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Program Analyst - Medicaid’s Disproportionate Share Hospital

WinMax Systems Corporation

Remote • Today

Easy Apply

Contract

50 - 75

Medicaid Business Analyst

Innosoul inc

Pierre, South Dakota • 3d ago

Easy Apply

Contract, Third Party

Depends on Experience

Data Analyst - Medicaid

Avenue Code, LLC

Remote • Today

Easy Apply

Contract

65 - 70

Epic Resolute Hospital Billing Application Analyst Lead

Apex Systems

Boston, Massachusetts • Today

Easy Apply

Full-time

$80 - $80 per hour

HCS Apps Systems Analyst Sr - Hospital Billing

UNC Health Care

Morrisville, North Carolina • Today

Full-time

Compensation information provided in the description

Job Details

Skills

Program Analyst - Medicaid’s Disproportionate Share Hospital Data

Summary

Program Analyst - Medicaid’s Disproportionate Share Hospital Data

Location: Remote (Pierre, South Dakota for a small portion of the work while other work can be performed remotely within the Continental United States)

Contract: 24 Months

Job Description:

Scope of Work
Client is seeking a qualified vendor to provide technical support and analysis of South Dakota Medicaid’s Disproportionate Share Hospital (DSH) supplemental payment program.
Activities include but are not limited to:

Assess recent court decisions and changes/clarifications of federal policy and the potential impact to South Dakota Medicaid.
Assess appropriateness of resubmissions for State Plan as necessary.
Evaluate and recommend improvements to current administration of South Dakota Medicaid’s DSH supplemental payments, including potential changes to the size and scope of the program.
Assist with DSH program audits.
Collection of the necessary information and documents from qualified and eligible providers required to calculate DSH payments.
Calculation of DSH rates and payments.
Draft a DSH Payment Schedule for the upcoming State Fiscal Year.
Develop and provide education to participating hospitals on DSH requirements, data, sources, and survey tools.
Identify the necessary artifacts, information, and documentation necessary to calculate DSH payments according to federal and State rules and regulations.
Provide the State with proposed communication to eligible hospitals regarding the proposed methodology, data collection process, and deadlines for hospitals to submit data for the DSH payment calculation. The State must approve all communication prior to outreach to hospitals.
Gather necessary data applicable to the year under review from eligible hospitals, client, and other sources.
Review data for reasonableness and accuracy.
Resolve any discrepancies in data with hospitals and Client.
Calculate the DSH payment model for the year under review and review and discuss the draft payment model with client.
Perform any modification to the payment model calculation requested by client.
Provide client with final payment model calculations in the manner specified by client.
Proposals to Work Orders will be reviewed for ability to meet the State needs and there is no guarantee of award.
Develop and provide education to DSH eligible hospitals on DSH requirements, data sources, and survey tools, as well as best practices for hospitals related to documentation of DSH eligibility.
Ensure overall project quality in adherence to proven standards and methodologies.
Ensure the work activities are completed on time.
Experience working with Medicaid Data.
At least 3 years of experience working with DSH rules, regulations and related
issues.
At least 3 years of experience in working with Medicaid rules, regulations and
related issues.

Pay Transparency: "The expected pay range for this position is $50.00–$75.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10120741
Position Id: 9118972
Posted 4 hours ago

Fitment

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Data Analyst - DSH AnalysisLocation: RemoteContract: 24 MonthsJob Description:Scope of Work Client is seeking a qualified vendor to provide technical support and analysis of Medicaids Disproportionate Share Hospital (DSH) supplemental payment program. Activities include but are not limited to:Assess recent court decisions and changes/clarifications of federal policy and the potential impact to client'sMedicaid.Assess appropriateness of resubmissions for State Plan as necessary.Evaluate and recom

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Job Details

Skills

Program Analyst - Medicaid’s Disproportionate Share Hospital Data

Summary

Program Analyst - Medicaid’s Disproportionate Share Hospital Data

Location: Remote (Pierre, South Dakota for a small portion of the work while other work can be performed remotely within the Continental United States)

Contract: 24 Months

Job Description:

Assess recent court decisions and changes/clarifications of federal policy and the potential impact to South Dakota Medicaid.
Assess appropriateness of resubmissions for State Plan as necessary.
Evaluate and recommend improvements to current administration of South Dakota Medicaid’s DSH supplemental payments, including potential changes to the size and scope of the program.
Assist with DSH program audits.
Collection of the necessary information and documents from qualified and eligible providers required to calculate DSH payments.
Calculation of DSH rates and payments.
Draft a DSH Payment Schedule for the upcoming State Fiscal Year.
Develop and provide education to participating hospitals on DSH requirements, data, sources, and survey tools.
Identify the necessary artifacts, information, and documentation necessary to calculate DSH payments according to federal and State rules and regulations.
Provide the State with proposed communication to eligible hospitals regarding the proposed methodology, data collection process, and deadlines for hospitals to submit data for the DSH payment calculation. The State must approve all communication prior to outreach to hospitals.
Gather necessary data applicable to the year under review from eligible hospitals, client, and other sources.
Review data for reasonableness and accuracy.
Resolve any discrepancies in data with hospitals and Client.
Calculate the DSH payment model for the year under review and review and discuss the draft payment model with client.
Perform any modification to the payment model calculation requested by client.
Provide client with final payment model calculations in the manner specified by client.
Proposals to Work Orders will be reviewed for ability to meet the State needs and there is no guarantee of award.
Develop and provide education to DSH eligible hospitals on DSH requirements, data sources, and survey tools, as well as best practices for hospitals related to documentation of DSH eligibility.
Ensure overall project quality in adherence to proven standards and methodologies.
Ensure the work activities are completed on time.
Experience working with Medicaid Data.
At least 3 years of experience working with DSH rules, regulations and related
issues.
At least 3 years of experience in working with Medicaid rules, regulations and
related issues.

Dice Id: 10120741
Position Id: 9118972
Posted 4 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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