About this role
TeleSolv Consulting is seeking an experienced DSH Analysis and Supplemental Payment Consultant to provide technical support and analytical expertise for a Government Medicaid Disproportionate Share Hospital, or DSH, supplemental payment program.
- The consultant will assess regulatory and policy developments, evaluate program administration, collect and validate hospital data, calculate DSH rates and payments, and support program audits.
- The successful candidate must be able to perform detailed analytical work independently, communicate effectively with participating hospitals and Government stakeholders, and deliver accurate work within established deadlines.
- Assess recent court decisions and federal policy changes or clarifications for their potential effect on the Government’s Medicaid program.
- Assess the appropriateness of State Plan resubmissions when necessary.
- Evaluate the current administration of DSH supplemental payments and recommend potential improvements.
- Support DSH program audits.
- Identify and collect the information and documentation required from qualified and eligible providers.
- Gather applicable data from eligible hospitals, the Government and other relevant sources.
- Review submitted data for reasonableness and accuracy.
- Work with hospitals and Government stakeholders to resolve data discrepancies.
- Calculate DSH rates and supplemental payments.
- Develop a draft DSH payment schedule for the upcoming state fiscal year.
- Calculate the DSH payment model for the year under review.
- Review and discuss draft payment-model results with Government stakeholders.
- Modify payment-model calculations when requested by the Government.
- Deliver final payment-model calculations in the format specified by the Government.
- Draft proposed communications to eligible hospitals concerning methodology, data collection and submission deadlines.
- Obtain Government approval before conducting outreach to participating hospitals.
- Develop and deliver education on DSH requirements, data sources, survey tools and documentation practices.
- Maintain project quality through proven standards and methodologies.
- Complete assigned work on schedule.