State of Colorado
DD Waiver Enrollment & Appeals Specialist.
State of Colorado, Denver, Colorado, United States, 80285
DD Waiver Enrollment & Appeals Specialist
State of Colorado
State Of Colorado Residency Required at Time of Application
NOTE: This announcement may be used to fill multiple openings.
Due to the State's current hiring freeze, this position will not be filled until after January 1, 2026
Envision yourself working at HCPF
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.
Benefits
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, visit https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.
What You’ll Be Doing
This position functions as a recognized staff authority within the Office of Community Living (OCL) CMQP Division on HCBS-DD waiver enrollment policy, Emergency Enrollment Request standards, and HCBS/CFC appeals operations.
The position independently interprets federal regulations, state statute, and waiver requirements; develops policy recommendations that shape statewide enrollment practices; and advises Department leadership on programmatic impacts, compliance risks, and long-term sustainability strategies.
This position provides strategic guidance to executive leadership on long-term program design, Medicaid sustainability, and statewide operational standards.
Recommendations made by this position directly influence Department rulemaking, legislative analysis, and the development of statewide policies governing access to the HCBS-DD waiver.
Residency Requirement Only residents of the State of Colorado at the time of submitting your application are eligible.
Minimum Qualifications
Option 1: Seven (7) years of related professional experience in Policy Analysis and Development, Stakeholder Engagement and Facilitation, Program or Workforce Development, Data Interpretation and Application.
Option 2: A bachelor’s degree from an accredited institution in public policy, public administration, health administration, social work, psychology, human services, economics, sociology or a related field plus three (3) years of professional experience in the areas listed above. Appropriate education will substitute for the required experience on a year-for-year basis as follows:
Associate degree = 2 years of experience
Bachelor’s degree = 4 years of experience
Master’s degree = 6 years of experience
Doctorate or juris doctorate = 7 years of experience
Preferred Qualifications
Prior state experience related to the duties of this position
Master’s degree in public policy, health administration, or a related field
Experience with federal and state health policy compliance (especially CMS and HCBS regulations)
Experience leading cross-agency or interdepartmental initiatives
Experience designing or managing workforce development platforms
Technical expertise in managing data systems, web content, or benefit platforms
Professional experience providing case management or service coordination for individuals with intellectual or developmental disabilities, including assessment, eligibility determination, or ongoing monitoring.
Experience preparing for or participating in administrative appeals, fair hearings, or interactions with Administrative Law Judges, particularly within human services or Medicaid programs.
Experience interpreting, applying, or operationalizing eligibility rules or regulatory criteria in a state or county-administered human services system.
Highly Desired Knowledge, Skills, and Abilities
Demonstrated familiarity with the Home and Community-Based Services (HCBS) Developmental Disabilities waiver, including targeting criteria, enrollment prioritization, and management of the DD waiver waitlist
Solid understanding of HCBS and federal/state healthcare policy frameworks
Knowledge of effective recruitment, retention, and compensation strategies in the direct care or healthcare sector
Ability to draft clear, compliant policy language and interpret legal/regulatory updates
Skill in applying workforce and provider data (e.g., wage trends, capacity gaps) to inform strategic decisions
Ability to connect long-term workforce sustainability goals to operational and policy levers
Ability to coordinate initiatives involving multiple departments, vendors, or funding sources
Ability to hold partners and stakeholders accountable while also offering constructive technical assistance and solution-oriented support
Conditions of Employment
All positions at HCPF are security sensitive and require a criminal 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 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 within ten (10) calendar days from your receipt of notice or acknowledgment of the Department’s action.
Supplemental Information 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.
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 other applicants in the pool 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 is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. All qualified applicants are encouraged to apply regardless of 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). The Department of Health Care Policy & Financing will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing pre‑employment testing, participating in the employee selection process, and/or performing essential job functions where the requested accommodation does not impose undue hardship. For assistance, contact ADAAA Coordinator Minnie Kaur at anupreet.kaur@state.co.us.
Visas The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.
