<p>STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION</p> <p>NOTE: This announcement may be used to fill multiple openings.</p> <p>Due to the State's current hiring freeze, this position will not be filled until after January 1, 2026</p> <p>Envision yourself working at HCPF</p> <p>  </p> <p>The State of Colorado strives to create a Colorado for All by building and maintaining workplaces that value and respect all Coloradans through a commitment to equal opportunity and hiring based on merit and fitness. The State is resolute in non-discriminatory practices in everything we do, including hiring, employment, and advancement opportunities.</p> <p>The Department of Health Care Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health programs for qualified Coloradans. Our mission is to improve health care equity, access and outcomes for the people we serve while saving Coloradans money on health care and driving value for Colorado. </p> <p>We are looking for a DD Waiver Enrollment & Appeals Specialist to join our Office Of Community Living!</p> <p>As part of the State of Colorado, HCPF offers a competitive benefits package:</p> <ul> <li> <p>PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans</p> </li><li> <p>Medical, Dental, and Vision insurance coverage</p> </li><li> <p>Automatic Short-Term and Optional Long-Term Disability Coverage</p> </li><li> <p>Life and AD&D Insurance</p> </li><li> <p>Flexible Spending Accounts (FSAs)</p> </li><li> <p>Family Medical Leave Act (FMLA) job protection and State of Colorado Paid Family Medical Leave (PFML)</p> </li><li> <p>11 Paid Holidays Annually and Accrued Annual and Sick Leave</p> </li><li> <p>Accrued Sick Leave for State of Colorado Temporary Employees</p> </li><li> <p>Flexplace and Flextime work arrangements</p> </li><li> <p>Variety of discounts on services and products available through the State of Colorado's Work-Life Employment Discount Program</p> </li><li> <p>Free RTD EcoPass to all eligible State Employees</p> </li><li> <p>Credit Union of Colorado Membership Eligibility</p> </li><li> <p>Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs</p> </li></ul> <p>We are onboarding new employees using a hybrid approach. The Department supports flexible work arrangements. Depending on the business need and description of the position, we have options that range from hybrid to full-time in the office. Specific discussions about the schedule will be discussed during the offer stage. </p> <p>The Office of Community Living (OCL) administers the Colorado Medicaid programs that provide long-term support for people with disabilities and older adults. OCL strives for a system that is person-centered, seamless, and offers a continuum of services and innovative funding mechanisms for Coloradans today and in the future.</p> <p>The Case Management and Quality Performance Division provides the lead role in policy and technical assistance for intake, eligibility, quality, and case management functions. The CMQP Division works to ensure quality compliance and performance excellence by monitoring, trending, training, and providing technical assistance to our case management agencies and stakeholders. The CMQP Division is responsible for case management delivery and quality performance monitoring to assure a cohesive, efficient process and structure needed to optimize the experience of the individuals served.What you'll be doing: </p> <ul> <li> <p>This position functions as a recognized staff authority within the Office of Community Living (OCL) CMQP Division on HCBS-DD waiver enrollment policy, Emergency Enrollment Request standards, and HCBS/CFC appeals operations.</p> </li><li> <p>The position independently interprets federal regulations, state statute, and waiver requirements; develops policy recommendations that shape statewide enrollment practices; and advises Department leadership on programmatic impacts, compliance risks, and long-term sustainability strategies.</p> </li><li> <p>This position provides strategic guidance to executive leadership on long-term program design, Medicaid sustainability, and statewide operational standards.</p> </li><li> <p>Recommendations made by this position directly influence Department rulemaking, legislative analysis, and the development of statewide policies governing access to the HCBS-DD waiver.</p> </li></ul> <p>Residency Requirement:</p> <p>This posting is only open to residents of the State of Colorado at the time of submitting your application. </p> <p>Class Code & Classification Description:</p> <p>H1R4XXPOLICY ADVISOR IV</p> <p>MINIMUM QUALIFICATIONS:</p> <p>Option 1:</p> <p>Experience Only:</p> <p>Seven (7) years of related professional experience in Policy Analysis and Development, Stakeholder Engagement and Facilitation, Program or Workforce Development, Data Interpretation and Application.</p> <p>Option 2:</p> <p>Education and Experience:</p> <p>A bachelors degree from an accredited institution in public policy, public administration, health administration, social work, psychology, human services, economics, sociology or a related field and three (3) years of professional experience in Policy Analysis and Development, Stakeholder Engagement and Facilitation, Program or Workforce Development, Data Interpretation and Application.