Program Operations Specialist

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.

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

The ACC/Delivery Systems Division within the Cost Control and Quality Improvement (CCQI) Office is responsible for
the design, administration and oversight of the Accountable Care Collaborative (ACC) program, Enrollment Broker
services, and other population health and administrative programs.
Within the Delivery Systems Division, the Program Operations Section (POS) efficiently manages the Regional
Accountable Entities (RAE), the Enrollment Broker (EB), and the eConsult work, and programmatic system performance as a part of ACC Phase III.
Within the POS, the Program Operations Unit (POU) is responsible for RAE and stakeholder relationship building, performance oversight, and contract management. POU will work closely with the Program Management Section (PMS), Data Analytics Section (DAS), Decision Support Systems (DSS), and any other Department staff necessary to achieve the goals of the ACC program.

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 fully remote, hybrid, to full-time in the office.

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

Requirements

•Serves as the staff authority for project management and Accountable Care Collaborative (ACC) strategic priorities tracking in the ACC Delivery Systems Division. Monitors status, timelines, risks, and dependencies across ACC initiatives.
•Designs, implements, and maintains division-wide project tracking systems using Smartsheets and other project management tools.
•Collaborates closely with members of the ACC team to track recurring and ongoing projects on ACC key initiatives for monitoring and oversight.
•Bridges strategy and operations by translating high-level ACC goals into trackable project plans, measurable milestones, and coordinated implementation workflows. Ensures alignment of operational work with Department and Division strategic priorities.
•Informs leadership decision-making through structured reporting and analysis.
•Implements policy changes required by the ACC’s evolving program.
•Responsible for administrative management of ACC Performance Measurement and Member Engagement Program Improvement Advisory Committee.
•Manages the RAE contracts and the ACC program operations.
•Works with DSPI and other Department sections to implement the ACC.
•Tracks and reviews Regional Accountable Entities (RAE) deliverables.
•Tracks and assesses performance and compliance of RAEs.
•Collaborates with ACC program specialists to ensure RAE performance.
•Ensures consistency across RAE financial review, enrollment and attribution data and reported interventions.
•Improves alignment between the ACC and other programs and payers.
•Bridges policy and program design with operations.
•Troubleshoots technical operations issues related to contract monitoring and oversight.
•Implements quality control processes around work products developed in areas related to member and provider enrollment, attribution, and payment.
•Manages relationships with RAEs and other external stakeholders.
•Communicates verbally and in writing with internal and external partners.
•Develops project plans and processes for complex operations.
•Works with RAEs to understand provider network and relationships.

Qualifications

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

Administrator IV (H1B4XX)

MINIMUM QUALIFICATIONS:

Experience Only:

• Seven (7) years of specialized experience in creating and leading project management complex assignments, and creating and implementing project tracking systems, or relevant experience in contract management or an occupation related to the work assigned to this position.

OR

Education and Experience:

• Bachelor's Degree in Public Administration, Health Policy, Public Health, Health Services, Health Care Administration, or a related field , and 3 (three) years of specialized experience in creating and leading project management complex assignments, and creating and implementing project tracking systems, or relevant experience in contract management or an occupation related to the work assigned to this position.

Preferred Qualifications

• Prior state experience related to the duties of this position.

• Masters degree in Public Administration, Health Policy, Public Health, Health Services, Health Care Administration, or a related field.

• Experience working in Medicaid or Managed Care.

• Experience and knowledge of Smartsheets, specifically project management using Smartsheets.

DEFINITION OF PROFESSIONAL EXPERIENCE: Professional experience is defined as experience that may include: independent judgment and discretion in performing work duties, a level of specialized knowledge, in-depth work requirements such as data gathering, analysis and interpretation, customer service across a broad range of individuals including key personnel, and/or individual accountability for results.

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:If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.An appeal or review must be submitted on the official appeal form, signed by you or your representative.

This form must be delivered to the State Personnel Board by email (dpa_state.personnelboard@state.co.us), postmarked in US Mail or hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department’s action.For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board; go to spb.colorado.gov; contact the State Personnel Board for assistance at (303) 866-3300; or 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 under 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.