Job description
Department Information
STATE OF COLORADO RESIDENCY REQUIRED: OPTION FOR REMOTE WORK IN STATE
NOTE: This announcement may be used to fill multiple openings.
This is a term limited position through June 30, 2024.
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:
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PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans
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Medical, Dental, and Vision insurance coverage
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Automatic Short-Term and Optional Long-Term Disability Coverage
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Life and AD&D Insurance
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Flexible Spending Accounts (FSAs)
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Family Medical Leave Act (FMLA) job protection and State of Colorado Paid Family Medical Leave (PFML)
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11 Paid Holidays Annually and Accrued Annual and Sick Leave
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Accrued Sick Leave for State of Colorado Temporary Employees
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Flexplace and Flextime work arrangements
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Variety of discounts on services and products available through the State of Colorado's Work-Life Employment Discount Program
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Free RTD EcoPass to all eligible State Employees
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Reduced college tuition through CSU Global
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Credit Union of Colorado Membership Eligibility
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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 COVID Recovery Rate Analyst for the Payment Reform Section of the Finance Office!
The Payment Reform Section of the Finance Office exists to develop and recommend innovative reimbursement policies, coordinate and manage rate setting for payment reform projects, measure the impacts of current reimbursement policies and methodologies, and estimate the fiscal impact of potential changes to reimbursement policies and methodologies on a Departmental and statewide level.
This position was created by federal legislation through H.R. 1319,
The American Rescue Plan Act (ARPA) of 2021.
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.**
Description of Job
WHAT YOU'LL BE DOING AS COVID RECOVERY RATE ANALYST:
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This position exists to support development of models and business processes by following the guidance of more senior staff with a level of technical expertise of Alternative Payment Models. -
Follows established business processes or new business processes under the direction of a supervisor or more senior staff:
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Assists in designing payments and quality metrics for providers in Home Health and HCBS in accordance with CMS regulations and guidance, state statutes, the Medicaid State Plan, and Departmental rules.
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Prepares and validates quality metrics and payments to providers participating in the Home Health and HCBS program.
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Works with systems to ensure reporting of quality metrics are complete and accurate.
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Works collaboratively to develop new rate setting processes.
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Creates project plans and timelines for data analysis, rate modeling, soliciting stakeholder feedback, in accordance with federal requirements and guidelines and state statutes and rules.
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Facilitates engagement with other sections within the Department such as policy, quality and systems staff to track deadlines of reports regarding provider performance by tracking promised deliverables and by sending reminders of agreed to deadlines.
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Learns to track task orders for claims reporting or cost benchmarking as necessary to ensure that payment is made when tasks are complete.
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Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights
HERE'S WHAT WE NEED YOU TO HAVE:
MINIMUM QUALIFICATIONS:
Bachelor's degree from an accredited institution in Economics, Finance, Math, Political Science or a related field
AND
One year of professional experience in data or a related field.
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:
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Previous relevant professional state experience
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Masters degree in Public Health, Data Science, or related
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Previous experience in:
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Project management
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Contract management
Working with cross functional teams
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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:
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All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment.
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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.
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This position may require occasional travel within the state.
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This is a term-limited position with funding through June 30, 2024. Successful candidates will sign a Waiver of Retention Rights and normal personnel rules regarding retention will not apply.
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 (dpa_state.personnelboard@state.co.us), 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.
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.
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 virginia.miller@state.co.us.
The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.
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