Program Operations Specialist

State of Colorado Residency Required At Time Of Application

The position is open only to residents of the State of Colorado at the time of submitting your application.

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 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.

• 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

• Responsible for eConsult contract administration and the recognized Department point of contact on the eConsult program.
• Provides administrative support and consultation to leadership on the eConsult platform, specifically related to the platform’s purpose of increasing access to specialty care for Health First Colorado members and decreasing costs for the delivery of care.
• Oversees implementation of a fully operational Medicaid eConsult program and ongoing maintenance and operation of the program.
• Reviews and approves contractor deliverables and ensures compliance with Department policies and processes, federal regulations and program rules.
• Determines when a contract amendment is necessary for the eConsult contract and oversees the contract amendment process, working with Purchasing & Contracts and other teams within the Department to implement needed changes on a timely basis.
• Organizes and designs communications and stakeholder engagement regarding the eConsult program to prepare providers and support their onboarding and utilization of the eConsult system.
• Solicits and analyzes input on proposed program modifications.
• Tracks and assesses performance and compliance of the RAEs, tracking and reviewing RAE deliverables.
• Works with DSPI and other Department sections to implement the ACC.
• Collaborates with ACC program specialists to ensure RAE performance.
• Improves alignment between the ACC and all other HCPF administered programs as well as external payers.
• Bridges policy and program design with operations.
• Troubleshoots technical operations issues related to contract monitoring and oversight.
• Assists in the implementation of quality control processes around work products developed in areas related to member and provider enrollment, attribution, and payment.
• Oversees project…