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State of Colorado

Managed Care Unit Supervisor.

State of Colorado, Denver, Colorado, United States, 80285

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Managed Care Unit Supervisor

– State of Colorado

Apply for the Managed Care Unit Supervisor position in the Department of Health Care Policy & Financing (HCPF). This role is part of the State of Colorado’s Cost Control and Quality Improvement Office and will oversee Medicaid managed‑care programs and related initiatives.

Department Information

State of Colorado residency is required at the time of application.

Note: This announcement may be used to fill multiple openings.

Envision yourself working at HCPF

The Department oversees Health First Colorado (Colorado’s Medicaid Program), Child Health Plan Plus (CHP+), and other state public health programs. Our mission is to improve health care equity, access, and outcomes while saving Coloradoans money.

Fees**. We are committed to increasing the diversity of our staff; applicants from diverse backgrounds and abilities are encouraged to apply.

Benefits

PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 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 discount programs available through the State of Colorado 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

We are onboarding new employees using a hybrid approach. Your schedule will be discussed during the offer stage.

Description of Job

What you’ll be doing

Maintain oversight of day‑to‑day operations of the Managed Care Unit, including supervising and managing the workload of unit employees.

Develop a strategic action plan for the Unit with emphasis on Managed Care, including 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 the Medicaid Managed Care and Dual Special Needs Program (DSNP) contracts and serve as a resource for managed care in Medicaid mental and physical health contracts.

Provide direction and assistance with drafting, negotiating, processing, and implementing contracts, amendments, and waivers.

Serve as the Unit’s primary liaison with other Department divisions and sections, state agencies, providers, vendors, and advocates.

Evaluate significant changes and provide direction to senior managers and line staff on policy and operational implications.

Collaborate with benefit and program managers and the Accountable Care Collaborative (ACC) to develop strategies to increase managed care via the ACC.

Oversee the integration and promotion of managed care programs into the ACC to improve overall health outcomes.

Residency Requirement Only residents of the State of Colorado at the time of submitting your application are eligible.

Minimum Qualifications There are two ways to qualify:

Option 1 – Experience Only Eight (8) years of professional experience working in Medicaid, managed care, health care policy, or a related field.

Option 2 – Education and Experience Four (4) years of professional experience in Medicaid, managed care, health care policy, or a related field *plus* a bachelor’s degree in public policy, health care administration, or a related field.

Education substitutes for experience on a year‑for‑year basis:

Associate degree – 2 years of experience

Bachelor’s degree – 4 years of experience

Master’s degree – 6 years of experience

Doctorate or Juris Doctor – 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)

Knowledge of federal and state regulations

Strategic thinking

Initiative and ability to execute projects and plans

Interpersonal skills to develop trust among teams and stakeholders

Team leadership skills to motivate others and consistently achieve goals

High integrity and fairness in work situations

Innovation to create solutions that support department goals

Conditions of Employment

All positions require a criminal record background check.

Applicants with disciplinary issues must disclose this information on their application.

Appeal Rights Applicants who are removed from consideration may request a review by the State Personnel Director.

Written appeals must be submitted to the State Personnel Board via email at dpa_state.personnelboard@state.co.us within 10 days of receiving notice.

How to Apply Please note that only the State of Colorado job application will be reviewed during initial screening. If you submit a resume and cover letter, they will be reviewed later. Your application will be reviewed against the minimum qualifications. Those who meet minimum requirements will be invited to a comparative analysis process. Failure to submit properly completed documents by the closing date will result in rejection.

ADAAA Accommodations: The State of Colorado is an equal opportunity employer and will assist individuals with a disability with reasonable accommodation requests. Contact ADAAA Coordinator Minnie Kaur at anupreet.kaur@state.co.us for assistance.

HCPF does not offer sponsored visas for employment purposes.

Seniority level : Not Applicable

Employment type : Full‑time

Job function : Health Care Provider

Industries : Government Administration

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