What are the responsibilities and job description for the Managed Care Unit Supervisor position at State of Colorado?

STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION

The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have.

NOTE : This announcement may be used to fill multiple openings.

Envision yourself working at HCPF

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 Managed Care Unit Supervisor to join our Cost Control and Quality Improvement Office !

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.

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 hybrid to full-time in the office. Specific discussions about the schedule will be discussed during the offer stage.

What you'll be doing :

Maintaining oversight of the day-to-day operations of the Managed Care Unit, including supervising and managing the workload of the Units’ employees.

Developing a strategic action plan for the Unit with emphasis on Managed Care, including benefit definition related to amount, scope and duration of services.

Managing the needs assessment for the Unit.

Developing and defending decision items each year in the legislative process.

Establishing the goals and objectives to meet the Department’s overall mission.

Supervising activities and all aspects of development and implementation of tasks assigned to the Managed Care Unit.

Providing oversight for the Medicaid Managed Care and Dual Special Needs program (DSNP) contracts and is a resource for managed care for the Medicaid mental and physical health contracts.

Providing direction and assistance with drafting, negotiating, processing, and implementing contracts, amendments, and waivers in addition to contract management for Medicaid managed care and DSNP programs.

Serving as the Unit’s primary liaison with other Department divisions and sections, state agencies, providers, vendors and advocates to support the Department’s broad program and policy direction with regard to the above responsibilities.

Evaluating significant changes and providing direction to both senior managers in the Department around policy implications and line staff on operational implications as well as impact on current managed care policies and the ACC contracts.

Working collaboratively with individual benefit and program managers; including working with the Accountable Care Collaborative (ACC) to develop strategies to increase managed care through the ACC to improve overall health outcomes.

Overseeing the integration and promotion of managed care programs into the ACC to accomplish effective and efficient program improvements and enhancements.

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 :

H1A2XXPROGRAM MANAGEMENT I

MINIMUM QUALIFICATIONS :

There are two ways to qualify for this position :

Option 1 : Experience Only : Eight (8) years of professional experience working in Medicaid, managed care, health care policy or a related field.

Option 2 : Education and Experience : A bachelor's degree from an accredited institution in public policy, public administration, health care administration or a related field and four (4) years of professional experience working in Medicaid, managed care, health care policy or a related field.

Appropriate education will substitute for the required experience on a year-for-year basis. Relevant education will be calculated as follows :

An associate will count as two years of experience

A bachelor's will count as four years of experience

A master's degree will count for six years of experience

A doctorate or juris doctorate degree will count for seven years of experience

Preferred Qualifications :

Prior state experience related to the duties of this position

Medicaid managed care experience

Supervisory experience

Experience with reading and interpreting federal and state regulations

Masters Degree in public policy, public administration, health care administration or a related field

Highly Desired Knowledge, Skills, and Abilities :

Knowledge about Dual-Eligible Special Needs Plans (DSNPs)

Knowledge of federal and state regulations

Ability to think strategically

Ability to take initiative

Ability to execute projects and plans

Interpersonal skills to develop trust among teams and stakeholders

Team leadership skills to motivate others to effectively set and consistently achieve goals

High Integrity with the ability to remain fair and objective in work situations to include internal and external stakeholders

Innovative with the ability to create solutions that support department goals

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 :

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.

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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