Colorado State Managed Care Regulatory Specialist in Denver, Colorado

Managed Care Regulatory Specialist



Managed Care Regulatory Specialist


$4,200.00 - $6,147.00 Monthly


Denver, CO

Job Type

Full Time


Department of Health Care Policy and Financing

Job Number



11/14/2018 11:59 PM Mountain

  • Description

  • Benefits

  • Questions

Department Information


Make a difference-Join HCPF by improving health care access and outcomes for the people we serve while demonstrating stewardship of financial resources.

The Department of Health Care Policy and Financing (Department) offers a competitive benefits package to include the Public Employees Retirement Account (PERA), 401k/457, health/dental insurance options, 10 holidays, accrual of paid sick and vacation/annual time, flex place and flex time. The Department is also centrally located; offers affordable ECO passes; has a fitness center on-site; and a variety of discounts on services and products are available to state employees through the State of Colorado's Work-Life Employment Discount Program. The Department also encourages employees to take advantage of advanced education and offers reduced college tuition through CSU Global for their employees. This Department is a "Tobacco Free Workplace".

Description of Job

What You'll be Doing

This position will be the liaison for all Department efforts related to the implementation of the federal managed care regulations. The position will be the point person with relevant stakeholders. Position analyzes legislation, regulations, rules, and contract language as it relates to the managed care and mental health parity regulations for impact on the Medicaid program, the stakeholders, and the contractors and to assist Department staff with related issues.

The position must be able to manage laterally to team members that do not directly report to the position. This position will help design strategy, business systems, standards, processes, guidelines, rules, and contract language that are mission critical and are directly impacted by the updated federal managed care and mental health parity regulations. This position will be expected to interface regularly with HCPF's Quality, Rates, Budget, Data Analytics, Program Integrity, and the Health Information Office and Health Programs Office in order to be effective. This position can help influence and impact actors outside the Department, including others in state government, and other key stakeholders in the community through development of strategies to implement managed care and mental health parity regulations.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

All classified state positions require Colorado residency at time of application.

Minimum Qualifications

Education: Graduation from an accredited college or university with a bachelor's degree in Public Health, Health Policy, Health Economics, Public Administration or a field of study directly related to the work assignment


Experience: 2 (two) years of professional experience working in health care policy, publicly funded health care programs, public policy or regulation analysis.


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 of general experience

DEFINITION OF PROFESSIONAL EXPERIENCE: Work that 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.


The preferred candidate will possess:

  • Prior public policy experience.

  • A strong knowledge of legislative and rule development process for Colorado and the role of HCPF and that of other state agencies.

  • Experience interpreting state and federal laws.

  • Successful and recent experience establishing and maintaining professional relationships with health care stakeholders.

  • Experience facilitating events.

  • Behavioral health policy experience

  • Excellent oral and written communication skills.


  • All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment.

  • Position must travel with occasional overnight stays; therefore, overnight availability and a valid Colorado Driver's License is required.

  • Employees who have been disciplinarily 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

If you receive notice that you have been eliminated from consideration for the position, you may protest the action by filing an appeal with the State Personnel Board/State Personnel Director within 10 days from the date you receive notice of the elimination.

Also, if you wish to challenge the selection and comparative analysis process, you may file an appeal with the State Personnel Board/State Personnel Director within 10 days from the receipt of notice or knowledge of the action you are challenging.

Refer to Chapters 4 and 8 of the State Personnel Board Rules and Personnel Director's Administrative Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative Procedures are available at

A standard appeal form is available at: If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within 10 days of your receipt of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director, Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: 303-866-5038. Phone: 303-866-3300. The ten-day deadline and these appeal procedures also apply to all charges of discrimination.

Supplemental Information


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. Be sure your application specifically addresses the requirements as listed in the minimum qualifications. Address your specialized experience, work products, and accomplishments as they relate to the position duties and minimum and preferred qualifications. Attach additional pages if necessary to fully explain your experience and accomplishments. 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 by the closing date of this announcement will result in your application being rejected.

"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."


Technical Help

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).