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Form of workThis announcement may be used to fill multiple vacancies.
The Department of Regulatory Agencies (DORA) is dedicated to preserving the integrity of the marketplace and is committed to promoting a fair and competitive business environment in Colorado.
Consumer protection is our mission.
DORA values and promotes diversity, supporting a workplace that is inclusive of people from different backgrounds and experiences; creating an environment that is reflective of our communities; promoting positive relationships; and putting forth unique perspectives to fulfill our mission.
- Employer-sponsored RTD EcoPass, with offices located at Civic Center Plaza, above the RTD Civic Center station and just a few blocks from RTD light rail.
- Extensive work-life programs such as flexible schedules, training and professional development opportunities on a wide variety of subjects, and more!
- Employee wellness programs, including the Colorado State Employee Assistance Program (CSEAP), which provides free, confidential counseling services.
- Bike-to-work programs, including access to storage lockers and bike racks.
- Flexible retirement benefits, including a choice of the PERA Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans.
- Medical and Dental Health Insurance for employees and optional coverage for their dependents.
- Life Insurance for employees, and optional coverage for their dependents.
- Paid Time Off, including 11 paid holidays.
- Short- and long-term disability coverage.
- Tuition assistance program.
The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado. DOI helps consumers by answering their questions, investigating their complaints, and helping them to understand their insurance. The division regulates and monitors insurance companies in Colorado, as well as insurance agents, ensuring all are following the law.
The Life and Health Policy Work Unit includes the operations and staff of four units: The Life and Health Consumer Services Section, the Market Regulation Section, Behavioral Health Unit, Health Insurance Affordability Enterprise Unit and other policy areas including Primary Care and Prescription Drug Affordability. The Behavioral Health Unit within the DOI exists to enforce and implement State and Federal mental health, Behavioral Health, and substance use disorder (SUD) health parity laws, as well as support the development, implementation, and operationalization of the DOI's partnership with the newly established Behavioral Health Administration (BHA).
Position: SFA 4317
The Policy Advisor III position works to conduct policy analysis, evaluation, coordination, and alignment of the DOI's regulation of commercial payers with the work of the BHA policy. Such activities will inform and advise the DOI on the integration of the DOI's work with the BHA. Position analyzes data received from the BHA as it pertains to provider participation and consumer access to care. Position utilizes its research, analysis, and tracking of consumer and provider complaints to identify systemic issues related to Behavioral Health access, which will be shared with other DOI leadership. Position conducts policy analysis related to reforms under consideration by the BHA, such as evaluating opportunities for alignment regarding network adequacy and credentialing.
Duties include, but are not limited to:
- Analyzing data and policy analysis to support the planning, implementation, and evaluation of the Division's Behavioral Health program generally, including, but not limited to, including Mental Health Parity and Addiction Equity Act (MHPAEA) enforcement, essential health benefit benchmark plan implementation, medication-assisted treatment (MAT) for substance use disorder (SUD) coverage;
- Utilizing management protocols for SUD and opioid use disorder (OUD) in accordance with state statute. Position informs strategy for the Division's Behavioral Health enforcement strategies;
- Reviewing, interpreting, and making compliance determinations regarding large sets of qualitative and quantitative data submitted to the Division by health insurance carriers to assess compliance and quality of coverage for consumers based on State and Federal laws, regulations, and bulletins;
- Providing technical expertise for the Division in discussions regarding Behavioral Health benefit provision and MHPAEA enforcement and BHA alignment;
- Providing expertise to the planning, implementation, and alignment of the DOI with the BHA-led reforms of Colorado's Behavioral Health system, as well as the markets and carriers within its purview, in accordance with the formal agency agreement between the DOI and BHA;
- Providing technical leadership to ensure the DOI meets all required elements as specified in the interagency agreement and serves as a resource to the BHA to ensure the agency meets its specified requirements;
- Managing relationships with health insurance carriers, community partners, and consumer representation groups to ensure that the Division Behavioral Health coverage enforcement strategies accurately reflect community need and capacity;
- Scheduling meetings between BHA communications staff and DOI communications staff to discuss and ensure alignment on any general or specific communication materials, including but not limited to, media requests, community outreach, joint messaging opportunities, press releases, announcements, marketing materials, presentations, and reports;
- Ensuring cross agency collaboration, legislative engagement, and public and local stakeholder engagement.
MINIMUM QUALIFICATIONS (MQs):
- Graduation from an accredited college or university with a bachelor's degree in business, business administration, business management, public policy, project management, public administration, public health, political science, healthcare administration, healthcare management, law, or in a field of study directly related to the work assignment; AND
- Two (2) years of progressively responsible professional* experience in a government environment and/or in the fields of Behavioral Health, health insurance, and/or public health performing at least two (2) of the following:
- Providing analytical support by conducting policy analysis or policy development, including interpreting policy to identify gaps and provide recommendations; and/or
- Conducting research and reviewing large sets of data or information to identify gaps and/or assess compliance with laws and regulations, and provide recommendations; and/or
- Resolving disputes in claims handling, policy services, compliance, and/or member services; and/or
- Stakeholder coordination and/or public/community engagement and outreach and/or answering in-depth questions on policies, including managing relationships with diverse stakeholders, liaising between parties, and/or explaining complex matters to diverse audiences in lay terms.
