State of Colorado
Enterprise Solutions Integration (ESI) Business & Data Analyst
State of Colorado, Denver, Colorado, United States, 80285
STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION
NOTE: This announcement may be used to fill multiple openings.
Envision Yourself Working at HCPF
The State of Colorado strives to create a Colorado for All by building and maintaining workplaces that value and respect all Coloradans through a commitment to equal opportunity and hiring based on merit and fitness. The State is resolute in non‑discriminatory practices in everything we do, including hiring, employment, and advancement opportunities.
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. We encourage responses from people of diverse backgrounds and abilities.
Competitive Benefits Package
PERA retirement benefits (PERA Defined Benefit Plan, PERA Defined Contribution Plan, 401(k) 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 through the State of Colorado Work‑Life Employment Discount Program
Free RTD EcoPass to all eligible State Employees
Reduced college tuition through CSU Global
Credit Union of Colorado Membership Eligibility
Some positions may qualify for the Public Service Loan Forgiveness Program
Position Overview We are looking for an
Enterprise Services Integration (ESI) Business & Data Analyst
for the
Enterprise Solution Integration (ESI) Division
of the
Health Information Office (HIO) .
The ESI Division of HIO manages and enhances computerized claims processing and information management systems to ensure timely and accurate Medicaid and CHP+ claims processing. The role supports the Enterprise Solutions Integration Platform and surrounding systems, ensures data mapping and interface file integration, and supports regulatory audit requirements.
Responsibilities
Support the Department and Enterprise Solutions Integration Vendor by enforcing the ESI Software Development Life Cycle (SDLC) and governance processes for data and integration APIs & interfaces transmitted across Colorado Medicaid Enterprise Systems.
Implement data quality integrations across the CMES Ecosystem and direct Medicaid data access within that ecosystem.
Provide day‑to‑day operational support for Medicaid & CHP+ data exchanges between the CMES platform and other module systems.
Analyze and mitigate business, data, and operational impacts to integration platforms, APIs, and interface files critical to data exchanges.
Develop and execute advanced planning strategies with ESI, EPMO, BSD, Health IT, Contract Management, and Testing Divisions within HCPF and CMES module vendors.
Implement data and integration system changes in both waterfall and agile environments, focusing on continuous improvement and innovation.
Implement data modeling changes within the ESI and CMES platform in collaboration with cross‑functional teams.
Manage all stages of the ESI SDLC methodology to ensure complete lifecycle management of projects.
Residency Requirement This posting is only open to residents of the State of Colorado at the time of submitting your application.
Minimum Qualifications There are two ways to qualify for this position:
Option 1 – Experience Only: Seven (7) total years of professional experience managing business processes, vendors, and staff for large, complex systems with Medicaid data management or validation.
Guiding the Software Development Life Cycle.
Option 2 – Education and Experience:
Bachelor’s degree in Health Care Administration, Business Administration, or related field.
Three (3) total years of professional experience managing business processes, vendors, and staff for large, complex systems with Medicaid data management or validation.
Guiding the Software Development Life Cycle.
Appropriate education substitutes for the required experience on a year‑for‑year basis. Relevant education counts as follows: Associates (2 years), Bachelor’s (4 years), Master’s (6 years), Doctorate/Juris Doctor (7 years).
Preferred Qualifications
Previous relevant professional state experience.
Experience as a Systems Business Analyst overseeing SDLC methodology, documenting requirements, reviewing design and development documents, and ensuring traceability.
Experience in large claims processing systems, including State Medicaid and/or Pharmacy benefit systems, validating Medicaid data elements and values against crosswalks, and approving data integrations.
Assisting programmatic strategic direction, managing long‑term goals for system implementation, data integration, and vendor management.
Conditions of Employment
All positions require a criminal record background check.
Individuals who have been terminated for disciplinary reasons must disclose this information on the application.
Appeal Rights If you receive notice that you have been eliminated from consideration, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.
Appeals must be submitted on the official appeal form within ten (10) calendar days of receiving notice.
Application Process Please note that only your State of Colorado job application will be reviewed at the initial screening. Submit a resume and cover letter; if omitted, the application will not be considered.
Applications will be reviewed against the minimum qualifications. Qualified candidates will be invited to the comparative analysis process, which may involve additional selection steps.
ADA Accommodations The Department of Health Care Policy & Financing is committed to inclusion of all qualified individuals. For reasonable accommodation requests, contact the ADAAA Coordinator: anupreet.kaur@state.co.us.
EEO Statement The Department of Health Care Policy & Financing is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities.
