This incumbent will function as an analyst within the Division of Finance and Rate Setting, within the Bureau of Financially Distressed Hospitals (FDH).
The Bureau of Financially Distressed Hospitals Bureau’s goal is to promote financial sustainability for healthcare providers, thereby improving health service quality, preserving access, and decreasing statewide provider reliance on State aid to fund operations. In addition, this Bureau works directly with hospitals on their cash flow, hospital needs, and various payment mechanisms, including Directed Payment Templates (DPT), Vital Access Program (VAP) funding, and Vital Access Provider Assurance Program (VAPAP) awards.
Duties Include:
Organize hospital data to determine hospital financial allocation plans and develop funding options; Establish hospital metrics for demonstrating improvement, and monitoring data reported against those metrics; Manage a distressed hospital dashboard to ensure an accurate and complete view of hospital submitted data elements; Oversee the monitoring and oversight of hospital metrics and financial management of funding allocations; Facilitate the integration of hospital reporting with other Medicaid and Department of Health data to assess regional and/or hospital specific trends as well population health activities; Review FDH applications and financial sustainability plans.
Build automated reports in Tableau that organize FDH information (cash flows, revenues, expenses, utilization, etc.) to translate data into meaningful reports that can assist stakeholders in transformation planning purposes; Reviews and evaluates laws, rules, and regulations related to Medicaid and hospitals to improve the support of financially distressed hospital operations, and to ensure compliance of existing programs with new or changing requirements or guidelines; Analyzes State and federal legislation related to FDH financial opportunities, and review for impact on existing program operation; Provides technical assistance to various stakeholders on regulatory changes and impacts on supportive hospital program operations; Research distressed hospital health care topics to ensure that support programs and policies are evidence-based, and consistent with department goals; Drafts hospital financial reports, policies, and procedures for internal and external review and distribution; Responds to routine information requests from providers, insurance plans, advocates, and other agencies; Reviews and evaluates FDH reports and program data to identify deficiencies, perform quality assurance and program audit functions, and to improve administration of distressed hospital support programs; Reviews applications for FDH funding plans and programs.
Gathers and validates requirements for eligibility systems and works with the Bureau’s data analysts to implement financial thresholds and assessments; Reviews financial system change requests to ensure systems work correctly; Drafts, reviews, and updates training and guidance documents, provider manuals, and job aids for staff and contractors; Provides oversight to contractors involved with financially distressed hospitals through evaluation of program functions.
Reviews and evaluates operations of hospital providers, identifies deficiencies, and proposes corrective actions to ensure compliance with DOH and federal laws, rules, and regulations.