Enterprise Solutions Integration; ESI Business Analyst

STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION.

Note:

This announcement may be used to fill multiple openings.

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 Health First Colorado, the Medicaid Program, and Child Health Plan Plus (CHP+), among 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 Colorado residents money on health care and driving value for the state.

The ESI Division of HIO manages the design, integration, and certification of all systems and interfaces within Colorado’s Medicaid Enterprise System (CMES). It ensures interoperability, data accuracy, and federal compliance across CMES modules, including eligibility, claims, provider, and analytics processes. The division implements technology solutions supporting new CMS policy mandates, such as Medicaid Work Requirements, to keep programs compliant, efficient, and member‑focused.

We are committed to increasing staff diversity and providing culturally responsive programs and services. We encourage applications from people of diverse backgrounds and abilities.

• PERA retirement benefits (defined benefit and defined contribution plans) 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) 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 through the State of Colorado Employment Discount Program
• Free RTD Eco Pass 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

The department offers hybrid and flexible work arrangements. On the first day, equipment provisioning and certain onboarding tasks will take place in person at our downtown Denver office.

• Serve as the department’s business and systems authority for CMES behavior, interface design, and data integration, ensuring policy intent is correctly operationalized in technical solutions supporting Medicaid Work Requirements compliance.
• Apply knowledge of Medicaid and CHP+ operations, CMES integration and eligibility systems, MITA 3.0 standards, and CMS guidance to translate policy and operational requirements into clear business, functional, system, and interface requirements, validating correct implementation of business intent.
• Lead the design for interfaces supporting ex‑parte and verification processes, defining when, why, and how systems exchange information to support accurate eligibility determinations; review and validate design documents for traceability to approved requirements.
• Lead requirements elicitation and review activities, including business process mapping, functional specifications, interface requirements, and testing artifacts, serving as the primary interpreter between policy, operations, and technical teams.
• Work with policy and eligibility operations teams to confirm functional specifications reflect the intent of Medicaid Work Requirements system requirements.
• Direct contractors through the SDLC and governance processes by setting expectations for requirements quality,…