Medicaid DSH Consultant - Remote

Medicaid DSH Consultant
Remote
6-12+Months
Provide subject matter expertise on Medicaid Disproportionate Share Hospital (DSH) supplemental payments, reimbursement methodologies, and regulatory compliance.
Analyze federal policy, CMS guidance, and court decisions affecting Medicaid DSH programs and payment methodologies.
Evaluate and recommend improvements to DSH payment models and methodologies.
Support reviews, updates, and resubmissions of State Medicaid Plans.
Collect, validate, and analyze hospital financial, utilization, and Medicaid-related data for DSH payment calculations.
Calculate DSH payment amounts; develop annual payment models and schedules.
Perform detailed healthcare reimbursement, payment analysis, and data reconciliation.
Assist with DSH audits, compliance reviews, and regulatory interpretation.
Identify and resolve data discrepancies with hospitals and Medicaid staff.
Develop provider education materials, conduct training sessions, and create communication plans.
Communicate DSH methodology, data requirements, and deadlines to participating hospitals.
Prepare reports, documentation, and deliverables for payment calculations and program administration.
Ensure all project deliverables are completed accurately and on time.
Collaborate with healthcare providers, Medicaid agencies, and stakeholders to ensure compliance and effective program administration.
Must-Have Skills & Experience
3+ years experience in DSH programs and Medicaid rules/regulations.
Strong background in Medicaid reimbursement, data analysis, and payment calculation.
Proficient in healthcare financial analysis, Excel, and reporting/documentation.
Experience with audits, compliance reviews, and regulatory interpretation.
Preferred Qualifications
Bachelor s or Master s in Healthcare Administration, Public Health, Finance, Economics, Accounting, Health Policy, or Business.
Experience supporting State Medicaid agencies and supplemental payment programs.
Familiarity with CMS audits, State Plan Amendments, hospital cost reporting, Medicaid Management Information Systems, and advanced data analytics tools.
Ideal Candidate
Previous experience with state health departments and/or Medicaid consulting firms (e.g., Myers & Stauffer, Milliman, Mercer, PCG, Gainwell, state agencies).
Strong organizational, analytical, and communication skills; able to work independently and remotely.

Work arrangement
Yes