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Service Compliance Specialist

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Service Compliance Specialist

Salary

$58,872.00 - $76,536.00 Annually

Location

Denver Metro, CO

Job Type

Full Time

Job Number

UHA04895-12-2025

Department

Department of Health Care Policy and Financing

Division

Community Living Office

Opening Date

12/19/2025

Closing Date

12/31/2025 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.

Due to the State's current hiring freeze, this position will not be filled until after January 1, 2026

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 Office of Community Living (OCL) administers the Colorado Medicaid programs that provide long-term support for people with disabilities and older adults. OCL strives for a system that is person-centered, seamless, and offers a continuum of services and innovative funding mechanisms for Coloradans today and in the future.

The Operations and Administration Division (Division) within the Office of Community Living (Office) acts as the service and support entities for the Office of over 140 employees/positions. The Division includes financial oversight, contract and vendor management, operational support, business process development, and systems support for the day to day operations of the Office and its programs.

The Business Unit (Unit) within the Division provides management of contracts and Interagency Agreements, processing of payments for the Office’s contracted vendor payments, administrative support, and business process development support for the Division and Office. The Unit also conducts financial compliance reviews of family care givers and providers to ensure compliance with Department standards.

Description of Job

What you'll be doing:

+ This position will primarily be responsible for conducting compliance reviews of Home and Community Based Services (HCBS) provider agencies to ensure they are in compliance with new limitations and standards established by the Department. Reviews accounting records, claims data, and other supporting documentation to determine if provider agencies and caregivers exceed the number of units or hours allowed by the Department per week.

+ This will include maintaining and following internal procedures for conducting reviews to include review tools, written and verbal communication with providers regarding audits and requirements, reviewing supporting documentation like claims and timesheets, determining compliance/non-compliance, and working with providers to correct issues.

+ Makes recommendations to leadership on how to improve compliance with the new limitations.

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.

MINIMUM QUALIFICATIONS:

There are two ways to qualify for this position:

Option 1:

Experience Only:

Six (6) years of relevant experience conducting compliance or fiscal reviews and/or working in Home and Community Based Services (HCBS).

Option 2:

Education and Experience:

A bachelor's degree from an accredited institution in a related field and two (2) years of relevant experience conducting programmatic, compliance, or fiscal reviews and/or working with Home and Community-Based Services (HCBS) programs, caregiver programs, long-term services and supports (LTSS), or other programs administered by the Department of Health Care Policy & Financing.

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

+ Note: Per the Job Application Fairness Act, you may redact information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution on your transcripts.

Preferred Qualifications:

+ Prior state experience related to the duties of this position.

+ Experience interpreting and applying state and federal regulations.

+ Experience reviewing or submitting Health First Colorado claims.

+ Experience using Microsoft Excel to conduct audits, make calculations, and/or general tracking.

+ Experience developing internal procedures.

+ Experience drafting professional written communications such as audit notifications, corrective action letters, investigative findings, or compliance determinations.

+ Experience participating in or supporting appeals, reconsiderations, or administrative review processes.

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:

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 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, Minnie Kaur, 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

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.

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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