CO Medicaid Enterprise Solution; CMES Integration Business Analyst

CO Medicaid Enterprise Solution (CMES) Integration Business Analyst

Join to apply for the CO Medicaid Enterprise Solution (CMES) Integration Business Analyst role at Colorado Department of Revenue.

State Of Colorado Residency Required At Time Of Application

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

Due to the State's current hiring freeze, this position will not be filled until after January 1, 2026

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.

• 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 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. For more information, go to https://(Use the "Apply for this Job" box below). and -programs

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 enrollment data, financial payment data, provider enrollment data, third party liability data.
• Communicate system strategies with various operations, financial, policy, program and technical staff.
• Research the system functions to discover information, expose and resolve problems, identify workarounds, and evaluate the sustainability and configurability of system change across the CMES.
• Ensure system change is documented and traceable from scope and requirements, to testing and implementation.
• Identifies and recommends potential operational and systematic alternatives or “workarounds” for features that are not functioning as expected or able to be delivered on time.
• Analyzes CMES data quality by researching and reviewing data models, data dictionaries, interface control documents, interface transactions, reports and files and by ensuring all documentation and data is kept up to date and in compliance with ESI standards.
• Researches, develops and analyzes data queries in the ESI Operational Data Store or other sources, and for reporting and communicating the results to Department Staff.

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

Six (6) Total Years Of Professional Experience In:

• Medicaid or CHP Operations
• Health care systems development
• Health care Project Management
• Health Care Business Analysis

Bachelor's degree from an accredited institution in Policy Administration, Health Care Policy, Business Administration, or a related field AND Two (2) Total Years Of…