Healthcare Regulatory Affairs Manager

Remote Full-time
Job Title: COPA Consultant

Job Type: Remote-Contract-Part time

Duration: 9 month

Location: Indianapolis, IN 46204

-----Remote but you have to be onsite as per the client requirement or In person meetings----

Job Description:

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).

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.

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