</p> <p>Appropriate education will substitute for the required experience on a year-for-year basis. Relevant education will be calculated as the following:</p> <ul> <li>An associate will count as two years of experience </li><li>A bachelors will count as four years of experience </li><li>A masters degree will count for six years of experience </li><li>A doctorate or juris doctorate degree will count for seven years of experience </li><li>Note: Per the Job Application Fairness Act, you may redact information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution on your transcripts. </li></ul> <p>Preferred Qualifications:</p> <ul> <li> <p>Prior state experience related to the duties of this position</p> </li><li> <p>Master's degree in public policy, health administration, or a related field</p> </li><li> <p>Experience with federal and state health policy compliance (especially CMS and HCBS regulations)</p> </li><li> <p>Experience leading cross-agency or interdepartmental initiatives</p> </li><li> <p>Experience designing or managing workforce development platforms</p> </li><li> <p>Technical expertise in managing data systems, web content, or benefit platforms</p> </li><li> <p>Professional experience providing case management or service coordination for individuals with intellectual or developmental disabilities, including assessment, eligibility determination, or ongoing monitoring.</p> </li><li> <p>Experience preparing for or participating in administrative appeals, fair hearings, or interactions with Administrative Law Judges, particularly within human services or Medicaid programs.</p> </li><li> <p>Experience interpreting, applying, or operationalizing eligibility rules or regulatory criteria in a state or county-administered human services system.</p> </li></ul> <p>Highly Desired Knowledge, Skills, and Abilities:</p> <ul> <li>Demonstrated familiarity with the Home and Community-Based Services (HCBS) Developmental Disabilities waiver, including targeting criteria, enrollment prioritization, and management of the DD waiver waitlist </li><li>Solid understanding of Home and Community-Based Services and federal/state healthcare policy frameworks. </li><li>Knowledge of effective recruitment, retention, and compensation strategies in the direct care or healthcare sector. </li><li>Ability to draft clear, compliant policy language and interpret legal/regulatory updates. </li><li>Skill in applying workforce and provider data (e.g., wage trends, capacity gaps) to inform strategic decisions. </li><li>Ability to connect long-term workforce sustainability goals to operational and policy levers. </li><li>Ability to coordinate initiatives involving multiple departments, vendors, or funding sources. </li><li>Ability to hold partners and stakeholders accountable while also offering constructive technical assistance and solution-oriented support. </li></ul> <p>CONDITIONS OF EMPLOYMENT:</p> <ul> <li>All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment. </li><li>Employees who have been disciplinary terminated, resigned in lieu of disciplinary termination, or negotiated their termination from the State of Colorado must disclose this information on the application. </li></ul> <p>Appeal Rights:</p> <p>An applicant who has been removed from an employment list or removed from consideration during the selection process may request a review by the State Personnel Director.</p> <p>As an applicant directly affected by the results of the selection or comparative analysis process, you may file a written appeal with the State Personnel Director.</p> <p>Review of the completed, signed, and submitted appeal will be timely on the basis of written material submitted by you, using the official appeal form signed by you or your representative. This form must be completed and delivered to the State Personnel Board by email at dpa_state.personnelboard@state.co.us within ten (10) calendar days from your receipt of notice or acknowledgment of the Department's action.</p> <p>For further information on the Board Rules, you can refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules.</p> <p>How to Apply (PLEASE READ CAREFULLY)</p> <p>Please note that ONLY your State of Colorado job application will be reviewed during the initial screening; if you submit a resume and cover letter, they will be reviewed in later stages of the selection process. Therefore, it is paramount that you clearly describe all your relevant experience on the application itself. Applications left blank or marked "SEE RESUME" will not be considered.</p> <p>Your application will be reviewed against the minimum qualifications for the position. If your application demonstrates that you meet the minimum qualifications, you will be invited to the comparative analysis process, which is described below.</p> <p>Comparative Analysis Process</p> <p>The comparative analysis process will consist primarily of a review of applications against the minimum and preferred qualifications of this position. Applications will be reviewed in comparison to all others in the applicant pool in order to identify a top group of candidates who may be invited for a final interview. Depending on the size of the applicant pool, additional selection processes may be utilized to identify a top group of candidates. Applicants will be notified of their status via email.</p> <p>Failure to submit properly completed documents by the closing date will result in your application being rejected.</p> <p>ADAAA Accommodations: The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.</p> <p>The Department of Health Care Policy & Financing is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Minnie Kaur, at anupreet.kaur@state.co.us.</p> <p>The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.</p>