Managed Care Rates & Reconciliation Analyst

Due to the State’s current hiring freeze, this position will not be filled until after January 1, 2026. 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 oversees and operates Colorado’s Medicaid Program (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 Managed Care Rate & Reconciliation Analyst to join our Managed Care Rates HMO Rates Unit! As part of the State of Colorado, HCPF offers a retirement benefits package that includes PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401(k) and 457 plans, insurance coverage (FSAs), job protection, and State of Colorado Paid Family Medical Leave (PFML).

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. Free to all eligible State Employees. Membership Eligibility. Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, go to .

• This position uses database software to extract, compile and interpret data.
• Develops and completes a range of analyses and reports using statistical measures or under instruction from other senior analysts. Using transaction record analysis, including SQL–based database extracts and statistical techniques, position produces summarized reports.
• Reviews the federal and state regulation changes to ensure the HMOs, CHP, and PACE program comply with any relevant changes. The position will work with stakeholders to communicate changes or collect necessary deliverables to meet the regulation requirements.
• Collaborates and coordinates different projects in other areas (such as accounting, budget, interchange system, program policy team and others) in the Department to ensure the program operations run smoothly.
• Performs quality reviews and provides statistical analysis support for all the programs. Position researches eligibility information which forms the basis for identifying actuarially equivalent populations.
• Reviews financial data submitted by the managed‑care entities, determines its validity and correctness, and makes recommendations regarding any necessary wrap‑around payments and capitation reconciliations.

This posting is only open to residents of the State of Colorado at the time of submitting your application.

(New) H8G4XX

Experience Only:
Six (6) years of relevant experience in State and Federal managed‑care policies, budgeting, data analysis, data manipulation using Excel.

Bachelor’s degree in Economics, Mathematics, Statistics, Data Science, Finance, Public Health, or other related field is required.
Two (2) years of experience in State and Federal managed‑care policies, budgeting, data analysis, data manipulation using Excel (if applicable).

Appropriate education will substitute for the required experience on a year‑for‑year basis: an associate will count as two years of experience; a bachelor’s will count as four years; a master’s will count for six years; a doctorate or juris doctor will count for seven years.

• Master’s degree.
• Intermediate SQL or other database experience.
• Intermediate to expert level in Excel.
• Experience in Tableau, SAS, or other statistical and visualization packages.
• Experience interpreting State and Federal regulations.
• Managed‑care experience.