IN-DOH-COPA Consultant (part-time)

Job Description

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 1,920)

|

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 hospital’s
Certificate of Public Advantage (COPA). This role ensures transparency,
accountability, and adherence to regulatory requirements, supporting the
Department’s 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

– Bachelor’s degree in Healthcare
Administration, Public Health, Business, or related field (Master’s
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.