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Accounts Payable Specialist – Accounting & Finance | AHCA/NCAL is seeking an Accounts Payable Specialist to improve lives by delivering solutions for quality care by performing accounts payable and other accounting functions for AHCA/NCAL and affiliated entities. Qualifications & Skills:1-2 years of Accounts Payable experience preferred. Certification or proficiency in Accounts Payable processing a plus. 1-3 years of office experience. Outstanding computer skills. Duties & Responsibilities:
- Receive invoices, credit memos, payment requests and travel reimbursements for processing.
- Input or import A/P vouchers into PN3 Accounts Payable system.
- Monitor payables mailbox to ensure invoices are uploaded to automated payables system. Apply company policies to verify vendor invoices & member reimbursements and determine appropriate routing through automated payables system.
- Review and verify PN3 items for proper amount, documentation, coding, authorization, and adherence to Organization policies.
- Utilize Excel spreadsheets to capture financial data for importing into the automated payables system and to calculate/set up entries for Great Plains software
- Apply company policies and IRS guidelines to set up new vendor files in Great Plains software, including obtaining W-9, if required, EFT information, and payment terms.
- Other duties as assigned.
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Clinical Care Manager – Integrated Networks | AHCA/NCAL is seeking a Clinical Care Manager to improve lives by delivering solutions for quality care by providing quality & clinical support to members of AHCA/NCAL Solutions Provider Owned Networks.
Qualifications & Skills:
Bachelor’s degree required. Clinical training or quality improvement training required. Minimum five years’ work experience in healthcare setting, post-acute/long term care preferred. Experience in an association or other membership organization preferred. Must live in Iowa, Nebraska or Minnesota.
Duties &
Responsibilities: - Staff network quality committees, including developing agendas, facilitating discussions and ensuring member engagement to facilitate achievement of Network goals.
- Develop and lead strategies, initiatives and projects to improve how care is delivered and measured within network members.
- Develop and lead quality improvement initiatives that improve quality outcomes and performance in state provider networks with a focus on value-based managed care contracts.
- Identify, develop and oversee efforts to measure adherence to quality program requirements by individual networks, which may include clinical protocols, quality measurement, or other requirements.
- Provide network members with the information, tools and resources to become more clinically integrated and comply with network quality program and quality contracts.
- Provide in-person training and educational sessions on topics of importance to network members.
- Travel required.
- Other special projects and duties as assigned.
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Director of Regulatory & Quality Services – Quality, Regulatory & Clinical Services Department | AHCA/NCAL is seeking a Director of Regulatory & Quality Services to improve lives by delivering solutions for quality care by informing, coordinating and implementing AHCA’s policy actions and strategies relating to regulatory & quality matters. This role will develop member education and resources in the areas of survey, guidance, regulation, and enforcement and will assist the Senior Director of Regulatory and Quality Services in survey/regulatory analysis and policy development. The regulatory related work of this position incorporates quality improvement wherever possible. Qualifications & Skills:Bachelor’s Degree required. A minimum of 5 years’ experience in policy analysis, federal and/or state long term care regulation, guidance, survey, enforcement, required. Work experience in post-acute/long term care strongly preferred. Administrator or Director of Nursing experience preferred. Experience in an association or other membership organization preferred. Duties & Responsibilities:
- Monitor, respond to, and maintain current knowledge of federal regulatory developments in survey, guidance, regulation, and enforcement and intersection with quality improvement.
- Develop key materials and participate in federal agency advisory or stakeholder groups.
- Assist AHCA's leadership on issues of survey, guidance, regulation, andenforcement.
- Analyze survey trends/data, guidance, enforcement processes, and regulatory policy for content and impact on the LTC profession and residents and provide recommended solutions where needed.
- Inform and educate AHCA members on survey trends/data, guidance, regulation and enforcement processes, developments and their potential effect through written analysis and publication in various AHCA venues.
- Develop and deliver presentations on regulatory and quality topics at AHCA and state affiliate conferences and conventions.
- Formulate AHCA comments to federal agencies using a consensus of member response.
- Staff the Survey/Regulatory Committee and other work groups and committees as needed. Provide technical assistance on regulatory issues and coordinate meeting planning, execution, and follow-up.
- Some travel required.
- Other duties as assigned.
