Colorado Department of Revenue
Managed Care Unit Supervisor
Colorado Department of Revenue, Denver, Colorado, United States, 80285
Managed Care Unit Supervisor
Colorado Department of Revenue – Department of Health Care Policy & Financing (HCPF)
Join our Cost Control and Quality Improvement Office as a Managed Care Unit Supervisor. The role reports to the Unit Director and supports the State of Colorado’s Medicaid programs.
Responsibilities
Maintain oversight of the day‑to‑day operations of the Managed Care Unit, including supervising the unit’s employees.
Develop a strategic action plan for the unit with emphasis on managed care and benefit definition related to amount, scope and duration of services.
Manage the needs assessment for the unit.
Develop and defend decision items each year in the legislative process.
Establish goals and objectives to meet the Department’s overall mission.
Supervise activities and all aspects of development and implementation of tasks assigned to the Managed Care Unit.
Provide oversight for Medicaid Managed Care and Dual Special Needs Program (DSNP) contracts and serve as a resource for managed‑care aspects of Medicaid mental and physical health contracts.
Provide direction and assistance with drafting, negotiating, processing, and implementing contracts, amendments, and waivers for Medicaid managed care and DSNP programs.
Serve as the Unit’s primary liaison with other Department divisions and sections, state agencies, providers, vendors and advocates to support the Department’s broad program and policy direction.
Evaluate significant changes and provide direction to senior managers and line staff on policy, operational implications and impact on current managed care policies and ACC contracts.
Work collaboratively with individual benefit and program managers, including the Accountable Care Collaborative (ACC), to develop strategies to increase managed care through the ACC to improve overall health outcomes.
Oversee the integration and promotion of managed care programs into the ACC to achieve effective and efficient program improvements and enhancements.
Minimum Qualifications
Eight (8) years of professional experience in Medicaid, managed care, health care policy or a related field.
OR a bachelor’s degree in public policy, health care administration or a related field and four (4) years of professional experience in the same areas.
Educational substitutions: Associate = 2 years, Bachelor = 4 years, Master = 6 years, Doctorate or JD = 7 years of experience.
Preferred Qualifications
Prior state experience with federal and state regulations.
Medicaid managed care experience.
Experience in Dual‑eligible Special Needs Plans (DSNPs).
Supervisory experience.
Highly Desired Knowledge, Skills, and Abilities
Knowledge of Dual‑Eligible Special Needs Plans (DSNPs) and federal/state regulations.
Strategic thinking and initiative-taking.
Project execution and team leadership skills.
Ability to build trust among teams and stakeholders.
High integrity and fairness in work situations.
Innovative problem‑solving.
Benefits
PERA retirement benefits, 401(k) and 457 plans.
Medical, dental and vision insurance.
Short‑ and long‑term disability coverage.
Life and AD&D insurance.
Flexible Spending Accounts.
Family Medical Leave Act (FMLA) and State Health Paid Family Medical Leave (PFML).
Paid holidays, accrued annual and sick leave.
Flexplace and flextime arrangements.
Discounts through the State of Colorado Work‑Life Employment Discount Program.
Free RTD EcoPass; Credit Union membership eligibility.
Possible Public Service Loan Forgiveness Program eligibility.
Conditions of Employment
Security‑sensitive position requiring a criminal record background check.
Applicants who have been terminated, resigned in lieu of termination or negotiated termination must disclose this information.
Application Process Only the State of Colorado job application will be reviewed during the initial screening. Clearly describe all relevant experience in the application; applications marked “SEE RESUME” or left blank will not be considered.
Your application will be evaluated against the minimum qualifications. Successful candidates will be invited to the comparative analysis process, followed by a final interview if selected.
Failure to provide all required documents by the closing date will result in rejection.
Accommodations for Employees with Disabilities The Department of Health Care Policy & Financing is committed to inclusive hiring and will provide reasonable accommodations. Submit accommodation requests to the ADAAA Coordinator, Minnie Kaur (anupreet.kaur@state.co.us).
