<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>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 Office of Community Living: </p> <p>The Office of Community Living (OCL or Office) exists as part of the Department of Health Care Policy and Financing (the Department), which is the federally recognized single state agency to administer the Colorado Medicaid program. The Office administers the state's Long-Term Care (LTC) Services and Supports (LTSS) programs. The Office provides oversight and monitoring for the state's system for access to LTSS programs. Staff within the Office are responsible for stakeholder relations, policy development and implementation, contract management and performance, program administration, operational support of case managers and direct services providers, and overall LTC Medicaid program performance. </p> <p>The Operations and Administration Division: </p> <p>The Operations and Administration Division (Division) within the Office of Community Living (Office) acts as the service and support entity of the Office. The Division includes financial oversight, contract management, administrative support, and systems support for the day-to-day activities of the Office. </p> <p>The HCBS IT Operations, Provider Payment, and Credentialing Section within the Division:</p> <ul> <li>Leads and coordinates the Office's HCBS IT implementation strategy across the Department's vendor operated Commercial Off the Shelf (COTS) and state-operated IT applications.  </li><li>Creates and maintains product roadmaps, long-range strategic plans, and coordination on implementation across the Health Information Office, Behavioral Health Administration, and the Office of eHealth Innovation, in supporting the charting the Office's strategic vision.  </li><li>Steers, articulates, and prioritizes the policy goals for the Care and Case Management System, , and the Colorado LTSS IT ecosystem, including the Bridge, as articulated by the policy leads across the Office.  </li><li>Ensures the Office meets state and federal requirements regarding data sharing and interoperability. This includes steering the overall provider enrollment/credentialing strategy, timely support of escalated provider payment and prior authorization issues, ensuring identified problems find resolution through automation, increased data sharing, and strategic upgrades to the existing IT ecosystem.  </li><li>Serves as the principal liaisons with other Offices and the Governor's Offices of eHealth Innovation and Information Technology. </li><li>Provides strategic and operational oversight of the Care and Case Management Operations Unit, and manages term-limited funding as that funding pertains to IT projects.  </li></ul> <p>The Care and Case Management External Operations Unit within the HCBS IT Operations, Provider Payment, and Credentialing Section: </p> <ul> <li>Provides Business Analysis and Application oversight for the Department's electronic case management tool, currently the Care and Case Management System (CCM), which is an online database for Case Management Agencies (CMAs) and contractors to perform reporting and document client assessments, service plans, log notes, critical health incidents, and other information crucial to monitoring and compliance </li><li>Communicates with the CMA staff, provisioning of user logins for the system, troubleshooting defects, and writing and approving test plans.  </li><li>Provides operational support for provider enrollment activities, as well as technical acumen of the waiver logic for the Person-Centered Support Plan. </li></ul> <p>The Care and Case Management External Operations Unit welcomes your application for the OCL Projects Analyst position.  This position is the staff authority for planning, guiding, and coordinating work related to the Care and Case Management (CCM) Tool. </p> <p>Responsibilities in this position include:</p> <ul> <li>Determines project priorities, shaping and communicating business needs, tracking progress and timelines, supporting policy updates, working with vendors, and reviewing and approving system requirements. </li><li>Manages individuals' and entities' initial and ongoing enrollment as Health First Colorado HCBS Providers and Case Management Agencies, including managing processes leveraged by the Fiscal Agent for aspects of the enrollment process.  </li><li>Initiates and leads cross-Department workgroups and meetings with the Colorado Department of Health and Environment with respect to strategic efforts to streamline operations, evaluate data sharing opportunities, as well as resolving escalated enrollment issues. </li><li>Initiates and leads as-needed conversations with Benefit and Case Management Division staff to ensure enrollment criteria is aligned with regulatory requirements for the HCBS waivers and other regulatory authorities.  </li><li>Initiates and manages process evaluation to maximize the amount and scope of enrollment work performed by the Fiscal Agent. </li><li>Leverage data from enrollment information and claims data, the position leads the development of strategies for provider capacity building and operational process improvement. The role is responsible for managing all such changes to completion, to include the creation of project plans and other tracking mechanisms.  </li><li>Coordination of CCM enhancement work across the Case Management and Quality Performance Division, the Health Information Office, and where necessary, the Governor's Office of eHealth Innovation to align all projects with the Governor's eHealth strategy and long-term goals. </li><li>CCM project implementation, advises management on needed staffing patterns necessary to complete the work within statutory and regulatory frameworks tracked by the position; management relies on position to define project success criteria, and is tasked with the ongoing management of changes in project scope, as well as identifying potential challenges that may require the development of contingency plans and workarounds. </li></ul> <p>MINIMUM QUALIFICATIONS:</p> <p>Experience Only:</p> <p>Seven (7) years of professional experience in creating project plans, creating tracking templates, facilitating meetings, and tracking projects through to completion and experience in documenting processes, creating workflows, or training/assisting users and/or testers on large computer systems, preferably Health IT systems like claims processing engines or care/case management platforms. </p> <p>OR</p> <p>Education and Experience:</p> <p>Graduation from an accredited college or university with a Bachelor's degree in Business or Health Care Administration, Information Systems, Applied Technology, Human Services or Social Services or a field of study related to the work assignment</p> <p>AND</p> <p>Three (3) years of professional experience in creating project plans, creating tracking templates, facilitating meetings, and tracking projects through to completion and experience in documenting processes, creating workflows, or training/assisting users and/or testers on large computer systems, preferably Health IT systems like claims processing engines or care/case management platforms. </p> <p>PREFERRED QUALIFICATIONS</p> <ul> <li> <p>Prior State Experience, Prior Government or Government Contractor experience</p> </li><li> <p>Experience supporting clients or customers in a professional context, whether health care, IT, or another industry.</p> </li><li> <p>Experience resolving escalated client or customer concerns in a professional context.</p> </li><li> <p>Professional experience documenting processes, creating workflows, and coordinating projects in a professional setting, with preference for Healthcare or IT.</p> </li><li> <p>Three or more years of professional experience in care coordination  and/or long-term services and supports (LTSS) case management  or administration, regulation and compliance, policy development, program management or an occupational field closely related to the work assigned to the position.</p> </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></ul> <p>APPEAL RIGHTS:</p> <p>If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.</p> <p>An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email (dpa_state.personnelboard@state.co.us), postmarked in US Mail or hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department's action.</p> <p>For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board; go to spb.colorado.gov; contact the State Personnel Board for assistance at (303) 866-3300; or 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 under 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, anupreet.kaur@state.co.us.</p> <p>The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.</p>