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Population Health Policy Analyst – Reimbursement Policy | AHCA/NCAL is seeking a Population Health Policy Analyst to improve lives by delivering solutions for quality care. This role will support the Reimbursement Policy Team by analyzing and developing policies related to Medicare and Medicaid with a focus on value-based care, population health and Medicare Advantage. This role is integral to advancing the department's efforts on Medicare Advantage and population health ensuring the quality of care and financial stability in long-term and post-acute care. Qualifications & Skills:Master’s degree in public health, population health, public policy, health administration, economics, or a related field, or Bachelor’s degree and additional experience. 3-5 years of relevant experience in health policy analysis or equivalent, health plan operations, federal policy, or consulting. Duties & Responsibilities:
- Monitor and analyze applicable legislation, statutes/regulations, and policies, and summarize for internal staff, state affiliates and AHCA/NCAL members.
- Assist with comment and policy development on relevant rules and regulations on Medicare Advantage and alternative payment models.
- Collect, analyze, and present data on impact related to Medicare and Medicaid alternative payment models.
- Assist in the preparation of detailed reports, policy briefs, and presentations to inform AHCA/NCAL leadership, members, and constituencies.
- Manage projects and tasks from ideation to completion including communication with other team members and AHCA/NCAL members.
- Other duties as assigned.
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Vice President of Quality & Regulatory Services – Quality & Regulatory Department | AHCA/NCAL is seeking a Vice President of Quality & Regulatory Services to improve lives by delivering solutions for quality care through the development, implementation, evaluation, and oversight of programs, projects, and strategies within the Quality & Regulatory team. This role leads efforts to improve quality in long-term care, formulates and coordinates regulatory and clinical related policies, supports key initiatives and programs, including oversight of the AHCA/NCAL Quality Award Program. By managing regulatory analysis, policy development, and member education in areas such as survey, certification, and enforcement, this position helps to increase AHCA’s visibility as a trusted resource for long-term care providers and informs key stakeholders. Qualifications & Skills:
A Bachelor’s Degree is required; Master’s Degree preferred, with a specialty in management, quality, or health-related fields considered a plus. 10 years minimum of professional experience required, including expertise in policy development and analysis, federal and/or state long-term care regulatory certification, survey, enforcement, and related regulations. Clinical leadership experience preferred. Quality improvement experience, including familiarity with the Baldrige criteria, is ideal. Work experience in post-acute/long-term care is required, experience as an Administrator or Director of Nursing (DON) preferred. Prior experience in an association or other membership organization is preferred. Duties & Responsibilities:
- Leadership and Strategic Oversight:
- Lead and manage the Quality & Regulatory Services team, providing guidance and supervision to staff and consultants to achieve organizational goals.
- Develop, implement, and evaluate programs and projects to improve quality in long-term care and support compliance with regulatory requirements.
- Oversight of the department’s Quality and Regulatory annual budget, ensuring alignment with organizational priorities and reviewing detailed budget reports.
- Regulatory Analysis, Policy Development & Advocacy:
- Maintain current knowledge of federal, state, and regional regulatory developments related to survey, certification, enforcement, emergency preparedness, life safety, and OSHA.
- Monitor OIG, GAO and other agency activities and develop plans for response or use where pertinent.
- Quality Improvement, Resource Development and Program Management:
- Oversee the organization’s Quality Award Program, ensuring effective operations, recognition by external stakeholders, and alignment with strategic goals.
- Elevate visibility and reputation as a recognized source for quality improvement and compliance resources.
- Member Support and Resource Development:
- Oversee the design of and dissemination of tools, resources, and educational materials to help members improve quality, regulatory compliance, and clinical outcomes.
- Stakeholder Engagement and Communication:
- Develop and maintain strong relationships with federal, regional, and state regulatory agencies, Congress, and other stakeholders.
- Educate and inform members on regulatory and quality developments through written analysis, publications, and training.
- Serve as a resource for state affiliates, facilitating communication, advancing strategic objectives, and supporting meetings and calls.
- Event and Committee Support:
- Support Quality and Regulatory team members in identifying educational sessions for and the Quality Summit as well as determining relevant sessions at Annual Convention.
- Internal Collaboration:
- Work closely with other departments to align regulatory and quality objectives with broader organizational strategies, including providing updates at relevant member meetings.
- Support senior leadership in goal development processes and ensure consistency across team and individual objectives.
- Serve as a subject matter expert for AHCA teams including, but not limited to, public affairs on media needs, government relations on congressional activity, and research on data analysis.
- Other duties as assigned.
- Travel required.
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