Requirements
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8+ years of experience in Medicaid reimbursement, DSH payment methodologies, and healthcare funding analytics
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Proficiency in Medicaid DSH payment modeling, rate calculation, and reimbursement methodologies
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Experience in federal healthcare policy analysis, regulatory interpretation, and compliance reviews
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Experience with provider financial data collection, validation, reconciliation, and audit support
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Experience in State Plan amendment reviews, program evaluation, and payment schedule development
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Strong communication skills for hospital training, stakeholder engagement, and executive reporting
Responsibilities
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Calculate annual DSH payment models, reimbursement rates, and supplemental payment schedules
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Proficiency in reviewing payment methodologies and recommending program administration enhancements
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Experience in assessing federal policy changes, court rulings, and regulatory impacts on reimbursement programs
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Experience with collecting, validating, and resolving provider-submitted financial and utilization data
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Experience in supporting audits, compliance activities, and required program documentation processes
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Ensure project quality, deliverables, timelines, stakeholder communications, and training activities
Founded in 1999, Resourcesoft, Inc. is a leading Technology Consulting and Professional Services organization. Headquartered in Marlborough, MA, the company serves the technology needs of its clients nationwide. Resourcesoft has often been recognized by prominent rating agencies for its exemplary growth and stability. With over two decades of industry experience, the Company has evolved as a front runner in enabling project optimization. We partner with leading organizations to provide technology solutions within the financial, insurance, education, government, publishing, healthcare and pharmaceutical domains. We take pride in mentoring a workforce that is well positioned to respond to the emerging IT trends and needs. With the employees at the crux of every business endeavor, our success is driven by our expertise in pairing the right talent with the best jobs in the technology sector. We forge long term, personalized relationships with our employees to advance their career to the next level. We engage them in technology centric client projects that provide opportunities for them to evolve, innovate and deliver world class products and services. Our career opportunities offer challenging assignments and exposure to emerging and cutting edge technologies. We are committed to providing our employees with the tools necessary to accelerate their career progression, while maintaining a healthy, work-life balance. We are deeply committed to providing a workplace ambience that is both challenging and fulfilling.
Resourcesoft is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
For more information about Resourcesoft and our services, please visit our website.
