This position exists within the Performance Improvement Team of the Medicaid Operations Office. Position develops new standardized procedures for the Performance Improvement Team, participates in efforts to develop and document best practices, and design new performance measure reporting processes. Position develops and completes a range of statistical and data analyses of eligibility data in the main data warehouse to support the Division's data mining functions of identifying root causes of backlog, untimely processing, and accuracy errors. Position uses database software made available by the Department and descriptive statistical techniques to extract, manage, analyze, and summarize Medicaid eligibility and enrollment data and other data that may be available. This position makes inferential statistical analyses based on small samples (for example: accuracy and audit data) while also developing performance control charts for analysis of entire samples of data (for example: timeliness and backlog data). Position develops and completes a range of analyses and reports using software provided by the Department employing various techniques, including statistical software, data analytics, algorithm development, data matching, and regression analysis. Understands and interprets written materials, including technical materials, rules, regulations, reports, charts, graphs, or tables. The position also evaluates alternative methods to detect eligibility errors, untimely determinations, waste and abuse of Medicaid dollars and program revisions to improve eligibility monitoring. Position conducts assigned, routine, and monthly data compilation and analysis projects as well as formulating original quarterly projects to monitor eligibility Policy compliance with Medicaid statutes and regulations. Documents all analyses in the format required by Section standard operating procedure. Position provides data analytical support to the Eligibility Division. Position collaborates with others and works with teams to accomplish Eligibility Performance Improvement Team goals. The work of this position is to provide support and focus to Eligibility Site Accountability. The position helps to inform and provide data to Eligibility Site Scorecards.
Position serves as a direct resource for responding to questions and identifying trends as they relate to timeliness, accuracy, or any other reported eligibility data. Position monitors, analyzes, and summarizes findings of specific Cognos reports as it relates to eligibility issues such as timeliness, backlog, redeterminations, mass update exception reports, pending reports, and court reports within the Medical eligibility sites. Position researches and generates awareness to Performance Improvement about new technologies and system changes that impact eligibility determination timeliness, accuracy, and business processes, providing statewide eligibility site workers with tools/best practices to improve timeliness and business processes for enrollment and eligibility determinations for Medical Assistance programs.
Education and Experience:
Bachelor's degree from an accredited institution in a field of study related to the work assignment AND two years of professional experience in an occupational field related to the work assigned to the position.
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 master's or doctorate degree from an accredited college or university in a field of study related to the work assignment may be substituted for the bachelor's degree and, one or two years of general experience respectively.
How to Apply (PLEASE READ CAREFULLY)
Applicants are encouraged to attach a cover letter and resume to their application.
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 of 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 up to 6 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 and information by the closing date of this announcement will result in your application being rejected.
~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~
ADAAA Accommodations: Any person with a disability as defined by the ADA Amendments Act of 2008 (ADAAA) may be provided a reasonable accommodation upon request to enable the person to complete an employment assessment. To request an accommodation, please contact by phone or email at least five business days before the assessment date to allow us to evaluate your request and prepare for the accommodation. You may be asked to provide additional information, including medical documentation, regarding functional limitations and type of accommodation needed. Please ensure that you have this information available well in advance of the assessment date.
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 Healthcare Policy and 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, Debra Becerra at email@example.com or call 303-866-3887.
If you experience difficulty in uploading or attaching documents to your online application, call NEOGOV technical support at 877-204-4442 anytime between 6:00 a.m.-6:00 p.m. (Pacific Time).