Job Information
State of Colorado Managed Care Technology Unit Supervisor in Denver Metro, Colorado
Managed Care Technology Unit Supervisor
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Managed Care Technology Unit Supervisor
Salary
$89,520.00 - $116,400.00 Annually
Location
Denver Metro, CO
Job Type
Full Time
Job Number
UHA04203 - 06/2024
Department
Department of Health Care Policy and Financing
Division
Cost Control and Quality Improvement Office
Opening Date
06/26/2024
Closing Date
7/5/2024 11:59 PM Mountain
FLSA
Determined by Position
Type of Announcement
This position is open only to Colorado state residents.
Primary Physical Work Address
303 E 17th Ave, Denver CO 80203
FLSA Status
Exempt; position is not eligible for overtime compensation.
Department Contact Information
Kelli Dauleh, Talent Acquisition Specialist kelli.dauleh@state.co.us
How To Apply
Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.
Description
Benefits
Questions
Department Information
STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION
NOTE: This announcement may be used to fill multiple openings.
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.
We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.
We are looking for a Managed Care Technology Unit Supervisor to join our Finance team!
As part of the State of Colorado, HCPF offers a competitive benefits package: (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits)
PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans
Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/medical-benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage
Automatic Short-Term and Optional Long-Term Disability Coverage (https://dhr.colorado.gov/state-employees/state-employee-benefits/disability-insurance)
Life and AD&D Insurance
Flexible Spending Accounts (https://dhr.colorado.gov/state-employees/state-employee-benefits/flexible-spending-accounts) (FSAs)
Family Medical Leave Act (FMLA) (https://dhr.colorado.gov/state-employees/time-off-leave/family-medical-leave-act-fmla) job protection and State of Colorado Paid Family Medical Leave (PFML)
11 Paid Holidays Annually and Accrued Annual and Sick Leave (https://dhr.colorado.gov/state-employees/time-off-leave)
Accrued Sick Leave for State of Colorado Temporary Employees
Flexplace and Flextime work arrangements
Variety of discounts on services and products available through the State of Colorado's Work-Life Employment Discount Program
Free RTD EcoPass (https://www.rtd-denver.com/fares-passes/ecopass) to all eligible State Employees
Credit Union of Colorado (https://www.cuofco.org/credit-union-colorado-membership-eligibility) Membership Eligibility
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
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.
Description of Job
What you'll be doing:
• Supervises the Managed Care Technology Unit
• Provides recommendations to the Program Operations Section Manager and other staff that will improve capacity for data analysis required within the program management functions of the Section.
• Works with the ACC team and other Department sections to implement the various policy changes required by the evolving program and to ensure data and systems as implemented support program and policy changes.
• Acts as a liaison between policy and operations, particularly as related to enrollment and system needs, and will require an ability to understand and provide recommendations that are supported by data analysis around policy goals.
• Reviews program evaluation data, monitors program outcomes and provides the ACC team with information on potential areas of improvement.
• Implements quality control processes around work products developed in areas related to data analytics, member and provider enrollment, attribution, systems, and payment.
• Leads programmatic changes and works independently in this role. Areas of focus include enrollment and attribution initiatives, program evaluation, performance payment operations, and alignment between the ACC and other programs and payers.
• Develops and implements complex systems related to payment and operations.
• Works directly with federal partners to seek federal approval for any programmatic changes required.
• Uses strong leadership and communications skills as well as an aptitude for technical troubleshooting of analytics and operations issues to resolve issues and barriers to implementation of program activities.
• Communicate verbally and in writing with external partners, including Medicaid providers.
• Develops project plans and processes for complex operations.
Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights
MINIMUM QUALIFICATIONS:
Education and Experience:
- Bachelor’s Degree from an accredited institution in a Health related field, Health Administration, Public Administration, Business Administration, or field of study related to the work
AND
Four (4) years of professional experience in an occupational field related to the work assigned to include at least one year of experiences in the following areas; Health policy/ program monitoring and/or evaluation, analysis of health program performance or related data using large data sets, project management or related work to support health enterprise system changes
OR
Experience Only:
Eight (8) years of relevant experience in an occupation related to the work assigned to this position
Preferred Qualifications & Special Qualifications:
Master’s Degree from an accredited institution in a Health related field, Health Administration, Public Administration, Business Administration, or field of study related to the work
Knowledge of public sector health care policy issues, including federal and state regulations related to Medicaid; managed care enrollment and eligibility processes; payment reform concepts; Medicaid reform efforts of other states; emerging trends in health enterprise systems technologies
Knowledge of Accountable Care Collaborative, the scope of the associated benefits, and innovative strategy for advancing and improving these programs
Experience discussing and analyzing information to influence programmatic decisions.
Project management skills
Skills in public speaking and facilitation
Prior state experience related to the duties of this position
DEFINITION OF PROFESSIONAL EXPERIENCE:Work that involves exercising discretion, analytical skill, judgment, personal accountability, and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.
CONDITIONS OF EMPLOYMENT
All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment.
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.
Appeal Rights: (Updated)
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.
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.
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 atdpa_state.personnelboard@state.co.uswithin ten (10) calendar days from your receipt of notice or acknowledgement of the Department’s action.
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 .
Supplemental Information
How to Apply (https://careers.colorado.gov/how-to-apply) (PLEASE READ CAREFULLY)
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.
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.
Comparative Analysis Process
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.
Failure to submit properly completed documents by the closing date will result in your application being rejected.
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.
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, Virginia Miller, at virginia.miller@state.co.us (debra.becerra@state.co.us) .
The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.
The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits
Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.
01
All HCPF positions are security-sensitive positions and require potential employees to undergo a criminal record background check. As a condition of employment, you will be required to submit to pre-employment screening if offered the position. Are you willing to meet this requirement?
02
Do you have any relatives or significant others working at the Department of Health Care Policy & Financing? If so, please list their names here. Otherwise, please list N/A.
03
If you are a current or former State of Colorado employee, please provide your EID (employee identification numbers will start with 99...). If not, please type N/A.
04
Are you willing to accept an offer within the posted salary range?
05
Former state employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application. In the space below, please provide an explanation as to why the prior termination or resignation should NOT disqualify your application from the current position. Otherwise, please list N/A.
06
List any additional relevant experience you would like us to consider in determining if you meet the qualifications of this position. Please, include the months and years relevant to the experience you describe.
07
Describe your experience analyzing data for the purpose of program evaluation and/or monitoring. Please give one example including what type of data you used, how you used it, and what the results were.
08
Describe your approach to operational problem solving. Include one example when you were able to successfully resolve a complex problem under time constraints.
Required Question
Agency
State of Colorado
Address
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Website
https://careers.colorado.gov/
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