<p>STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION</p> <p>NOTE: This announcement may be used to fill multiple openings.</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>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>The Eligibility Division Policy Section, located in the Medicaid Operations office (MOO), is responsible for policy regarding a member's eligibility for Medical Assistance Programs. This includes interpreting state and federal regulations concerning eligibility across a number of categorical assistance programs, ensuring compliance with state and federal regulations and laws, and enrolling members onto Medical Assistance Programs through the application process and Colorado Benefits Management System (CBMS). This is accomplished through research, analysis, written and verbal</p> <p>communication with Medicaid members, eligibility workers, and high-level program groups, and formal training for field agents (i.e., county departments of social/human services, options for long-term care, medical assistance sites). This work unit implements rule changes concerning medical eligibility policy and practices. This work unit is responsible for coordinating system changes with the Eligibility Systems Section. Further, the unit is responsible for implementing the eligibility policy of Medical Assistance programs, including: Adult Medicaid, Medicare Savings Programs (MSP), Low</p> <p>Income Subsidy (LIS), Long Term Care (LTC), Home and Community Based Services Waivers (HCBS), and MAGI programs (Parents, Pregnant Women, Adults, and Children). The Eligibility Division Policy Section, located in the Medicaid Operations office (MOO), is responsible for policy regarding a member's eligibility for Medical Assistance Programs. This includes interpreting state and federal regulations concerning eligibility across a number of categorical assistance programs, ensuring compliance with state and federal regulations and laws, and enrolling members onto Medical Assistance Programs through the application process and Colorado Benefits Management System (CBMS). This is accomplished through research, analysis, written and verbal communication with Medicaid members, eligibility workers, and high-level program groups, and formal training for field agents (i.e., county departments of social/human services, options for long-term care, medical assistance sites). This work unit implements rule changes concerning medical eligibility policy and practices. This work unit is responsible for coordinating system changes with the Eligibility</p> <p>Systems Section. Further, the unit is responsible for implementing the eligibility policy of Medical Assistance programs, including: Adult Medicaid, Medicare Savings Programs (MSP), Low Income Subsidy (LIS), Long Term Care (LTC), Home and Community Based Services Waivers (HCBS), and MAGI programs (Parents, Pregnant Women, Adults, and Children).</p> <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 Long Term Care Policy Specialist position is the staff authority for the eligibility policy for Long Term Care (LTC) for Medical Assistance Programs. The Department relies on this position for its high level of expertise and knowledge base to shape policy and guidance with respect to client eligibility and LTC Medical assistance. This position's recommendations and proposed directions are required to support the Department's mission and long-term goals in implementing and maintaining eligibility criteria for LTC Medicaid clients. </p> <p>Typical duties include, but are not limited to:</p> <ul> <li> <p>Design strategy, processes, guidelines, rules, and standards that have a direct impact on client eligibility requirements and long term care program benefits.</p> </li><li> <p>Guide, decide upon and the implementation of eligibility policy specific to Long Term Care (LTC). Position is the key decision maker for the Department regarding Long Term Care policy and relied upon for critical decisions. </p> </li><li> <p>Resource to the program leads and management for the eligibility policy section regarding the implementation of eligibility policy specific to LTC. </p> </li><li> <p>Relied upon by the Department's management, the Department's sister agencies such as CDHS and other external partners and stakeholders in workgroups, steering committees and other internal and external meetings. </p> </li><li> <p>Critical thinking and in-depth analysis based on subject matter expertise and professional experience, position designs strategy, processes, guidelines, rules, and standards that have a direct impact on client eligibility requirements and LTC program benefits. </p> </li><li> <p>Direct management and policy to increase effectiveness or to ensure compliance. Position directs communications about program changes that impact eligibility site partners.</p> </li><li> <p>Administration, implementation, and oversight of all aspects of Medical Assistance Programs eligibility. </p> </li><li> <p>Interpret the regulations, determine policy recommendations for state options, and facilitate and solicit stakeholder input. </p> </li><li> <p>Provide Medical Assistance eligibility policy guidance to the Department. </p> </li><li> <p>Research and analyze policy issues, directs rule and memo letter changes, updates State Plan Amendments to align with rule updates, prepares fiscal reports, and works with statewide eligibility sites and members on eligibility issues. </p> </li><li> <p>Guide further development of the Medical Assistance eligibility policies as it relates to eligibility site accuracy reviews and rule writing. </p> </li><li> <p>Assess the need for methods to implement educational engagement with stakeholders and training programs. </p> </li><li> <p>Direct the design and development of standardized training material and tools for statewide distribution.</p> </li><li> <p>Communicate changes through formalized training, written materials and participation in conferences and workgroups. </p> </li><li> <p>Policy lead for the eligibility system policy needs managed by Colorado Department of Health Care Policy and Financing (HCPF) for Medical Assistance programs. </p> </li><li> <p>Interpret the regulations, providing policy direction for state options, review other states policy implementation and facilitate and solicit stakeholder input.</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>Experience Only:</p> <p>Seven (7) years of professional experience in an occupational field related to the work assigned to the position, such as determining eligibility for public assistance programs at a county or state level;</p> <p>OR</p> <p>Education and Experience:</p> <p>Bachelor's degree from an accredited institution in a field of study related to the work assignment; AND three (3) years of professional experience determining eligibility for public assistance programs at a county or state level.</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> <p>An associate will count as two years of experience</p> </li><li> <p>A bachelors will count as four years of experience</p> </li><li> <p>A masters degree will count for six years of experience</p> </li><li> <p>A doctorate or juris doctorate degree will count for seven years of experience</p> </li></ul> <p>PREFERRED QUALIFICATIONS</p> <ul> <li> <p>Prior state experience related to the duties of this position</p> </li><li> <p>Experience working with Medicaid and CHP+ policies and programs</p> </li><li> <p>Experience with monitoring and oversight of public assistance programs, including the ability to conduct audits or reviews, ensuring program compliance</p> </li><li> <p>Experience communicating with external stakeholders</p> </li></ul> <p>Highly Desirable Knowledge Skills and Abilities (KSAs)</p> <ul> <li>Ability to come up with unusual or clever ideas about a given topic or situation </li><li>Complex problem resolution skills </li><li>Ability to set and prioritize workload </li><li>Strong communication and presentation skills </li><li>Ability to be self-motivated and self-directed, while possessing the ability to work in a team environment.  </li></ul> <p>DEFINITION OF PROFESSIONAL EXPERIENCE: Professional experience is defined as experience that may include: independent judgment and discretion in performing work duties, a level of specialized knowledge, in-depth work requirements such as data gathering, analysis and interpretation, customer service across a broad range of individuals including key personnel, and/or individual accountability for results.</p> <p>CONDITIONS OF EMPLOYMENT:</p> <ul> <li> <p>All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment.</p> </li><li> <p>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.</p> </li><li> <p>This position requires some in-state and overnight travel, and flexibility with work hours to accommodate the needs of our customers. </p> </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>