Service Compliance Specialist

Service Compliance Specialist

Envision yourself working at the Department of Health Care Policy and Financing (HCPF). 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 Office of Community Living (OCL) administers the Colorado Medicaid programs that provide long-term support for people with disabilities and older adults. OCL strives for a system that is person-centered, seamless, and offers a continuum of services and innovative funding mechanisms for Coloradans today and in the future.

The Operations and Administration Division (Division) within the Office of Community Living (Office) acts as the service and support entities for the Office of over 140 employees/positions. The Business Unit (Unit) within the Division provides management of contracts and interagency agreements, processing of payments for the Office's contracted vendor payments, administrative support, and business process development support for the Division and Office. The Unit also conducts financial compliance reviews of family caregivers and providers to ensure compliance with Department standards.

Description of Job: This position will primarily be responsible for conducting financial compliance reviews of HCBS providers to ensure they are in compliance with new limitations and standards established by the Department and state statute. This will include following internal procedures for conducting reviews to include written and verbal communication with providers regarding audits and requirements, reviewing supporting documentation like payroll records, determining compliance/non-compliance, and working with providers to correct issues.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights: Residency Requirement: This posting is only open to residents of the State of Colorado at the time of submitting your application. MINIMUM QUALIFICATIONS: There are two ways to qualify for this position: Option 1: Experience Only: Six (6) years of relevant experience conducting financial audits or other similar compliance reviews. Option 2: Education and Experience: A bachelor’s degree from an accredited institution in a related field and two (2) years of relevant experience conducting financial audits or other similar compliance reviews. Appropriate education will substitute for the required experience on a year-for-year basis. Relevant education will be calculated as the following: An associate will count as two years of experience; a bachelor’s will count as four years of experience; a master’s degree will count for six years of experience; a doctorate or juris doctorate degree will count for seven years of experience. Note: Per the Job Application Fairness Act, you may redact information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution on your transcripts.

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 disciplinary terminated, resigned in lieu of disciplinary termination, or negotiated their termination from the State of Colorado must disclose this information on the application. Appeal Rights: An applicant who has been removed from an employment list or removed from consideration during the selection process may request a review by the State Personnel Director. As an applicant directly affected by the results of the selection or comparative analysis process, you may file a written appeal with the State Personnel Director. Review of the completed, signed and submitted appeal will be timely on the basis of written material submitted by you, using the official appeal form signed by you or your representative. This form must be completed and delivered to the State Personnel Board by email at dpa_state.personnelboard@state.co.us within ten (10) calendar days from your receipt of notice or acknowledgement of the Department’s action. For further information on the Board Rules, you can refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director’s Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules.

Supplemental Information: How to Apply: 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 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 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 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 will result in your application being rejected.

ADAAA Accommodations: The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law. The Department of Health Care Policy & Financing is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Minnie Kaur, at anupreet.kaur@state.co.us.