HCBS Benefits Specialist

State of Colorado Job Opportunities - Denver, CO (30+ days ago)3.5

Department Information


Community Living Office
Benefits & Services Division

Make a difference-Join HCPF by improving health care access and outcomes for the people we serve while demonstrating stewardship of financial resources.

Information about the Department:

The Department of Health Care Policy and Financing offers a competitive benefits package to include the Public Employees Retirement Account (PERA), 401k/457, health/dental insurance options, 10 holidays, accrual of paid sick and vacation/annual time, flex place and flex time. The Department is also centrally located; offers affordable ECO passes; has a fitness center on-site, and a variety of discounts on services and products are available to state employees through the State of Colorado's Work-Life Employment Discount Program. The Department also encourages employees to take advantage of advanced education and offers reduced college tuition through CSU Global for their employees. This Department is a "Tobacco Free Workplace". For more information visit: https://www.colorado.gov/hcpf.

Information about the Division:

The Benefits & Services Division is responsible for developing, implementing and administering benefit policy for home and community services (HCBS) and Long Term Care Service programs provided in the home or community settings. Administration of these programs include defining the scope of services to be provided, federal compliance, developing health care policies and benefits, assuring the provision of cost-effective services, coordinating a broad spectrum of programs and services to clients, and monitoring utilization, quality and cost-effectiveness of services.

Description of Job

What you'll be doing....

This position serves as the primary contact in the management, application, and utilization of principles and standards pertaining to many of the Home and Community Based Services (HCBS) benefits administered by the Department. This position supports Department goals by collaborating with the Colorado Department of Public Health and Environment (CDPHE), providers, case management agencies, and other OCL stakeholders as well as other Department staff in the management of HCBS benefits, including day-to-day operations. This position monitors and evaluates services for deficiencies and compliance requirements; collaborates with stakeholders to improve the health outcomes of clients; and provides support for case management requests and processing. This position also assesses current and future benefit policies to meet the Department's expectations for a high level of efficiency, economy, and quality of care. The position is required to attend off-site meetings, facilitate meetings with stakeholders and providers, attend off-site trainings, and present HCBS information at various conferences and to stakeholder groups. The position also provides training and technical assistance to providers, case managers, clients, and other stakeholders regarding HCBS benefits when applicable.

This position will be responsible for service agency review and oversight. This position will work with CDPHE, the CIRs unit, and other Departments and Divisions in ensuring service agencies with identified concerns are able to come into compliance.

Position will also administer and oversee many policies and services within Home and Community Based Services waivers. This work can include service redesign and improvement, service expansion, benefit analysis, contract management, program evaluation, and other elements of ensuring program effectiveness and efficiency.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Graduation from an accredited college or university with a bachelor's degree in business administration, business management, health care policy, public administration, human services or a field of study related to the work assignment AND two years of professional experience in design, analysis, benefit and program policy with a primary focus on individuals with disabilities, which must have included professional Home and Community Based Services experience.

A combination of work experience in which provided the same kind, amount, and level of knowledge acquired in the required education, may be substituted on a year-for year basis for the bachelor's degree. A master's or doctorate degree from an accredited college or university in a field of study related to the work assignment may be substituted for the bachelor's degree and at the agency's discretion, one year of experience.

All of the requirements referenced above must be specifically stated on your application.

  • Experience with waiver administration, benefit and program policy.
  • Experience with provider, client, and stakeholder participation and development.
  • Experience with health care policy gap analysis.
  • Exceptional communication skills, verbal and written, as well as the ability to exercise a high degree of interpersonal skills and professionalism;
  • Ability to analyze information and evaluate results to choose the best solution and solve problems.
  • Proven ability to plan, assign, organize, prioritize work assignments

DEFINITION OF PROFESSIONAL EXPERIENCE: Work that involves exercising discretion, analytical skill, judgment, and personal accountability, and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.

Appeal Rights
If you receive notice that you have been eliminated from consideration for the position, you may protest the action by filing an appeal with the State Personnel Board/State Personnel Director within 10 days from the date you receive notice of the elimination.
Also, if you wish to challenge the selection and comparative analysis process, you may file an appeal with the State Personnel Board/State Personnel Director within 10 days from the receipt of notice or knowledge of the action you are challenging.

Refer to Chapters 4 and 8 of the State Personnel Board Rules and Personnel Director's Administrative Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative Procedures are available at www.colorado.gov/spb.

A standard appeal form is available at: www.colorado.gov/spb. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within 10 days of your receipt of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director, Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: 303-866-5038. Phone: 303-866-3300. The ten-day deadline and these appeal procedures also apply to all charges of discrimination.

Supplemental Information

Conditions of Employment:
  • All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment.
  • Employees who have been disciplinarily terminated, resigned in lieu of disciplinary termination, or negotiated their termination from the State of Colorado must disclose this information on the application.
  • Other Supplemental Information:

    Address Confidentiality Program: If you are covered by the Address Confidentiality Program, CRS 24-21-201 through 24-21-214, please notify the HR office or analyst listed on this announcement so that you are provided the appropriate time extension for notifications provided by U.S. mail. The extension allowed under this program applies only to U.S. mail notifications that include a deadline of 10 days or less.
    Applicants are encouraged to attach a cover letter and resume to their application.

    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 of your relevant experience on the application itself. Applications left blank or marked "SEE RESUME" will not be considered.

    Your application will be reviewed against the minimum qualifications for the position. If your application demonstrates that you meet the minimum qualifications, you will be invited to the comparative analysis process, which is described below.

    Comparative Analysis Process

    The comparative analysis process will consist primarily of a review of applications, cover letters and resumes against the minimum and preferred qualifications of this position. Applications will be reviewed in comparison to all others in the applicant pool in order to identify a top group of up to 6 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 of this announcement will result in your application being rejected.


    Technical Help
    If you experience difficulty in uploading or attaching documents to your online application, call NEOGOV technical support at 877-204-4442 anytime between 6:00 a.m.-6:00 p.m. (Pacific Time).