IN-DOH-COPA Consultant (part-time)

COPA Consultant

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.