CCS Global Tech is a rapidly growing Information Technology company with a diverse portfolio of technology products and services and a large network of industry partnerships. With over 22 years of being a successful business with a global talent pool and presence, CCS is a certified Microsoft Gold Partner and specializes in delivering expert Microsoft based solutions for technical and business needs. We have been recognized by Inc. 500 Magazine as one of the fastest growing small companies in the Unites States.

we are a Tier 1 vendor for the City and County of San Francisco for Cloud Services, Staffing Services and Training Services. For this multi-year opportunity with a diverse set of needs to address, we are currently focusing on establishing partnerships with individuals as well as companies who can help us enhance our overall service portfolio, cut lead times, and ultimately help us deliver successfully. We currently hold sizable Government accounts in the San Francisco bay area including City and County of San Francisco, San Mateo County, and Santa Clara County.

We take great pride in our global reach and local influence. Your experience alongside our highly skilled and talented internal team who guide you along the way, offers key insights into what helps you stand out in a competitive job market.

If you are a partner company, please submit resumes with contact information of your own W2 Consultants only. Submitted consultants are expected to have excellent communication skills.

Roles/Responsibility:

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, DSS, and other sources.
Review data for reasonableness and accuracy.
Resolve any discrepancies in data with hospitals and DSS.
Calculate the DSH payment model for the year under review and review and discuss the draft payment model with DSS.
Perform any modification to the payment model calculation requested by DSS.
Provide DSS with final payment model calculations in the manner specified by DSS.
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.

Mandatory Skills:

Demonstrated experience working with Medicaid data.
Minimum 3 years of experience working with Disproportionate Share Hospital (DSH) rules, regulations, and related issues.
Minimum 3 years of experience working with Medicaid rules, regulations, and related issues.

DSH Analysis & Supplemental Payment Calculation Consultant

Key skills

About this role