 | |
Clinical Care Manager – Integrated Networks | AHCA/NCAL is seeking a Clinical Care Manager to improve lives by delivering solutions for quality care by providing clinical and quality consulting and support services to AHCA/NCAL Solutions contracted networks. Qualifications & Skills:
- Bachelor’s degree required. Clinical training is preferred but not required.
- Quality Improvement expertise required.
- Experience with QAPI and the Baldrige Criteria preferred.
- Minimum five years’ work experience in healthcare setting, post-acute/long term care preferred.
- Experience in an association or other membership organization preferred.
Duties & Responsibilities:
- Support Networks team with quality related activities to achieve clinical integration, including establishing and supporting a quality committee for each assigned network.
- Identify, define and participate in quality improvement strategies, initiatives and programs that improve quality outcomes and provider performance in Network-driven quality and clinical priority areas.
- Disseminate information, tools, care protocols and other resources to comply with network quality program expectations and utilize strategies to enhance the use and adoption of these tools and resources.
- Provide in-person training and educational sessions to Network members as necessary.
- Identify, develop and support measurement of adherence to Network-specific quality program requirements, including clinical protocols, quality metrics, or other requirements.
- Oversee and manage implementation of Alternative Payment Model (APM)
APPLY TODAY! | | | |
Contracting Manager – Integrated Networks | AHCA/NCAL is seeking a Contracting Manager to improve lives by delivering solutions for quality care by supporting high-quality care through supporting the contracting efforts of AHCA/NCAL Solutions networks. The position supports payer negotiations, assists with the development of Alternative Payment Models, and manages contract education and support for assigned Networks.
Qualifications & Skills:
- Bachelor’s degree required; graduate degree in a related field preferred.
- Minimum 5 years of healthcare experience required, including knowledge of post-acute care.
- Proven experience in network development, payer contracting, and negotiation required.
- Value-based reimbursement experience strongly preferred.
- Project management experience required, with ability to prioritize, plan, and execute multiple initiatives effectively.
Duties & Responsibilities:
- Support contract negotiation activities with payers, including messenger model coordination, contract implementation tasks, and ongoing contract administration under the direction of the Senior Director of Network Management and Senior Director of National Contracting.
- Support the development of Alternative Payment Models, including both downside risk (e.g. episodic payment models) and upside only (e.g. incentive payments) models.
- Promote Network participation in population health management models, such as ACO and ISNP.
- Identify new and innovative opportunities to drive value for Network members.
- Assist in preparing materials and analyses to support health plan agreements aligned with AHCA/NCAL standards and industry best practices.
- Assist with the development, documentation, and implementation of innovative contracting models—such as value-based contracts, episodic payment models, and case rates—under the guidance of the Senior Director of National Contracting.
- Collaborate with the Senior Director of Network Management by supporting key account management activities, preparing payer scorecards, and coordinating regular reviews.
- Support members in maximizing contract outcomes by developing contract education and resources and conducting individual contract reviews.
- Assist in identifying, tracking, and escalating contract- and payment-related issues within network agreements to appropriate leadership.
- Perform additional duties as assigned.
APPLY TODAY! | | | |
Coordinator – Quality & Regulatory | AHCA/NCAL is seeking a Coordinator to improve lives by delivering solutions for quality care by providing administrative support to the Quality & Regulatory team.
Qualifications & Skills:
- BA strongly preferred, experience considered in lieu of degree.
- Strong Computer skills required.
- A strong use of how to use data to make decisions.
- A detail-oriented approach.
- Excellent oral and written communication skills.
- Familiarity with LTC issues preferred.
Duties & Responsibilities: Member Support & Communication
- Manage quality initiative and quality award inboxes and coordinate the process for how other staff assist. Identify and implement process improvements as needed.
- Assist with department projects as needed, including communication with facility members, state affiliates, or other stakeholders.
Project Management & Process Coordination
- With support from Quality & Regulatory staff leads, support, coordinate, research, and summarize time-sensitive projects as designated.
- With assistance from staff leads, plan and estimate the work and timelines involved in each project, monitor and report progress, identify risks, and manage changes as they arise.
Quality Award Support
- Support accomplishment of the Quality Award Strategic Plan by leading or supporting Quality Award Board charter team(s).
- Support technical and originality checks for Quality Award applications.
Regulatory & Policy Support
- Assist with regulatory projects such as conducting research, collecting and organizing data, analyzing key themes.
Administrative & Operational Support
- Organize and maintain electronic file structures and databases.
- Provide day-to-day support to Quality & Regulatory Staff.
