Job Description

Hi,

I've a below position if you're a qualified candidate for this role then share resume to shubham@scstech.us

Job Title: Medicaid DSH Reimbursement Consultant (DSH Analysis & Supplemental Payment Calculation)

Location: Jackson, Mississippi (Primarily Remote (Continental United States) with occasional onsite travel as needed)

We are seeking an experienced Medicaid DSH Reimbursement Consultant to support a large public-sector healthcare program focused on Medicaid Disproportionate Share Hospital (DSH) reimbursement analysis, supplemental payment calculations, regulatory compliance, and financial program administration.

The ideal candidate will possess strong expertise in Medicaid policies, DSH payment methodologies, hospital reimbursement programs, healthcare financial analysis, and regulatory compliance. This role requires collaboration with hospitals, program stakeholders, and government teams to develop accurate payment calculations, support audits, and ensure compliance with federal and state requirements.

• Analyze federal policy updates, court decisions, and regulatory guidance impacting Medicaid DSH programs.
• Review Medicaid State Plan submissions and related reimbursement requirements.
• Evaluate and enhance DSH supplemental payment methodologies.
• Support DSH audits and compliance activities.
• Collect, validate, and analyze hospital and Medicaid program data.
• Review data for accuracy, completeness, consistency, and reasonableness.
• Calculate DSH rates, supplemental payments, and annual payment models.
• Develop annual DSH payment schedules and supporting documentation.
• Coordinate with hospitals and stakeholders to resolve data discrepancies.
• Prepare communications related to payment methodologies, data collection, and submission requirements.
• Review payment models with program stakeholders and implement requested revisions.
• Deliver final calculations, reports, and supporting documentation.
• Educate participating hospitals on DSH requirements, data sources, and documentation standards.
• Maintain quality and timeliness of all deliverables.

• Minimum 3 years of experience with Medicaid DSH programs , regulations, and reimbursement methodologies.
• Minimum 3 years of Medicaid program experience .
• Hands-on experience working with Medicaid and hospital financial data.
• Strong understanding of DSH supplemental payment calculations and regulatory requirements.
• Experience supporting healthcare reimbursement audits.
• Ability to analyze complex financial and program data.
• Strong analytical, documentation, communication, and problem-solving skills.
• Ability to work independently and collaboratively with diverse stakeholders.

• Experience with hospital reimbursement modeling.
• Healthcare financial analysis and reporting.
• Government healthcare program consulting experience.
• Knowledge of Medicaid supplemental payment programs.
• Experience working with healthcare compliance and regulatory requirements.

Thanks!

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