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Skilled Benefits & Policy Liaison

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Skilled Benefits & Policy Liaison

Salary

$70,140.00 - $91,188.00 Annually

Location

Denver Metro, CO

Job Type

Full Time

Job Number

UHA05774-06-2025

Department

Department of Health Care Policy and Financing

Division

Community Living Office

Opening Date

05/28/2025

Closing Date

6/5/2025 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

Sarah Roman, Talent Acquisition Specialist ~ [email protected]

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.

*Position is term-limited through 12/31/2027*

Envision yourself working at HCPF (https://www.youtube.com/watch?v=5He6If7FyDY)

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.

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 looking for aSkilled Benefits & Policy Liaison to join ourOffice of Community Living !

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

As the expert in Home Health and Private Duty Nursing, you will:

+ Formulates, plans, designs, develops, and oversees the implementation of the adult and pediatric Private Duty Nursing (PDN) and the Long-Term Home Health (LTHH) tools, including managing the vendor that will develop the tool.

+ Oversees the development of business requirements for the LTHH Acuity and LTSS Assessment (level of care, basic and comprehensive) within the tool, and determines opportunities for alignment between the tools to ensure that as members' needs change they do not have barriers to accessing other state plan or waiver benefits nor is there duplication of services.

+ Designs, analyzes, and amends Home Health and PDN benefits, program policies, and the associated acuity tools.

+ Researches and recommends best practices; identify and address benefit or policy gaps

+ Responds to provider inquiries about benefit limitations and policy; and assess current and future benefit policies to meet the Department’s expectations for a high level of efficiency, economy, and quality of care.

+ Analyzes claims data to monitor utilization trends, using data systems such as Medicaid Management Information System (MMIS), Cognos (a claims mining system) and other data systems, and make policy recommendations to upper management in response to these trends.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Residency Requirement:

This posting is only open to residents of the State of Colorado at the time of submitting your application.

Class Code & Classification Description:

H1R4XXPOLICY ADVISOR IV (https://drive.google.com/file/d/0B4enHpLSVk4ecTNfaEpQdFR4OXc/view?resourcekey=0-Rwq0Bb-\_P8Mn-pYqi9tuvg)

MINIMUM QUALIFICATIONS:

There are two ways to qualify for this position:

Option 1:

Experience Only:

Severn (7) years of related professional experience in Medicaid, health care policy/ administration, home care agency administration, long-term services and supports, government regulations, policy development, or clinical case management.

Option 2:

Education and Experience:

A bachelors degree from an accredited institution in a related field and three (3) years of professional experience in Medicaid, health care policy/ administration, home care agency administration, long-term services and supports, government regulations, policy development, or clinical case management.

Appropriate education will substitute for the required experience on a year-for-year basis. Relevant education will be calculated as the following:

+ An associate will count as two years of experience

+ A bachelors will count as four years of experience

+ A masters degree will count for six years of experience

+ A doctorate or juris doctorate degree will count for seven years of experience

PREFERRED QUALIFICATIONS

+ Prior state experience related to the duties of this position

+ Prior experience in home and community-based services or home care agency administration

+ Prior experience in case management or social work, preferably working with aging adults or people with disabilities and children/youth with special health care needs

+ Advanced degree in Social Work, Public Health, Public Policy, or Healthcare Administration, or Nursing

+ Experience with:

+ Medicaid or related state/federal Medicaid rules and regulatory guidance

+ Vulnerable and high risk populations with multi-system involvement related to child welfare, criminal justice, or Medicaid

Highly Desired Knowledge, Skills and Abilities:

+ Demonstrated ability to interpret and understand state and federal regulations.

+ Demonstrated ability to identify new approaches, techniques, methodologies and tools to improve operations.

+ Demonstrated ability to collaborate with stakeholders representing a wide range of experiences and pe rsp ectives

+ Ability to set and prioritize workload, develop a strategic work plan with tasks, time frames, milestones, resources, and dependencies

+ Ability to be self-motivated and self-directed, while possessing the ability to work in a team environment.

+ Sets objectives and consistently meets timelines or communicates in advance to solve problems. Identifies what needs to be accomplished and takes action to achieve objectives.

+ Effectively communicates with those with differing opinions and perspectives. Builds strong working relationships with internal and external stakeholders.

+ Identifies novel and creative ideas for programmatic growth and improvement.

+ Strong understanding of state and federal laws, procedures, policies, and regulations that relate to the benefits managed.

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.

+ This is a term-limited position with funding through December 31, 2027. Successful candidates will sign a Waiver of Retention Rights and normal personnel rules regarding retention will not apply. Additionally information regarding term-limited positions can be found here (https://www.youtube.com/watch?v=cEbEdIC6qBE&t=6s) .

Appeal Rights:

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 at [email protected] within ten (10) calendar days from your receipt of notice or acknowledgment 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 [email protected] .

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?

+ Yes

+ No

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

Per the requirements of the Step Pay Program implemented on July 1, 2024, any State employee must be paid a rate that is equal to or greater than the appropriate step pay rate within their classification’s pay range based on completed years in their current class series as of June 30. All current and former State employees must ensure that your entire work history within the State Classified System, including at Institutions of Higher Education, is indicated in your application so that your time-in-series can be calculated accurately. Please verify that this information is included in your application in the supplemental questions.

04

Are you willing to accept an offer within the posted salary range?

+ Yes

+ No

05

Do you understand that this is a term-limited position with funding through 12/31/2027?

+ Yes

+ No

06

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.

07

In your own words, please describe Health First Colorado

08

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.

Required Question

Employer

State of Colorado

Address

See the full announcement by clicking

the "Printer" icon located above the job title

Location varies by announcement, Colorado, --

Website

https://careers.colorado.gov/

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