Behavioral Health Rates Analyst

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 Behavioral Health Rates Analyst to join our Waiver and Fee Schedule Rates Sectionteam!

The Waiver and Fee Schedule Rates Section develops rate-setting methodologies, sets and determines rates, and implements rates for Long Term Services and Supports (LTSS), Medicaid State Plan Services, and Home and Community Based Services (HCBS). Rate development must comply with all applicable state statutes, federal regulations. The Waiver and Fee Schedule Rates Section utilizes many data sources in order to develop provider rates, such as claims and eligibility data, cost reports, Medicare rate information, private payer and other states Medicaid rate information. The section evaluates, validates and reconciles utilization and claims data for the purpose of rate development, rate methodology evaluation, and payment reform. The Waiver and Fee Schedule Rates Section develops contract maximums, determines contractor reimbursement, and incorporates contract rate methodology into vendor contracts. The Waiver and Fee Schedule Rates Section plays and important role in working toward the Department's mission to improve access to cost-effective, quality health care services for Coloradans.

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.

What you'll be doing:
The Behavioral Health Rates Analyst position exists to perform reimbursement to Medicaid state plan Behavioral Health services. This position works closely with supervisors and more senior staff to gain knowledge and understanding of Medicaid State Plan Behavioral Health reimbursement in the areas of rates, policy, regulations, statutes, and procedures for both internal and external stakeholders. Position calculates Medicaid state plan Behavioral Health reimbursement rates, implements annual rate changes, and evaluates and researches stakeholder and committee recommendations. Position develops and completes analyses and reports related to Medicaid state plan Behavioral Health reimbursement, healthcare outcomes, and utilization for both the current reimbursement methodology and any proposed reimbursement methodologies and implements changes to Medicaid state plan reimbursement.

Residency Requirement: (New)

This posting is only open to residents of the State of Colorado at the time of submitting your application.

Class Code & Classification Description: (New)

H8G2XXRATE OR FINANCIAL ANALYST I

MINIMUM QUALIFICATIONS:

Education and Experience:Bachelor's degree from an accredited institution in mathematics, economics, statistics, finance, or a field of study related to the work assignment.

AND

One year of professional experience working with large data sets, developing and presentation of statistics to a variety of audiences, and technical writing to support analysis or other work related to the work assigned to the position.

PREFERRED QUALIFICATIONS:

• Familiarity with Windows platforms;

• Experience with Microsoft Office (Primarily Word and Excel);

• Experience with Google products;

• Experience using Oracle, SQL, R, or STATA

• Previous State experience performing work similar to this position.

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: (Updated)

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.Employment Type: Full Time