CHP+ Program & Benefit Administrator

STATE OF COLORADO RESIDENCY REQUIRED: OPTION FOR REMOTE WORK IN STATE

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.

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

Reduced college tuition through

CSU Global

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 looking for a

CHP+ Program & Benefit Administrator

for the

Child & Family Health Division

of the

Health Policy Office

(HPO)!
HPO

is responsible for the administration and performance of Medicaid State Plan benefits and services, and the Child Health Plan Plus (CHP+). Staff within HPO are responsible for fee for service benefits implementation and administration, stakeholder relations, perinatal, youth and child health, policy development and implementation,

contract management and performance, program administration and overall Medicaid program performance. HPO plays an instrumental role in achieving HCPF's mission to improve access to cost-effective, quality health care services for Health First Colorado members.

This position can work fully remotely from anywhere in the State of Colorado.
**Please note - equipment provisioning and certain onboarding tasks will take place in person, in our downtown Denver office, on the first day of employment.**

WHAT YOU'LL BE DOING AS CHP+ PROGRAM & BENEFIT ADMINISTRATOR:
Develops and updates program benefits for CHP+ in Colorado utilizing unique knowledge in child, youth and maternal health.

Translates and implements best practice policies for pregnant and postpartum people and children enrolled in the CHP+ program.

Leads efforts to modernize behavioral health benefits for CHP+ by partnering with Department SMEs, being up to date on clinical recommendations, and obtaining appropriate approvals for CHP+ implementation .

Assists with program and policy development and supporting contractors, stakeholders and agency staff with related issues.

Collaborates with other Department teams, such as benefit or contract managers, subject matter experts, and fiscal leadership to implement best practice benefits and corresponding budget proposals and policies.

Manages multiple projects for the CHP+ Program, overseeing small, medium, and large-scale projects throughout the project lifecycle as needed.

Reviews, analyzes, and provides policy summaries to internal and external stakeholders on federal and state authority related to CHIP.

Provides programmatic support for the Program and Health Policy Office’s overall goals and objectives.

Class Code & Classification Description:

H1B3XX

ADMINISTRATOR III
MINIMUM QUALIFICATIONS:

HERE'S WHAT WE NEED YOU TO HAVE:
Experience only:
SIX

total years of professional experience in public health or healthcare policy, benefit management, claims and coding, or an occupational field closely related.
OR
Education and Experience:
Bachelor's

degree from an accredited institution in public health, healthcare administration, or a field of study related to the work assignment
AND
TWO

years of professional experience in public health or healthcare policy, benefit management, claims and coding, or an occupational field closely related.
Substitutions:
A combination of work experience in the occupational field or specialized subject area of the work assigned to the job, which provided the same kind, amount, and level of knowledge acquired in the required education, may be substituted on a year-for-year basis for the bachelor's degree.
A relevant advanced degree from an accredited college or university may be substituted for the bachelor’s degree and at the agency's discretion, one year of professional experience respectively.
HERE'S WHAT WE'D LIKE YOU TO HAVE:
PREFERRED QUALIFICATIONS:
Previous relevant professional state experience

Masters Degree in public health, healthcare administration, healthcare management, nursing, or related field

Professional experience in:
Benefit management for pediatric and/or maternal care

Medical billing and procedure codes

State or federal Medicaid and/or CHIP rules and regulations

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.

HCPF is onboarding new employees using a hybrid approach. HCPF supports flexible work arrangements. Depending on the business need and description of the position, there are 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.

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 to

spb.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, at

spb.colorado.gov

under Rules.
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.
EQUITY, DIVERSITY, & INCLUSION
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.

ADAAA ACCOMMODATIONS
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.

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