IN-DOH-COPA Consultant (part-time)
GSK Solutions, Indianapolis, IN, United States
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 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.
Required/Desired Skills
SkillRequired /DesiredAmountof ExperienceBachelor's degree in Healthcare Administration, Public Health, Business, or related field Required0Minimum 5 years of experience in hospital administration, compliance, or healthcare regulatory oversight.Required5YearsProven ability to interpret contracts and structured compliance documents.Required5YearsStrong understanding of federal and state healthcare regulations.Required5YearsMaster's degree in Healthcare Administration, Public Health, Business, or related field.Highly desired5YearsCertification in healthcare compliance (e.g., CHC-Certified in Healthcare Compliance).Highly desired5YearsFamiliarity with COPA frameworks or similar regulatory agreements.Highly desired5YearsExperience working with state health departments or healthcare regulatory agencies.Highly desired5Years Questions
No.QuestionQuestion1Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement?Question2What is your candidate's email address?Question3Where does your candidate currently reside (City & State)?Question4If selected for engagement, your candidate's hourly Pay Rate must be $90.00/hour. The Provider Markup for this position is 25%. Do you agree to these requirements?Question5Position is part-time, 10 hours/week. Does candidate accept this requirement?Question6Candidate must be flexible to increase hours during times of quarterly, bi-annual, annual reporting. Does candidate accept this requirement?Question7Position is primarily remote with approximately 5% travel and requirement to be on-site in Indianapolis for mandatory in-person meetings. Does candidate accept this requirement?Question8Interview preference is for on-site, in-person interview. Does candidate accept this requirement?
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.
Required/Desired Skills
SkillRequired /DesiredAmountof ExperienceBachelor's degree in Healthcare Administration, Public Health, Business, or related field Required0Minimum 5 years of experience in hospital administration, compliance, or healthcare regulatory oversight.Required5YearsProven ability to interpret contracts and structured compliance documents.Required5YearsStrong understanding of federal and state healthcare regulations.Required5YearsMaster's degree in Healthcare Administration, Public Health, Business, or related field.Highly desired5YearsCertification in healthcare compliance (e.g., CHC-Certified in Healthcare Compliance).Highly desired5YearsFamiliarity with COPA frameworks or similar regulatory agreements.Highly desired5YearsExperience working with state health departments or healthcare regulatory agencies.Highly desired5Years Questions
No.QuestionQuestion1Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement?Question2What is your candidate's email address?Question3Where does your candidate currently reside (City & State)?Question4If selected for engagement, your candidate's hourly Pay Rate must be $90.00/hour. The Provider Markup for this position is 25%. Do you agree to these requirements?Question5Position is part-time, 10 hours/week. Does candidate accept this requirement?Question6Candidate must be flexible to increase hours during times of quarterly, bi-annual, annual reporting. Does candidate accept this requirement?Question7Position is primarily remote with approximately 5% travel and requirement to be on-site in Indianapolis for mandatory in-person meetings. Does candidate accept this requirement?Question8Interview preference is for on-site, in-person interview. Does candidate accept this requirement?