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Healthcare Navigator - HP II

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Healthcare Navigator - HP II

Salary

$58,716.00 - $70,476.00 Annually

Location

Denver Metro, CO

Job Type

Full Time

Job Number

FAA00811-10/10/25

Department

Department of Public Health & Environment

Division

Office of HIV/STI/Viral Hepatitis

Opening Date

10/14/2025

Closing Date

10/22/2025 11:59 PM Mountain

FLSA

Determined by Position

Type of Announcement

This position is open only to Colorado state residents.

Primary Physical Work Address

4300 Cherry Creek Drive South, Denver, CO 80246

FLSA Status

Non-Exempt; position is eligible for overtime compensation.

Department Contact Information

[email protected]

Salary Note

Although the full salary range for this position is provided, appointments are typically made at or near the range minimum.

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

This position is ONLY open to current Colorado residents.

This position is a hybrid position.

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 conditions 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 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.

Please Note - As of August 27, 2025, a hiring freeze is in effect for the Colorado Executive Branch. State agencies will be allowed to finalize the hiring process only if a position has been posted by August 26, 2025. Any positions that are posted after August 26, 2025 have been either exempted from the hiring freeze or have been approved for a waiver and the hiring process may proceed.

Although the full salary range for this position is provided, appointments are typically made at or near the range minimum.

IMPORTANT NOTE: This is aTERM-LIMITED position and funding cannot be guaranteed beyond03/31/2027. The incumbent in this position must be willing and able to resign on this date or when funds run out, whichever comes first.

Be BOLD.....Make a REAL difference . . .and join us in serving our communities advancing Colorado's health and protecting the places we live, work, learn, and play, to create a healthy and sustainable Colorado where current and future generations thrive.

Our mission… is to advance Colorado's health and protect the places we live, work, learn, and play.

Our vision… is to create a healthy and sustainable Colorado where current and future generations thrive.

In addition to free parking, access to RTD bus lines, Cherry Creek bike path and flexible working arrangements, click the link below to review additional benefits and perks!!!https://cdphe.colorado.gov/careers

Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, go to: https://studentloans.gov/myDirectLoan/pslfFlow.action#!/pslf/launch

The referral list generated by this position announcement may be used to fill multiple position vacancies and may be extended.

TheColorado Department of Public Health and Environment (CDPHE)serves Coloradans by providing high-quality, and cost-effective public health and environmental protection services that promote healthy people in healthy places. Staff members focus on evidence-based best practices in the public health and environmental fields and play a critical role in educating people in Colorado so they can make informed choices. In addition to maintaining and enhancing our core programs, the Department continues to identify and respond to emerging issues affecting Colorado's public and environmental health.

Description of Job

The Work Unit:

The Office of STI/HIV/VH works to reduce disease transmission and ensure quality and medically accurate STI/HIV related prevention, care, and treatment services for all people in Colorado. Functions include public health surveillance of STI/HIV/VH; follow-up of people newly diagnosed with a STI/HIV to ensure adequate treatment; referrals and partner notification; access to care and treatment as appropriate; developing comprehensive prevention programs; and conducting program evaluation to enhance the use of STI/HIV/VH data to direct prevention and care activities. The Care and Services Program exists within the Office of STI/HIV/VH to provide access to health care, support for clients and linkage to care, and intensive case management among clients with needs related to HIV and STI. The Office of STI/HIV/VH, operates on the belief that all people - no matter their race, ethnicity, gender identity, sexual orientation, education level, age, language, religion, ability or geographic location - should have the opportunity to live healthy lives. The Program has three units: Health Care Access, Linkage to Care, and Client Support. The Health Care Access unit exists to ensure low-income individuals, who are either living with HIV or are at Risk of acquiring HIV, have access to HIV and STI medications, medical care and treatment.

What You Will Be Doing:

This position assists clients in navigating considerations involved in receiving health care coverage and access to complex treatment regimens. This position determines and assesses SDAP eligibility and eligibility for subprograms within SDAP, as well as facilitates enrollment in healthcare coverage according to need.

Responsibilities of the position include but not limited to:

Eligibility Determination

+ Directly provides services according to the established Colorado Ryan White standards of care assessments/reassessments, service plans, coordination, monitoring of medical treatment, education, patient self-management etc.

+ Anticipates and analyzes the consistency of engagement in care for persons living with HIV and provides referrals to all other appropriate wrap-around services and programs available throughout Colorado and the community to address any identified barriers or challenges.

+ Facilitates enrollment into the correct SDAP subgroup to ensure the program is compliant with payor of last resort requirement.

+ Conducts the initial certification and annual recertification processes for people enrolled in SDAP.

