Access To Care Reports And Operations Analyst

State Of Colorado Denver , CO 80208

Posted 1 week ago

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 Access to Care Reports and Operations Analyst to join our Finance team!

As part of the State of Colorado, HCPF offers a competitive benefits package:

  • PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans

  • Medical, Dental, and Vision insurance coverage

  • Automatic Short-Term and Optional Long-Term Disability Coverage

  • Life and AD&D Insurance

  • Flexible Spending Accounts (FSAs)

  • 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

  • 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 to all eligible State Employees

  • Credit Union of Colorado 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 fully remote, hybrid, to full-time in the office. Specific discussions about the schedule will be discussed during the offer stage.

The Finance Office consists of the Chief Financial Officer, the Budget Division, Controller Division, Managed Care and Payment Reform Division, Fee for Service Division, Special Financing Division, Audits Division and Procurement Division. The Chief Financial Officer (CFO) is accountable for the financial and risk management operations of the Department, and oversees control systems that report financial results and maintain Department compliance. The CFO is responsible for the Department's financial data and reporting, and its use of data analytics to define value and measure quality with regard to Department operations. The CFO develops the Department's financial and operational strategy, and generates actionable analytics tied to that strategy.

Description of Job

What you'll be doing:

This position requires a unique level of knowledge and expertise in regards to health care policy, quality, access to care, rates, and stakeholder engagement, in order to perform core duties, which are essential to supporting the overall mission of the Department. This position facilitates stakeholder engagement and relations. This position advises, supports, and provides oversight over access to care stakeholder engagement and related processes. This position develops productive working relationships and collaborates with groups and individuals to constructively address access to care, quality, rates, as well as policy review, analysis, change, and development challenges. This position advises sections, divisions, and offices within the Department to establish stakeholder engagement strategies and processes suitable to their needs. This position also serves as the liaison within and between the Department and various stakeholders, such as professional associations, providers, clients, advocates, sister state agencies, or lobbyists, in meeting state and federal access requirements.

This position serves as the staff authority on access to care. This position works with Department staff to identify and establish metrics and/or benchmarks to monitor access to care, quality, policy changes, utilization, expenditure, and outcomes. This position researches and analyzes benefits utilization, quality, high value services, client access, and provider participation data. This position oversees analysis of access, service, quality, and utilization of each service to ensure provider payments are sufficient to allow for client access. This position incorporates stakeholder feedback and collaborates with Department staff to develop recommendations to anticipate and address access to care and implementation issues. This position recommends best practices; identifies and addresses benefit, policy, quality, or access gaps; solicits and responds to stakeholder participation in policy development and access reviews; and assesses current and future policies. This position uses project management and facilitation skills and takes a lead role working directly with management, policy staff, rates staff, and data staff on policies and projects. The position must have knowledge of all Medicaid benefits. This position is required to travel in-state and out-of-state as needed for stakeholder meetings, presentations, conferences, and any other programmatic or staff development activities as required or requested.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Residency Requirement: (New)

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

Class Code & Classification Description: (New)H1B3XXADMINISTRATOR III

MINIMUM QUALIFICATIONS:

Education and Experience:

Bachelor's degree from an accredited institution in Public or Healthcare Policy, Healthcare Administration or Management, Public Health, Social Work, or related field

AND

Two (2) years of professional experience in public policy or a health or social services related field that involved a combination of the following:

  • policy research, analysis, development or implementation
  • research methods and design
  • project management
  • contract management
  • stakeholder engagement
  • working knowledge of Medicaid program
  • meeting facilitation
  • government report writing

OR

Experience Only:

Six (6) years of relevant experience in an occupation related to the work assigned to this position

Preferred Qualifications & Special Qualifications:

  • Current experience working with Medicaid and the healthcare industry, including statutes, regulations, rates, client access, and quality.

  • Experience in managing complex projects and workflows.

  • Experience identifying areas for process improvement and designing and implementing needed changes.

  • Experience with program evaluation, data analysis, and policy analysis to identify issues, develop solutions, and recommend policy and programmatic improvements.

  • Formal meeting facilitation experience.

  • Experience in internal and external communications, with time spent working with diverse stakeholders.

Knowledge, Skills and Abilities

  • Excellent oral and written communication skills.

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 at dpa_state.personnelboard@state.co.us 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, atspb.colorado.gov/board-rules.

Supplemental Information

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.

The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.


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