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Medicaid Operations Office Deputy Director

Company: State of Colorado
Location: Denver
Posted on: April 2, 2024

Job Description:

Salary: $100,620.00 - $130,812.00 Annually

Location : Denver Metro, CO

Job Type: Full Time

Job Number: UHA04347_03.2024

Department: Department of Health Care Policy and Financing

Division: Medicaid Operations Office

Opening Date: 03/28/2024

Closing Date: 4/10/2024 11:59 PM Mountain

FLSA: Determined by Position

Primary Physical Work Address: 303 E 17th AveDenver, CO 80203

FLSA Status: Exempt; position is not eligible for overtime compensation.

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 Medicaid Operations Office Deputy Director to join our Medicaid Operations Office!

The Medicaid Operations Office oversees health plan operations administered by the Department. This office is responsible for the overall operations of Medicaid, including Child Health Plan Plus (CHP+). This office manages the daily operations of Medicaid to ensure compliance with Federal and State laws, rules and regulations. In addition, this office is responsible for establishing and monitoring the operational performance standards (e.g., call center performance standards, claims payment standards, enrollment processing standard, etc.) for contractors working for the Department. This office establishes systems for robust monitoring of health plan operations, oversees the collection of information necessary for performance monitoring and directs staff reviews to identify and mitigate compliance risks. This office has oversight of claims payment operations, the member and provider call centers; the member identification card contractor; and eligibility determinations made by eligibility sites and monitoring of county partners.

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.

    Description of Job

    This position serves as the Medicaid Operations Office (MOO) Deputy Director for Medicaid health plan operations. With the Chief Operating Officer, this position is responsible for the overall operations of Medicaid, including Children's Health Plan Plus (CHP+), and the Dental Benefit Plan.

    Duties include, but are not limited to:
    • Making timely effective decisions and producing results through strategic planning and the implementation and evaluation of programs and policies into MOO process improvements and/or solutions
    • Collaborating with the COO and other executives to develop and execute strategic plans that align with the organization's goals and objectives. As part of the strategic planning process, develops short and long-term goals for the overall operations of MOO
    • Retaining a very visible, high-level profile influencing legislators, HCPF staff, and external and internal stakeholders
    • Detecting and anticipating future needs of MOO and provides recommendations to the Medicaid Operation Office Director about new programs and initiatives
    • Translating, aligning, and implementing strategies created by the Deputy Office Director to the Office in the most efficient way possible to reach target goals and timelines
    • Directing the performance, programs, and operations of the Medicaid Operations Office
    • Representing the Medicaid Operations Office in meetings in the Department with other offices, in collaborative work efforts with sister state agencies, and federal partners
    • Maintaining collaborative solution-oriented relationships with key stakeholders and partners
    • As work lead, prioritizing and assigning work, monitoring services and products to ensure quality, timeliness, and quantity meet standards and deadlines for deliverables to meet work plan objectives
    • Implementing methods, procedures, and processes to improve workflow and productivity
    • Other duties as assigned
      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.

      Class Code & Classification Description:
      H6G8XX

      Education and Experience:
      Ten years of State Government experience in CBMS, Medicaid, or other Public Assistance Programs.

      OR

      Bachelor's degree from an accredited institution in Business Administration, Operations Management, or a field of study related to the work assignment; AND six years of State Government experience in CBMS, Medicaid, or other Public Assistance Programs.

      Substitutions:

      Additional appropriate education will substitute for the required experience on a year-for-year basis.

      Preferred Qualifications:
      • Prior state experience related to the duties of this position
      • Master's Degree in Business Administration, Operations Management, or a field of study related to the work assignment
      • Experience using technology and data analytics tools to support operational decision-making
      • Experience in process improvement, change management, and project management
      • Experience in managing and developing high-performing teams
      • Experience in a senior leadership role with a focus on operations management

        Highly Desirable Knowledge, Skills & Abilities (KSAs):
        • A proactive and results-driven mindset, with a commitment to continuous learning and professional development
        • Knowledge of relevant industry regulations and compliance requirements
        • Effective communication and interpersonal skills, with the ability to collaborate cross-functionally and influence stakeholders at all levels
        • Excellent leadership and team-building abilities
        • Strong strategic planning and execution skills, with a track record of driving operational excellence and achieving business objectives
        • Exceptional analytical and problem-solving skills, with the ability to translate data into actionable insights

          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.
          • Local in-state travel is required and occasional national travel.

            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 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, at spb.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.

            Jessica Boyer, Talent Acquisition Specialist - jessica.boyer@state.co.us

            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:

            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

              If you are a current or former State of Colorado employee, please provide your EID (employee identification numbers will start with 99...). If not, please type N/A.

              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

                Describe your professional experience translating data into actionable insights. What was the outcome?

                07

                Describe a time you faced ambiguity in your work, and how you handled the situation for the best outcome for your leadership and team?

                08

                What's the most stressful political situation you've faced at work so far? How did you handle it?

                09

                Would you be interested in the role of MOO Chief Operating Officer (COO) within the next three years?

                10

                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

Keywords: State of Colorado, Denver , Medicaid Operations Office Deputy Director, Executive , Denver, Colorado

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