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Program Analyst - Medicaid’s Disproportionate Share Hospital

WinMax Systems CorporationUnited States🇺🇸United StatesPosted Oct 19, 2026

Quick Overview

Salary
$50 - $75/hr
Seniority
Mid Senior
Work mode
Remote
Location
United States
Posted
Yesterday

Job Description

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."

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