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Director of Network Management – Integrated Networks | AHCA/NCAL is seeking a Director of Network Management to improve lives by delivering solutions for quality care. This role will be responsible for managing the day-to-day operations of AHCA/NCAL Solutions contracted network(s). The position is responsible for the Board of Managers, Contracting Committee, Compliance Committee, supporting contract negotiation and implementation, credentialing, and all other administrative functions. Qualifications & Skills:Bachelor’s degree required, graduate degree in related field preferred. A minimum of five years of health care experience required. Post-acute care knowledge required. Network Development, payer contract, payer negotiation experience is a plus. Project management experience required. Ability to effectively prioritize, plan, manage and execute a variety of projects required. Duties & Responsibilities:- Lead the Board of Managers calls and meetings, including developing agendas, presenting on Network business and facilitating discussions.
- Facilitate annual goal setting/planning process for the Board of Managers.
- Establish committees including Quality Committee, Contracting Committee, and Compliance Committee.
- With the Senior Director of National Contracting, lead and manage all contract negotiations with payers, lead messenger model activities as required, facilitate contract implementation, and manage existing contracts.
- With the Clinical Care Manager and Senior Director of Network Quality, establish and lead a quality program for the networks.
- Educate networks members on contract terms, policies and procedures and other functions of the network.
- Other 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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Manager of Education & Meetings – Events & Education | AHCA/NCAL is seeking a Manager of Education & Meetings to improve lives by delivering solutions for quality care by serving as a key player in successfully implementing education content for topic and constituent-specific meetings and the annual convention, generating significant non-dues revenue for the association. This position must be (become) proficient in all department and position-related systems (internal registration and finance platforms, Cadmium meeting logistics platform, and others as assigned). Must have/develop an understanding of the key issues facing association membership.
Qualifications & Skills:
Bachelor’s degree required. Four to six years of hotel, large professional meetings, and/or convention work experience. CMP required. Previous experience in the senior care space a bonus.
Duties & Responsibilities: - Prepare an annual call for presentations to collect program submissions for three yearly conferences
- Lead a team of reviewers made up of association staff and AHCA/NCAL (the Professional Development Work Group) in the review and selection of program submissions
- From the chosen selections, build program schedules for the Delivering Solutions annual convention, the Quality Summit, and the Population Health Summit in the Cadmium platform.
- Confirm all speakers.
- Once the content has been chosen, manage all the logistics with speakers to prepare their content for the event.
- Work with staff liaison to understand the goals for the Future Leaders, LIDC, DELP, and Political Ambassadors meetings.
- Responsible for securing appropriate meeting space by preparing an RFP for each meeting/conference, reviewing submitted bids, and preparing comparison analysis to determine and recommend cost-appropriate hotels/locations. After an internal review of options, negotiate the final hotel/meeting space contract.
- Responsible for negotiating with select vendors and serve as the primary contact with hotels and vendors on all arrangements (including audiovisual, DMC, catering, convention services, VIP/staff room reservations, shipping, etc.).
- Provides information and marketing content related to assigned meetings and the annual Delivering Solutions Convention to the Marketing Dept. to assist with website content and marketing materials development.
- Works with all departments to execute constituent-specific education at the convention (NCAL Day, Networks Day, and Rehab Therapy Day).
- Contributes to the broader Events & Education Department on other projects and research requests as assigned.
- Position duties may change to meet department needs.
- Other duties as required to support the association.
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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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