Remote Supplemental Payments Rates Analyst

State of Minnesota; Saint Paul (MN); Hybrid; USD 69,000 - 101,000; Full time

Job summary

The State of Minnesota is hiring a Supplemental Payment Rates Specialist in St. Paul to manage supplemental payments for health care providers and analyze hospital claims data used by the team.

You will work with senior staff to determine Upper Payment Limits (UPL), and coordinate with fiscal staff to effectuate payments while maintaining the Flat File dataset. Telework is eligible for Minnesota residents with supervisor approval.

Qualifications

• Three years of professional experience working with Health Care Programs, health insurance or health care billing and claiming.
• Understanding of federal and state laws and regulations governing state and federal health care program payment policy requirements.
• Proficiency constructing and analyzing large datasets within Excel.
• Proficiency in presenting complex data sets in a clear and concise manner.

Responsibilities

• Manage assigned supplemental payments to various non-hospital providers including those funded by certified public expenditures (CPEs) and intergovernmental transfers (IGTs).
• Manage all activities related to the Division's subset of inpatient and outpatient hospital claims data, commonly referred to as the Flat File.
• In coordination with senior supplemental rates staff, determine federally required Upper Payment Limits (UPL).
• Manage the cost settlement process for hospital and dental services provided by State Operated Services providers

Skills

Excel

Data analysis

Policy knowledge

Job description

The State of Minnesota is hiring a Supplemental Payment Rates Specialist in St. Paul to manage supplemental payments for health care providers and analyze hospital claims data used by the team.

You will work with senior staff to determine Upper Payment Limits (UPL), and coordinate with fiscal staff to effectuate payments while maintaining the Flat File dataset. Telework is eligible for Minnesota residents with supervisor approval.