- Other duties as assigned.
| | | |
Summer Intern – Government Relations | AHCA is seeking a Summer Intern with a commitment to improving lives by delivering solutions for quality care. This role will support the Government Relations team and long-term care profession in various ways and gain visibility into the inner workings and aspects of the Government Relations team. Requirements:
Currently pursuing a degree in Healthcare, Political Science, Public Policy, and Business. Excellent writing and verbal communications skills are a must. The candidate should be a self-starter, willing to learn and work on several projects at once and work under tight deadlines. Results-oriented with willingness to take responsibility and initiative to learn new things. Must have the ability to show good judgment, effectively respond and problem solve.
Duties will include:
- This internship will involve assisting AHCA political staff on assorted administrative, research, clerical and programmatic tasks, and other projects as assigned. Experience provided would be valuable for a candidate interested in understanding processes as they related to federal PACs or Political Advocacy.
- Research and policy analysis on legislation that directly impacts our sector.
- Draft and coordinate with staff any Action Alerts sent to our grassroot members.
- Administrative assistance for the program, includes drafting donor communications – both solicitations and affiliated marketing materials, maintaining membership and fundraising lists, and compiling candidate research. Regular constituent communication is required to respond to questions, concerns, and follow up for upcoming meetings and fundraising events.
- Selected individual would help coordinate events including fundraisers and candidate meet and greets, as requested. Administrative staff support during major AHCA/NCAL meetings including the annual convention, CEO conferences, IO conferences, and Congressional Briefing.
- Other duties as assigned.
The internship will last for eight weeks starting after the Memorial Day Holiday and pays $20/hour.
APPLY TODAY! | | | |
Summer Intern – Information Technology | AHCA/NCAL is seeking a Summer Intern to help further the organization’s mission to improve lives by delivering solutions for quality care. This role will support the Information Technology department by conducting research using various internal systems and providing support to the team in pursuit of improved data quality.
Qualifications & Skills:
Junior or Senior college student preferred. Information technology or systems major, or appliable courses. Specific tools required are Microsoft Excel and Outlook as well as the ability to work with large datasets and available technology with creativity and focus. Candidates must demonstrate strong analytical and written skills as well as attention to detail. Ideal candidate will possess the ability to work independently and manage large datasets using available tools and technology. Training will be provided. Duties & Responsibilities:
- Conduct robust data analysis using information stored in several proprietary AHCA/NCAL systems with the goal of identifying duplicate, inaccurate and outdated information in all affected systems. Provide recommendations as to specific course of action for each data set.
- If time permits, apply recommendations within each affected system.
- Conduct research and provide recommendations as to specific areas of improvement for system integrations and process improvement.
- Other duties as assigned.
The internship will last for eight weeks starting after the Memorial Day Holiday and pays $20/hour.
| | | |
Summer Intern – Integrated Networks | AHCA/NCAL is seeking a Summer Intern to help further the organization’s mission to improve lives by delivering solutions for quality care. This role will support the Integrated Networks department by providing general and administrative support to the team.
Qualifications & Skills:
Junior or Senior college student preferred. Healthcare Administration, Health Information Management, Business Management or related major preferred, or applicable coursework. Candidates must demonstrate strong analytical, organizational, and written communication skills as well as the ability to manage multiple tasks and maintain detailed records.
Duties & Responsibilities:- Support data accuracy and maintenance across PON networks, including updates to CMS star ratings, rural/urban classifications, EMR vendor information, and other provider data elements.
- Assist with data validation and quality checks across internal network tracking tools.
- Research payer portals, CMS resources, and public databases to verify facility information.
- Support the team with credentialing preparation activities, including gathering and organizing documentation needed for payer submissions.
- Perform data entry and updates related to provider participation, network status, and facility information. Help review and organize network documentation.
- Provider general administrative and operational support for the Integrated Networks Team.
- Other duties as assigned.
The internship will last for eight weeks starting after the Memorial Day Holiday and pays $20/hour.
| | | |
Summer Intern – National Center for Assisted Living | AHCA/NCAL is seeking a Summer Intern to help further the organization’s mission to improve lives by delivering solutions for quality care. This role will support the assisted living team and profession in various ways, including providing direct support to specific profession-wide programs as well as researching various aspects of the senior living sector.
Qualifications & Skills:
Currently pursuing a Bachelor’s degree. Office experience strongly preferred. Outstanding computer skills. Research skills such as literature reviews and the ability to summarize information. Experience with policy analysis a plus.
Duties & Responsibilities:-
Research and synthesize current and proposed assisted living legislation in various states.
-
Assist with developing tools and frameworks that strengthen assisted living nursing practice.
-
Draft documents and materials for review.
-
Assist with various aspects of National Assisted Living Week (NALW).
-
Research assisted living organizations and leadership teams across the country.
-
Other duties as assigned.
The internship will last for eight weeks starting after the Memorial Day Holiday and pays $20/hour.
APPLY TODAY! | |
|