+ Assesses the declarations made by clients on forms, and the accompanying documentation in order to determine if clients meet residency and income requirements as set by the Program and Unit.

+ Utilizes the unit's designated data systems to document client interactions and eligibility determinations completely, accurately and in a timely manner, consistent with established performance standards.

+ Document any interaction with the client in notes.

+ Detect erroneous, false, or fraudulent information provided by clients, and acts to prevent harm to the program x Ensure that documentation of client residence, income, and payer of last resort meet federal and state expectations.

+ Collecting and recording accurate, complete client data in a timely manner.

Health Care Navigation

+ Provides Health Care Navigation for persons living with HIV and those vulnerable to acquisition.

+ Analyzes information provided by clients and facilitates enrollment in healthcare coverage.

+ Facilitates access to the State Drug Assistance Programs (SDAP).

+ Reviews application and arranges for rapid access to health care coverage and prevents lapses in care.

+ Conducts a comprehensive assessment of the client’s health care needs including both Medication Assistance and Insurance Assistance.

+ Provides health education regarding coverage eligibility and what best meets the client's needs.

+ Facilitates enrollment in healthcare coverage.

+ Identify clients whose care has lapsed or who are in transition and provide referrals to case management, medical care, and other services.

+ Refers clients to a broad spectrum of services that improve the success of staying engaged in care.

+ Follow up with clients regarding their Advanced Premium Tax Credit (APTC) and vigorously pursue any amount owed back to the program.

+ Assist in the completion of a cost analysis on the alternative plan requests to ensure the program is complying with the “Payor Last Resort” requirement.

Capacity Building and Technical Assistance

+ Provides capacity building and technical assistance to assist providers and case managers in the implementation of the State Drug Assistance Program.

+ Troubleshoots data system problems and inefficiencies and maintains safety and confidentiality of all HIV related public health documents.

+ Participates in quality improvement activities for the Health Care Access Unit.

+ Research clients' records to troubleshoot any issues preventing claims from being adjudicated at the pharmacy and relay that information to the client or provider to ensure claims are paid for at point of sale.

+ Provide technical assistance to clients to help enroll into coenroll.com, the SDAP online portal.

+ Assist clients in uploading and submitting any documentation requested to prove eligibility.

+ Complete data entry audits to ensure accuracy of data.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Minimum Qualifications:

NOTE: An applicant may meet the minimum qualifications for this job in one of two ways: They may qualify through their work experience alone or through a combination of education and work experience.

Experience Only:

Five (5) years of relevant experience in providing health navigation, insurance navigation and/or enrollment , public health or healthcare administration, providing services to clients in the STI/HIV or another public health field, STI/HIV testing, prevention services, health services street outreach and/or other one-on-one health education, community engagement, analyzing and reporting data, troubleshooting data systems, or other closely related experience in an occupation related to the work assigned to this position.

OR:

Education and Experience:

A combination of related education from an accredited institution in Public Health, Health Education, Health Care Administration, or a field of study closely related to the work assignment. AND/OR Relevant experience in health navigation, insurance navigation and/or enrollment, public health or healthcare administration, providing services to clients in the STI/HIV or another public health field, STI/HIV testing, prevention services, health services street outreach and/or other one-on-one health education, community engagement, or other closely related experience in an occupation related to the work assigned to this position equal to five (5) years.

This experience must be substantiated within the Work Experience section of your application. "See Resume" will not be accepted. In addition, part-time work will be prorated.

A copy of your unofficial (or official) transcript OR a copy of your official diploma is required by the application deadline. You must attach this transcript or diploma to your application electronically.

NOTE: Click on the link hereHow to Apply (https://youtu.be/vUwZiY6G24U) to submit a complete application that documents your work history giving details of your qualifications, including how your experience aligns with the minimum and preferred qualifications for this position when listing your work history.

Preferred Qualifications:

In addition to the minimum requirements, the successful candidate in this position will have the following highly desirable experience and competencies:

+ Relevant experience with the State of Colorado.

+ Experience with insurance navigation

+ Experience with Medicare, Medicaid, and/or State Drug Assistance programs

+ Experience with at risk populations (Youth ages 14-24, Men who have sex with men, Latinos, African Americans)

+ Experience working with confidential records

+ Experience with STI/HIV and through sexual/social network tracking and mapping

+ Experience in public health, STI, HIV and/or VH.

+ Experience with epidemiology and/or infection control.

+ Experience with medical record abstraction and interpret medical information.

+ Experience analyzing and evaluating laboratory and medical treatment plans.

+ Experience using information technology to communicate, manage knowledge and mitigate errors.

+ Ability to function in high-stress or emotionally charged situations.

+ Flexible team player who thrives in environments requiring the ability to effectively prioritize and juggle multiple concurrent projects.

