MHA, or a related degree in health administration, accounting, or finance is preferred • Visa sponsorship available for qualified candidates

🏖️ Benefits

• Remote work arrangement • Travel to the client office reimbursed at state rates • Visa sponsorship available for qualified candidates • Possible contract extension

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