COPA Consultant (part-time)

Indianapolis, IN - USA

Monthly Salary: Not Disclosed

Posted on: 2 hours ago

Vacancies: 1 Vacancy

Job Summary

(Local candidates only as F2F Interview is must)

This exception process was created in recognition for when there could be circumstances in which rate adjustment(s) may benefit the State.

- Contracted positions are not eligible for spot bonuses or any other state employee benefits.
- Pay increase requests will be effective on a future date determined by receipt of both a fully approved VectorVMS requisition that includes all required agency approvals and a supporting PO. Pay increases shall not be backdated.
- The employer of record (who is NOT the state of Indiana) must also approve of this request.

This format is established for use during the MSP contract life to provide clarity for all agency stakeholders.

The information reflects rates higher than the negotiated rate card/or MSP QPA # 58993.

These amounts were requested either internally by the agency or by the employer of record.

By approving this VectorVMS req agency Leadership is acknowledging the awareness and approval of the adjusted rates.

Request Type:	Supplemental
How was Candidate Selected (SRP Staff Aug SOW/Project):	Staff. Aug.
Detailed Position Description:	See below
Detailed Description Why Role/Project is Mission Critical:	See below
Explanation why MSP QPA Title/Rate Card Does not support the need	No positions on rate card to reflect hospital consultant.
Applicable Job Title/Class from MSP QA Rate Card:	N/A
Max Pay Rate from Job Class from MSP QA Rate Card:	N/A
Max Bill Rate for Job Class from MSP QA Rate Card:	N/A
Applicable Employer of Record Markup from MSP QA Rate Card:	N/A
Proposed Pay Rate for Approval outside the CAI MSP Rate Card:	$90.00/hour
Proposed Employer of Record Mark-up for Approval:	25%
Proposed Bill Rate for Approval (include .45% MSP fee):	$112.91
Hourly Missed Savings Opportunity: (Requested Bill Rate Max Rate Card Bill Rate)	N/A
Annual Missing Savings Opportunity: (Hourly Missed Savings Rate x 1920)	N/A
Agency Manager Initiating Requested Change:	Kelly MacKinnon

Position Summary

The COPA Consultant will provide independent oversight and compliance review of the Terms and Conditions associated with a hospitals Certificate of Public Advantage (COPA). This role ensures transparency accountability and adherence to regulatory requirements supporting the Departments mission to protect public health and maintain fair healthcare practices.

Key Responsibilities

Develop and Maintain Compliance Framework:
Design implement and refine a robust compliance monitoring system for COPA oversight.
Review and Analyze Hospital Submissions:
Assess documentation submitted by COPA recipient hospitals for compliance with COPA requirements including:
- Quality metric reporting
- Hospital financial information
- Billing compliance
- Pricing as a percentage of Medicaid compliance
- Commitments related to access to care service enhancements quality of care and employment
Support Annual Reviews and Evaluations:
Assist the Department in conducting annual COPA reviews and overall evaluations in accordance with established Terms and Conditions.
Identify and Report Noncompliance:
Collaborate with the Department to determine potential noncompliance and recommend corrective actions.
Coordinate Information Requests:
Work with the Department and hospitals to obtain necessary records and documentation in a timely manner.

Required Qualifications

Bachelors degree in Healthcare Administration Public Health Business or related field (Masters preferred).
Minimum 5 years of experience in hospital administration compliance or healthcare regulatory oversight.
Strong understanding of federal and state healthcare regulations.
Proven ability to interpret contracts and structured compliance documents.

Skills and Competencies

Excellent verbal and written communication skills.
Strong project management and organizational abilities.
Proficiency in compliance monitoring incident investigation and regulatory reporting.
Advanced analytical skills and attention to detail.
High level of discretion in handling sensitive and confidential information.

Preferred Experience

Familiarity with COPA frameworks or similar regulatory agreements.
Experience working with state health departments or healthcare regulatory agencies.

Skill	Required / Desired	Amount	of Experience
Bachelors degree in Healthcare Administration Public Health Business or related field	Required
Minimum 5 years of experience in hospital administration compliance or healthcare regulatory oversight.	Required	5	Years
Proven ability to interpret contracts and structured compliance documents.	Required	5	Years
Strong understanding of federal and state healthcare regulations.	Required	5	Years
Masters degree in Healthcare Administration Public Health Business or related field.	Highly desired	5	Years
Certification in healthcare compliance (e.g. CHC-Certified in Healthcare Compliance).	Highly desired	5	Years
Familiarity with COPA frameworks or similar regulatory agreements.	Highly desired	5	Years
Experience working with state health departments or healthcare regulatory agencies.	Highly desired	5	Years

(Local candidates only as F2F Interview is must) This exception process was created in recognition for when there could be circumstances in which rate adjustment(s) may benefit the State. Contracted positions are not eligible for spot bonuses or any other state employee benefits. Pay increase ...