Senior Medicaid Financial Analyst, DSH Payments & Policy

HighCloud Solutions; Pierre (SD); Hybride; USD 110 000 - 180 000; Plein temps

Résumé du poste

HighCloud Solutions seeks a qualified contractor to provide technical support and analysis of South Dakota Medicaid's DSH supplemental payment program from Pierre, SD. The role is hybrid and long-term.

You will assess policy changes, collect data, calculate payments, and prepare schedules for the upcoming fiscal year, while educating hospitals and ensuring data quality and timely delivery.

Responsabilités

• Assess court decisions and federal policy impact on SD Medicaid DSH.
• Review State Plan resubmission processes for appropriateness.
• Recommend improvements to DSH payment administration and scope.
• Assist with DSH program audits.
• Gather data/documents from hospitals/DSS for DSH calculations.
• Calculate DSH rates and payments for the year under review.
• Draft DSH payment schedule for upcoming fiscal year.
• Educate hospitals on DSH requirements, data sources, and survey tools.
• Identify artifacts and documentation needed for DSH calculations.
• Propose hospital communications; require state approval before outreach.
• Gather data for the year under review; verify accuracy.
• Resolve data discrepancies with hospitals and DSS.
• Finalize payment model calculations and discuss with DSS.
• Provide education on best practices for documenting DSH eligibility.
• Ensure project quality and on-time delivery.

Description du poste

HighCloud Solutions seeks a qualified contractor to provide technical support and analysis of South Dakota Medicaid's DSH supplemental payment program from Pierre, SD. The role is hybrid and long-term.

You will assess policy changes, collect data, calculate payments, and prepare schedules for the upcoming fiscal year, while educating hospitals and ensuring data quality and timely delivery.