ESI Modular Integration Analyst

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　　ESI Modular Integration Analyst

　　Salary

　　$68,100.00 - $88,536.00 Annually

　　Location

　　Statewide, CO

　　Job Type

　　Full Time

　　Job Number

　　UHA 4370 - 1.2024

　　Department

　　Department of Health Care Policy and Financing

　　Division

　　Health Information Office

　　Opening Date

　　01/16/2024

　　Closing Date

　　1/31/2024 11:59 PM Mountain

　　FLSA

　　Determined by Position

　　Primary Physical Work Address

　　303 East 17th Avenue, Denver, CO

　　Description

　　Benefits

　　Questions

　　Department Information

　　STATE OF COLORADO RESIDENCY REQUIRED: OPTION FOR REMOTE WORK IN STATE

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

　　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.

　　As part of the State of Colorado, HCPF offers a competitive benefits package: (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits)

　　PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans

　　Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/medical-benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage

　　Automatic Short-Term and Optional Long-Term Disability Coverage (https://dhr.colorado.gov/state-employees/state-employee-benefits/disability-insurance)

　　Life and AD&D Insurance

　　Flexible Spending Accounts (https://dhr.colorado.gov/state-employees/state-employee-benefits/flexible-spending-accounts) (FSAs)

　　Family Medical Leave Act (FMLA) (https://dhr.colorado.gov/state-employees/time-off-leave/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 (https://dhr.colorado.gov/state-employees/time-off-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 (https://www.rtd-denver.com/fares-passes/ecopass) to all eligible State Employees

　　Reduced college tuition through CSU Global (https://csuglobal.edu/cost/tuition-discounts/employer-partners/state-colorado)

　　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 looking for an ESI Modular Integrations Analyst for the Enterprise Solutions Integration Division of the Health Information Office (HIO)!

　　The Enterprise Solutions Integration Division of HIO exists to manage and enhance computerized claims processing and information management systems in order to assure timely and accurate Medicaid and Child Health Plan Plus (CHP+) claims processing and payments in an environment of rapid policy change. The work section is responsible for researching, verifying and validating the Electronic Data Interchange (EDI) technical functions of the Enterprise Solutions Integrator platform (ESI), the Colorado interChange System, the Pharmacy Benefits Management System and the Business Intelligence Data Management (BIDM) system, which includes working with UAT Tester’s to review user acceptance testing activities or testing system processes in the test environment to determine system functionality.

　　This position can work fully remotely from anywhere in the State of Colorado.

　　Please note - equipment provisioning and certain onboarding tasks will take place in person, in our downtown Denver office, on the first day of employment.

　　Description of Job

　　WHAT YOU'LL BE DOING AS ESI MODULAR INTEGRATION ANALYST:

　　Staff authority for data integration across CMES systems and processes at HCPF.

　　Provides direction to leadership on updating integrations between systems and processes to ensure appropriate and effective data transactions for all parties involved.

　　Researches, verifies, and validates data mapping to support Medicaid Expansion, including Medicaid & Managed Care enrollment and eligibility.

　　Analyzes and validates data and interface transmission for the Medicaid Enterprise Solution (MES) to ensure system processes are aligned with the Medicaid & CHP+ regulatory and programmatic rules.

　　Implements system changes mandated by the Federal Register, Centers for Medicare and Medicaid’s (CMS) Regional Informational Letters (RILs), CMS State Medicaid Director Letters, and State legislation through the formulation of gathering Business Requirements, validating User Acceptance Test scenarios and implementing those activities in the Colorado interChange and BIDM systems in collaboration with the fiscal agent and ESI Contractor Vendor.

　　Communicates system strategies with various policy, program and technical staff, researches the system functions to discover information and expose problems, uses this information to provide advice to policy and program staff on viable system solutions, and to assist with the development of requirements and other technical systems documents.

　　Develops Business Requirements and other system documentation that assists with performing end user testing of all functions and changes to the systems.

　　Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

　　HERE'S WHAT WE NEED YOU TO HAVE:

　　MINIMUM QUALIFICATIONS:

　　Seven (7) total years of professional experience in business analysis, systems analysis, data integration or a closely related field

　　OR

　　Bachelor's degree from an accredited institution in Information Management,Public Administration, Public Health, Healthcare Administration, or a field of study related to the work assignment AND three (3) years of professional experience in business analysis, systems analysis, data integration, or an occupational field closely related.

　　Substitutions:

　　A combination of work experience in the occupational field or specialized subject area of the work assigned to the job, which provided the same kind, amount, and level of knowledge acquired in the required education, may be substituted on a year-for-year basis for the bachelor's degree.

　　A relevant advanced degree from an accredited college or university may be substituted for the bachelor’s degree and at the agency's discretion, one year of professional experience respectively.

　　HERE'S WHAT WE'D LIKE YOU TO HAVE:

　　PREFERRED QUALIFICATIONS:

　　Previous relevant professional state experience

　　Masters degree in Information Management, Public Health, Public Administration, Healthcare Administration or field of study related to the work assignment.

　　Previous professional healthcare IT experience in

　　Business analysis

　　Systems analysis

　　Data integration, or an occupational field closely related.

　　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:

　　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 ( [email protected] ), 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.

　　Supplemental Information

　　HOW TO APPLY (https://careers.colorado.gov/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.

　　EQUITY, DIVERSITY, & INCLUSION

　　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.

　　ADAAA ACCOMMODATIONS

　　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, Virginia Miller, at [email protected] .

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