- Of the two years (2) listed above, one (1) year must include facilitating effective communication between diverse stakeholders and fostering relationships with the public and/or vulnerable communities.
Document this experience in your application IN DETAIL, as your experience will not be inferred or assumed. Part time experience will be prorated.
SUBSTITUTIONS:
- A combination of professional* 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 master's degree or doctorate from an accredited college in a field of study directly related to the work assignment may be substituted for the professional* work experience on a year-for-year basis but NOT for the one (1) one year of the required experience facilitating effective communication between diverse stakeholders and fostering relationships with the public and/or vulnerable communities.
*Professional work involves exercising discretion, analytical skill, judgment and 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.
Preferred Qualifications:
- Demonstrated experience with analyzing market regulation activities and compliance enforcement procedures;
- Demonstrated experience making compliance determinations based on state and federal laws;
- Demonstrated experience working with vulnerable communities/populations and engaging in relationship building with community partners and stakeholders;
- Demonstrated experience working within a state government agency, researching, analyzing, and interpreting policies and/or data to identify gaps and/or make recommendations;
- Demonstrated professional* experience working within the insurance industry, analyzing and working according to policies, including insurance coverage requirements, reimbursement mechanisms, and/or the ability to navigate insurance claim processes;
- Demonstrated experience utilizing data to inform decision-making and drive policy change, including collecting, analyzing, and interpreting data outcomes, disparities, and service utilization;
- Experience understanding, interpreting, analyzing, and providing recommendations on regulatory, legislative, and policy proposals;
- Demonstrated professional* experience working with, knowledge of, and/or familiarity with public health-related policies, including mental health policies and/or Behavioral Health-related policies;
- Demonstrated experience adapting to changing priorities and work in a fast-paced environment with tight deadlines.
Required Competencies: The following knowledge, skills, abilities, and personal characteristics are required competencies and may be considered during the selection process (including examination and/or interview):
- Demonstrated written communication skills, including the ability to convey information to various stakeholders in a clear, accurate, and concise written manner;
- Demonstrated verbal communication skills, including the ability to effectively convey information to audiences in a concise manner;
- Demonstrated ability to identify and engage a broad range of stakeholders including but not limited to, community organizations, diverse backgrounds and communities, as well as executive staff and leadership;
- Demonstrated attention to detail and ability to make compliance determinations based on state and federal laws;
- Demonstrated critical thinking and analytical skills, including having the ability to evaluate information in order to apply knowledge and to decide on the most appropriate course of action;
- Demonstrated prioritization skills, including planning, organizing tasks, and managing work assignments;
- Demonstrated adaptability skills including the ability to adapt to changing priorities and work in a fast-paced environment with tight deadlines
- Demonstrated interpersonal skills and the ability to collaborate with multidisciplinary stakeholders to provide analysis and assist in the development and implementation of policy solutions;
- Demonstrated time management skills, including the ability to multi-task to effectively manage competing and constantly changing priorities in order to meet tight deadlines;
- Demonstrated organizational skills and the ability to manage multiple tasks and prioritize effectively;
- Demonstrated problem-solving and analytical skills, including the ability to analyze and interpret large sets of qualitative or quantitative data;
- Demonstrated relationship building skills including the ability to provide technical guidance and ensure compliance;
- Demonstrated ability to understand and abide by workplace principles, practices and behaviors as internally identified and defined by the division and department;
- Demonstrated ability to maintain confidential, controversial, or sensitive information;
- Demonstrated ability to read, understand, interpret, apply, and explain laws, rules, policies, and procedures;
- Sound judgment and the ability to timely and appropriately make recommendations to supervisor and senior leadership team as necessary;
- Self-motivated, self-directed, reliable, and accountable;
- Self-starter, including the ability to work independently, learn new processes, utilize own knowledge and that of supervisor, and complete work with minimal supervision;
- Demonstrated professional demeanor;
- Knowledge and understanding in the use of PC software applications including Microsoft Office (Access, Word, Excel, etc.), and Google Suite (Doc's, Sheets, Slides, etc).
Conditions of Employment:Candidates who fail to meet the conditions of employment will be removed from consideration.
- The successful passing of a reference check and/or, if required, a background check.
- A reference check may include but is not limited to: contacting previous and current supervisors to verify employment and discuss performance, a review of the personnel file, a review of the performance record, etc.
- The type of background check depends on the job duties of the position, and can include a review of any criminal record, credit report, and/or driving record.
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- Effective September 20, 2021, employees will be required to attest to and verify whether or not they are fully vaccinated for C...
