Audits and Compliance Supervisor

Full Job Description

STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION

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

Envision yourself working at 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 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 looking for a Audits & Compliance Supervisor to join our Fiscal Agent Operations Unit in the Medicaid Operations Office!

As part of the State of Colorado, HCPF offers a competitive benefits package:

• 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 EcoPass to all eligible State Employees

• Credit Union of Colorado Membership Eligibility

• Some positions may qualify for the Public Service Loan Forgiveness Program. For more

information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs

We are onboarding new employees using a hybrid approach. The Department supports flexible work arrangements.

Depending on the business need and description of the position, we have options that range from hybrid to full-time in the office.

Specific discussions about the schedule will be discussed during the offer stage.

The Fiscal Agent Operations work unit is responsible for overseeing the day-to-day operational functions that support the administration of Colorado’s Medicaid and Child Health Plan Plus (CHP+) programs.

A core component of this work includes managing all provider support activities, such as provider enrollment, outreach and education, communications, call center operations, and back-office support services.

By maintaining these functions, the unit ensures providers receive accurate information, timely assistance, and streamlined access to participate in the program.

Requirements

What you will do as the Audits & Compliance Supervisor:

• Lead and oversee audit and compliance activities for the unit.

• Supervise staff who conduct audits, manage findings, and support compliance with state and federal Medicaid requirements.

• Plan and conduct internal audits and compliance reviews to assess effectiveness, identify risks, and ensure alignment with laws, regulations, and program standards.

• Interpret and apply complex Medicaid regulations; provide guidance to staff and program areas to support consistent, compliant practices.

• Coordinate and submit responses to external audits (federal, state, and independent), ensuring accuracy, completeness, and timeliness.

• Perform full supervisory responsibilities, including hiring, performance management, coaching, training, and addressing corrective or disciplinary actions as needed.

• Set priorities, assign work, and monitor performance to ensure efficient operations and high-quality outcomes.

• Lead process improvement efforts and collaborates with internal and external partners to strengthen compliance and support improved health care access and outcomes for people in Colorado.

• Serve as a resource on compliance-related matters, helping promote accountability, transparency, and program integrity

• Prepare clear, detailed reports summarizing audit findings, risks, and recommendations

• Coordinate with internal teams, vendors, and stakeholders to gather information and ensure accurate, timely responses

• Provide support to the Fiscal Agent Operations Unit and contribute to special projects and process improvement initiatives

Qualifications

Residency Requirement:

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

Class Code & Classification Description:

H1C5XX ANALYST V

Minimum Qualifications:

There are two ways to qualify for this position:

Option 1:
Experience Only:

Eight (8) years of experience evaluating, researching and responding to external auditors with experience reviewing processes and operations to ensure compliance with rules, policies, and contractual requirements, including working with vendors or external partners.

Option 2:

Education and Experience:

A bachelors degree from an accredited institution in a related field; AND four (4) years of experience evaluating, researching and responding to external auditors with experience reviewing processes and operations to ensure compliance with rules, policies, and contractual requirements, including working with vendors or external partners.

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 bachelors will count as four years of experience
• A masters 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.

PREFERRED QUALIFICATIONS:

• Prior state experience related to the duties of this position

• Prior supervisory experience

• Experience working with Medicaid programs, healthcare policy, or public sector compliance, including knowledge of applicable federal and state regulations governing Medicaid operations.

• Experience conducting vendor oversight, audits, or monitoring activities, including evaluating internal controls, developing corrective action plans, and collaborating with external partners to ensure compliance and performance improvement.

Highly Desired Knowledge, Skills, and Abilities:

• Ability to manage remote teams

• Strong analytical and critical thinking skills, with the ability to interpret complex laws, regulations, and policies; identify compliance risks; and develop practical, well-supported recommendations.

• Excellent written and verbal communication skills, including the ability to prepare clear, concise reports, respond to formal information requests, and effectively collaborate with internal teams, vendors, and external stakeholders.

• Ability to research and understand legislation, regulations at both the State and Federal level and evaluate their impact to Operations

DEFINITION OF PROFESSIONAL EXPERIENCE: Work that involves exercising discretion, analytical skill, judgment, personal accountability, and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.

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.

Additional Information

How to Apply (PLEASE READ CAREFULLY)

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.

The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.