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Medicaid DSH Consultant

Nextica Solutions IncPierre, SD🇺🇸United StatesPosted Oct 16, 2026

Why This Role Stands Out

This hybrid role offers a fantastic opportunity to deepen your expertise in critical Medicaid DSH programs, contributing to impactful policy analysis and program improvement within a reputable company. You'll thrive here if you possess strong analytical skills and a knack for navigating complex regulatory landscapes, and we encourage you to apply.

Quick Overview

Seniority
Mid Senior
Work mode
Hybrid
Location
Pierre, SD, United States
Posted
Yesterday
ComplianceRegulatory Compliance

Job Description

Key Responsibilities:

  • Analyze Medicaid DSH supplemental payment programs, federal policies, court decisions, and regulatory requirements.
  • Review and recommend improvements to DSH program administration and State Plan submissions.
  • Collect, validate, and analyze data from eligible hospitals and DSS.
  • Calculate DSH rates, supplemental payments, and payment models.
  • Assist with DSH program audits and resolve data discrepancies.
  • Prepare DSH payment schedules and final calculation reports.
  • Educate hospitals on DSH requirements, documentation, data sources, and survey tools.

Mandatory Experience:

  • Experience working with Medicaid data.
  • Minimum 3 years of experience with DSH rules, regulations, and related issues.
  • Minimum 3 years of experience with Medicaid rules, regulations, and related issues.
  • Relevant experience in DSH payment calculations, data analysis, regulatory compliance, and hospital payment programs is preferred for screening.

Submission Requirements:

  • Updated resume and candidate references.
  • Detailed summary of relevant Medicaid and DSH experience.

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