Equal Employment Opportunity Statement The State of Colorado is an equal‑opportunity employer. We encourage applicants from all backgrounds and with all disabilities to apply. The Department does not offer sponsored visas for employment purposes.
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Join our Cost Control and Quality Improvement Office as a Managed Care Unit Supervisor. The role reports to the Unit Director and supports the State of Colorado’s Medicaid programs.
Responsibilities
Maintain oversight of the day‑to‑day operations of the Managed Care Unit, including supervising the unit’s employees.
Develop a strategic action plan for the unit with emphasis on managed care and benefit definition related to amount, scope and duration of services.
Manage the needs assessment for the unit.
Develop and defend decision items each year in the legislative process.
Establish goals and objectives to meet the Department’s overall mission.
Supervise activities and all aspects of development and implementation of tasks assigned to the Managed Care Unit.
Provide oversight for Medicaid Managed Care and Dual Special Needs Program (DSNP) contracts and serve as a resource for managed‑care aspects of Medicaid mental and physical health contracts.
Provide direction and assistance with drafting, negotiating, processing, and implementing contracts, amendments, and waivers for Medicaid managed care and DSNP programs.
Serve as the Unit’s primary liaison with other Department divisions and sections, state agencies, providers, vendors and advocates to support the Department’s broad program and policy direction.
Evaluate significant changes and provide direction to senior managers and line staff on policy, operational implications and impact on current managed care policies and ACC contracts.
Work collaboratively with individual benefit and program managers, including the Accountable Care Collaborative (ACC), to develop strategies to increase managed care through the ACC to improve overall health outcomes.
Oversee the integration and promotion of managed care programs into the ACC to achieve effective and efficient program improvements and enhancements.
Minimum Qualifications
Eight (8) years of professional experience in Medicaid, managed care, health care policy or a related field.
OR a bachelor’s degree in public policy, health care administration or a related field and four (4) years of professional experience in the same areas.
Educational substitutions: Associate = 2 years, Bachelor = 4 years, Master = 6 years, Doctorate or JD = 7 years of experience.
Preferred Qualifications
Prior state experience with federal and state regulations.
Medicaid managed care experience.
Experience in Dual‑eligible Special Needs Plans (DSNPs).
Supervisory experience.
Highly Desired Knowledge, Skills, and Abilities
Knowledge of Dual‑Eligible Special Needs Plans (DSNPs) and federal/state regulations.
Strategic thinking and initiative-taking.
Project execution and team leadership skills.
Ability to build trust among teams and stakeholders.
High integrity and fairness in work situations.
Innovative problem‑solving.
Benefits
PERA retirement benefits, 401(k) and 457 plans.
Medical, dental and vision insurance.
Short‑ and long‑term disability coverage.
Life and AD&D insurance.
Flexible Spending Accounts.
Family Medical Leave Act (FMLA) and State Health Paid Family Medical Leave (PFML).
Paid holidays, accrued annual and sick leave.
Flexplace and flextime arrangements.
Discounts through the State of Colorado Work‑Life Employment Discount Program.
Free RTD EcoPass; Credit Union membership eligibility.
Possible Public Service Loan Forgiveness Program eligibility.
Conditions of Employment
Security‑sensitive position requiring a criminal record background check.
Applicants who have been terminated, resigned in lieu of termination or negotiated termination must disclose this information.
Application Process Only the State of Colorado job application will be reviewed during the initial screening. Clearly describe all relevant experience in the application; applications marked “SEE RESUME” or left blank will not be considered.
Your application will be evaluated against the minimum qualifications. Successful candidates will be invited to the comparative analysis process, followed by a final interview if selected.
Failure to provide all required documents by the closing date will result in rejection.
Accommodations for Employees with Disabilities The Department of Health Care Policy & Financing is committed to inclusive hiring and will provide reasonable accommodations. Submit accommodation requests to the ADAAA Coordinator, Minnie Kaur (anupreet.kaur@state.co.us).
Equal Employment Opportunity Statement The State of Colorado is an equal‑opportunity employer. We encourage applicants from all backgrounds and with all disabilities to apply. The Department does not offer sponsored visas for employment purposes.
#J-18808-Ljbffr