Seniority level Not Applicable
Employment type Full-time
Job function Other
Industries Government Administration
#J-18808-Ljbffr
State Of Colorado Residency Required at Time of Application
NOTE: This announcement may be used to fill multiple openings.
Due to the State's current hiring freeze, this position will not be filled until after January 1, 2026
Envision yourself working at HCPF
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.
Benefits
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, visit https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.
What You’ll Be Doing
This position functions as a recognized staff authority within the Office of Community Living (OCL) CMQP Division on HCBS-DD waiver enrollment policy, Emergency Enrollment Request standards, and HCBS/CFC appeals operations.
The position independently interprets federal regulations, state statute, and waiver requirements; develops policy recommendations that shape statewide enrollment practices; and advises Department leadership on programmatic impacts, compliance risks, and long-term sustainability strategies.
This position provides strategic guidance to executive leadership on long-term program design, Medicaid sustainability, and statewide operational standards.
Recommendations made by this position directly influence Department rulemaking, legislative analysis, and the development of statewide policies governing access to the HCBS-DD waiver.
Residency Requirement Only residents of the State of Colorado at the time of submitting your application are eligible.
Minimum Qualifications
Option 1: Seven (7) years of related professional experience in Policy Analysis and Development, Stakeholder Engagement and Facilitation, Program or Workforce Development, Data Interpretation and Application.
Option 2: A bachelor’s degree from an accredited institution in public policy, public administration, health administration, social work, psychology, human services, economics, sociology or a related field plus three (3) years of professional experience in the areas listed above. Appropriate education will substitute for the required experience on a year-for-year basis as follows:
Associate degree = 2 years of experience
Bachelor’s degree = 4 years of experience
Master’s degree = 6 years of experience
Doctorate or juris doctorate = 7 years of experience
Preferred Qualifications
Prior state experience related to the duties of this position
Master’s degree in public policy, health administration, or a related field
Experience with federal and state health policy compliance (especially CMS and HCBS regulations)
Experience leading cross-agency or interdepartmental initiatives
Experience designing or managing workforce development platforms
Technical expertise in managing data systems, web content, or benefit platforms
Professional experience providing case management or service coordination for individuals with intellectual or developmental disabilities, including assessment, eligibility determination, or ongoing monitoring.
Experience preparing for or participating in administrative appeals, fair hearings, or interactions with Administrative Law Judges, particularly within human services or Medicaid programs.
Experience interpreting, applying, or operationalizing eligibility rules or regulatory criteria in a state or county-administered human services system.
Highly Desired Knowledge, Skills, and Abilities
Demonstrated familiarity with the Home and Community-Based Services (HCBS) Developmental Disabilities waiver, including targeting criteria, enrollment prioritization, and management of the DD waiver waitlist
Solid understanding of HCBS and federal/state healthcare policy frameworks
Knowledge of effective recruitment, retention, and compensation strategies in the direct care or healthcare sector
Ability to draft clear, compliant policy language and interpret legal/regulatory updates
Skill in applying workforce and provider data (e.g., wage trends, capacity gaps) to inform strategic decisions
Ability to connect long-term workforce sustainability goals to operational and policy levers
Ability to coordinate initiatives involving multiple departments, vendors, or funding sources
Ability to hold partners and stakeholders accountable while also offering constructive technical assistance and solution-oriented support
Conditions of Employment
All positions at HCPF are security sensitive and require a criminal 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 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 within ten (10) calendar days from your receipt of notice or acknowledgment of the Department’s action.
Supplemental Information 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.
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 other applicants in the pool 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 is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. All qualified applicants are encouraged to apply regardless of 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). The Department of Health Care Policy & Financing will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing pre‑employment testing, participating in the employee selection process, and/or performing essential job functions where the requested accommodation does not impose undue hardship. For assistance, contact ADAAA Coordinator Minnie Kaur at anupreet.kaur@state.co.us.
Visas The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.
Seniority level Not Applicable
Employment type Full-time
Job function Other
Industries Government Administration
#J-18808-Ljbffr