We do not offer sponsored visas for employment purposes.
#J-18808-Ljbffr
NOTE: This announcement may be used to fill multiple openings.
Envision Yourself Working at HCPF
The State of Colorado strives to create a Colorado for All by building and maintaining workplaces that value and respect all Coloradans through a commitment to equal opportunity and hiring based on merit and fitness. The State is resolute in non‑discriminatory practices in everything we do, including hiring, employment, and advancement opportunities.
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. We encourage responses from people of diverse backgrounds and abilities.
Competitive Benefits Package
PERA retirement benefits (PERA Defined Benefit Plan, PERA Defined Contribution Plan, 401(k) 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 through the State of Colorado Work‑Life Employment Discount Program
Free RTD EcoPass to all eligible State Employees
Reduced college tuition through CSU Global
Credit Union of Colorado Membership Eligibility
Some positions may qualify for the Public Service Loan Forgiveness Program
Position Overview We are looking for an
Enterprise Services Integration (ESI) Business & Data Analyst
for the
Enterprise Solution Integration (ESI) Division
of the
Health Information Office (HIO) .
The ESI Division of HIO manages and enhances computerized claims processing and information management systems to ensure timely and accurate Medicaid and CHP+ claims processing. The role supports the Enterprise Solutions Integration Platform and surrounding systems, ensures data mapping and interface file integration, and supports regulatory audit requirements.
Responsibilities
Support the Department and Enterprise Solutions Integration Vendor by enforcing the ESI Software Development Life Cycle (SDLC) and governance processes for data and integration APIs & interfaces transmitted across Colorado Medicaid Enterprise Systems.
Implement data quality integrations across the CMES Ecosystem and direct Medicaid data access within that ecosystem.
Provide day‑to‑day operational support for Medicaid & CHP+ data exchanges between the CMES platform and other module systems.
Analyze and mitigate business, data, and operational impacts to integration platforms, APIs, and interface files critical to data exchanges.
Develop and execute advanced planning strategies with ESI, EPMO, BSD, Health IT, Contract Management, and Testing Divisions within HCPF and CMES module vendors.
Implement data and integration system changes in both waterfall and agile environments, focusing on continuous improvement and innovation.
Implement data modeling changes within the ESI and CMES platform in collaboration with cross‑functional teams.
Manage all stages of the ESI SDLC methodology to ensure complete lifecycle management of projects.
Residency Requirement This posting is only open to residents of the State of Colorado at the time of submitting your application.
Minimum Qualifications There are two ways to qualify for this position:
Option 1 – Experience Only: Seven (7) total years of professional experience managing business processes, vendors, and staff for large, complex systems with Medicaid data management or validation.
Guiding the Software Development Life Cycle.
Option 2 – Education and Experience:
Bachelor’s degree in Health Care Administration, Business Administration, or related field.
Three (3) total years of professional experience managing business processes, vendors, and staff for large, complex systems with Medicaid data management or validation.
Guiding the Software Development Life Cycle.
Appropriate education substitutes for the required experience on a year‑for‑year basis. Relevant education counts as follows: Associates (2 years), Bachelor’s (4 years), Master’s (6 years), Doctorate/Juris Doctor (7 years).
Preferred Qualifications
Previous relevant professional state experience.
Experience as a Systems Business Analyst overseeing SDLC methodology, documenting requirements, reviewing design and development documents, and ensuring traceability.
Experience in large claims processing systems, including State Medicaid and/or Pharmacy benefit systems, validating Medicaid data elements and values against crosswalks, and approving data integrations.
Assisting programmatic strategic direction, managing long‑term goals for system implementation, data integration, and vendor management.
Conditions of Employment
All positions require a criminal record background check.
Individuals who have been terminated for disciplinary reasons must disclose this information on the application.
Appeal Rights If you receive notice that you have been eliminated from consideration, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.
Appeals must be submitted on the official appeal form within ten (10) calendar days of receiving notice.
Application Process Please note that only your State of Colorado job application will be reviewed at the initial screening. Submit a resume and cover letter; if omitted, the application will not be considered.
Applications will be reviewed against the minimum qualifications. Qualified candidates will be invited to the comparative analysis process, which may involve additional selection steps.
ADA Accommodations The Department of Health Care Policy & Financing is committed to inclusion of all qualified individuals. For reasonable accommodation requests, contact the ADAAA Coordinator: anupreet.kaur@state.co.us.
EEO Statement The Department of Health Care Policy & Financing is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities.
We do not offer sponsored visas for employment purposes.
#J-18808-Ljbffr