+ Cultural sensitivity and an ability to build rapport with diverse individuals in multicultural settings.

+ Excellent communication skills in building trust and rapport, motivating and problem-solving.

+ Excellent planning and organizing skills and be able to adapt to a constantly changing environment.

+ Experience social determinants that impact health outcomes.

Conditions of Employment:

+ Pursuant to CDPHE policy, a background check is required for all positions at CDPHE.

+ This is a term-limited position. Funding cannot be guaranteed beyond 03/31/2027. The incumbent in this position must be willing and able to resign on this date or when funds run out, whichever comes first.

+ Critical Status: Must be available in the event of an emergency, (e.g., bio-terrorist attack, chemical attack, disease outbreak or all hazards) and be required to report to work immediately at the regular or alternate location. During this time, travel restrictions may be in place.

+ Critical Status: Must be available in the event of the activation of the Continuity of Operations Plan (COOP) and be required to report to work immediately at the regular or alternate location. During this time, travel restrictions may be in place.

Appeal Rights:

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.

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 ([email protected]), 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.

For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board; go tospb.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, atspb.colorado.govunder Rules.

Supplemental Information

A complete application packet must include:

+ A completed State of Colorado application.

+ A cover letter that describes how your experience aligns with the minimum and preferred qualifications of this position.

+ If using education to qualify, a copy of your college/university transcripts or diploma. Transcripts or diploma must be attached to your colorado.gov/jobs application. (unofficial transcripts copy acceptable)

+ If you are a veteran, a copy of your DD214 attached to your colorado.gov/jobs application.

The Selection Process:

+ All applications that are received by the closing of this announcement will be reviewed against the Minimum Qualifications in this announcement. Candidates who meet the minimum qualifications proceed to the next step.

+ If you submit more than one application, before the closing deadline, only the most recent application submitted will be used in the recruitment process.

+ All applications and materials are considered final when the posting has closed.

+ Colorado Revised Statutes require that state employees are hired and promoted based on merit and fitness through a comparative analysis process.

+ Part of, or all of, the comparative analysis for this position may be a structured application review, which involves a review of the information you submit in your application materials by Subject Matter Experts (SMEs) against the preferred qualifications.

+ A top group, up to six candidates, will be invited to schedule an interview with the hiring manager.

E-Verify: CDPHE uses e-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more aboutE-Verify (http://www.dhs.gov/e-verify) , including your rights and responsibilities.

You must currently reside and be legally eligible to work in the United States to be appointed to this position. CDPHE does not sponsor non-residents of the United States.

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 Colorado Department of Public Health and Environment 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, Dan McKenna, at [email protected] or call 303-692-2060, option 5.

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

CDPHE-A pre-employment background check will be conducted as part of the selection process. As a condition of employment, are you willing and able to submit to a background check if offered the position?

+ Yes

+ No

02

CDPHE: If you are a current or previous State of Colorado classified employee, please provide your Employee Identification Number (EID) in order to verify your current or previous employment. Your EID begins with 997 and is nine digits long. Please do not enter your Social Security Number. Type N/A if you are not a current or previous state employee.

03

CDPHE-Applicants for State of Colorado classified positions must be current residents of Colorado. Are you a current resident of the State of Colorado who can provide proof of Colorado residency?

+ Yes

+ No

04

Although the full salary range for this position is provided, offers are typically made at or near the range minimum. Do you accept the actual base compensation will be determined based on the Equal Pay for Equal Work Act and may vary based on job-related knowledge and skills, education, experience, etc.?

+ Yes

+ No

05

CDPHE-This is a term-limited position and employment cannot be guaranteed beyond 03/31/2027. Do you accept this condition of employment?

+ Yes

+ No

06

CDPHE- A complete application packet requires Experience, Cover Letter, Transcript(s)/Diploma and/or DD214 (if veteran). Did you describe/attach the requirements that apply to you? Experience listed within the Work Experience section of your application that describes how your experience aligns with the minimum qualifications, preferred qualifications, and/or job responsibilities of this position. "See Resume" will not be accepted. A cover letter that describes how your experience aligns with the minimum and preferred qualifications of this position. If using education to qualify, a copy of your college/university transcripts OR a copy of your official diploma. Transcripts/Diploma must be attached to your application. If you are a veteran, a copy of your DD214 attached to your colorado.gov/jobs application.

+ Yes

+ No

07

Tell us how you would coordination the benefits of a client who has both private health insurance and Medicaid? Describe the strategies you would use to reach your determination.

08

Describe a time when you had to explain the differences between a deductible, copayment, and coinsurance to a client. How were you able to tie each function in relation to the out-of-pocket maximum.

Required Question

Employer

State of Colorado

Address

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Website

https://careers.colorado.gov/

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