Colorado Medicaid Enterprise Solutions (CMES) Integration Business Analyst.
State of ColoradoJob Description
Department Information 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 looking for a
Colorado Medicaid Enterprise Solutions (CMES) Integration Business Analyst
for the
Business Solutions Division (BSD)
of the
Health Information Office (HIO)
!
The BSD within HIO manages and enhances computerized claims processing and information management systems that support the Department’s compliant administration of the state’s medical assistance programs including Health First Colorado and Child Health Plan Plus (CHP+). The work unit supports multiple state agencies that utilize CMES services including the Colorado Department of Human Services (CDHS) and the Behavioral Health Administration (BHA). In order to minimize the disruption of services and operations, the work unit balances business needs with the need to deliver a compliant system that adheres to the Department’s data governance policies and the security standards of the Governor’s Office of Information Technology (OIT).
We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.
As part of the State of Colorado, HCPF offers a competitive benefits package:
- 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
- Reduced college tuition through CSU Global
- Credit Union of Colorado Membership Eligibility
- Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs . https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs
We are onboarding new employees using a hybrid approach. The Department supports flexible work arrangements. Depending on the business need and description of the position, we have options that range from hybrid to full-time in the office. Specific discussions about the schedule will be discussed during the offer stage.
Please note - equipment provisioning and certain onboarding tasks will take place in person, in our downtown Denver office, on the first day of employment.
Description Of Job
What You’ll Be Doing as CMES Integration Business Analyst:
- Document and manage requirements for enhancements related to the integration of CMES modules including but not limited to the Enterprise Data Warehouse (EDW), Program Integrity (PI), Recoveries Database (RED), and Patient Access and Interoperability (PAI).
- Analyze and validate data and interface transmission for the Medicaid Enterprise Solution (MES) to ensure system processes are aligned with the Medicaid & CHP+ regulatory and programmatic rules.
- Subject matter expert in the technical aspects of Decision Support Systems portfolio modules including claims, eligibility and en
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