HCBS-Developmental Disabilities (DD) Waiver Enrollment & Appeals Specialist TERM LIMITED
Salary
$72,264.00 - $93,948.00 Annually
Location
Statewide, CO
Job Type
Full Time
Job Number
UHA 5806 6/2026
Department
Department of Health Care Policy and Financing
Division
Community Living Office
Opening Date
06/03/2026
Closing Date
6/17/2026 11:59 PM Mountain
FLSA
Determined by Position
Type of Announcement
This position is open only to Colorado state residents.
Primary Physical Work Address
303 E 17th Ave, Denver, CO 80203, USA
Hiring Pay Rate
$6,022-$7,829
FLSA Status
Exempt; position is not eligible for overtime compensation.
Department Contact Information
Stefania Chis Talent Acquisition Specialist stefania.chis@state.co.us
How To Apply
Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.
Department Information
STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION
This is a term limited position funded until 6/30/2028.
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 (Colorados 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:
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 Colorados Work-Life Employment Discount Program
Free RTD EcoPass 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://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs
We are looking for a HCBS-Developmental Disabilities (DD) Waiver Enrollment & Appeals Specialist TERM LIMITED for the Office of Community Living!
The Benefits and Services Management Division (BSMD) exists as part of the Department of Health Care Policy and Financing (HCPF), which is the federally recognized single state agency to administer the Colorado Medicaid program of health care coverage for persons who qualify. The BSM Division administers the state's long term care programs such as nursing facility, hospital backup, and community long term care programs such as Home and Community Based Services (HCBS) waiver programs. The division provides oversight and monitoring for the state's single entry point system for access to the state's long term care programs, including those administered by the Department and those administered under agreement with the Department of Human Services (DHS). Staff within the Division are responsible for stakeholder relations, policy development and implementation, contract management and performance, program administration and overall Long Term Services and Support Medicaid program performance. The Division plays an important role in working towards the Department's mission to improve access to cost-effective, quality long term care services and supports for Coloradans.
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.
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
Position Summary
The Policy and Operations Specialist serves as the Office of Community Living's recognized expert on HCBS Developmental Disabilities (HCBS-DD) waiver enrollment policy, Emergency Enrollment Request (EER) determinations, youth transitions, and HCBS/Community First Choice (CFC) appeals operations. This position independently interprets federal Medicaid regulations, state statutes, State Board rules, and waiver requirements to ensure consistent, equitable, and compliant statewide administration of enrollment and appeals processes.
The position provides strategic policy leadership and expert consultation to Department leadership, Case Management Agencies (CMAs), internal program teams, and external stakeholders regarding complex enrollment and appeals issues. As the Department's primary authority on EER determinations and appeals policy, this position establishes statewide policy interpretations, develops decision-making frameworks, identifies systemic program risks, and recommends policy and operational improvements that directly influence rulemaking, legislative analysis, waiver administration, and long-term Medicaid sustainability. Decisions and recommendations made by this position have significant statewide implications for federal compliance, budget management, program integrity, and equitable access to services.
Key Responsibilities
HCBS-DD Waiver Enrollment and Emergency Enrollment Requests (EER)
HCBS Waiver Appeals Administration
Policy Development and Strategic Leadership
Stakeholder Engagement and Collaboration
Program Oversight and Compliance
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
Policy Advisor IV H1R3XX
There are two ways to qualify for this position:
Option 1:
Experience Only:
Seven (7) total years of professional experience in developing and implementing tools and policies to manage a health care service utilization.
Option 2
Education and Experience:
Bachelors degree from an accredited institution in Health Care Administration, Public Health, Public Administration, Health Services, or a related field
AND
Three (3) total years of professional experience developing and implementing tools and policies to manage a health care service utilization.
Appropriate education will substitute for the required experience on a year-for-year basis. Relevant education will be calculated as the following:
An associates 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:
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 bachelors 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.
This is a term-limited position with funding through June 30, 2028. Successful candidates will sign a Waiver of Retention Rights and normal personnel rules regarding retention will not apply. Additional information regarding term-limited positions can be found here.
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 Directors Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules.
Supplemental 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, Anupreet Kaur, at anupreet.kaur@state.co.us.
The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.
The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits
Please note that each agencys contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.
01
All HCPF positions are security sensitive positions and require potential employees to undergo a criminal record background check. As a condition of employment, you will be required to submit to pre-employment screening if offered the position. Are you willing to meet this requirement?
02
Do you have any relatives or significant others working at the Department of Health Care Policy & Financing? If so, please list their names here. Otherwise, please list N/A.
03
Per the requirements of the Step Pay Program implemented on July 1, 2024, any State employee must be paid a rate that is equal to or greater than the appropriate step pay rate within their classification's pay range based on completed years in their current class series as of June 30. All current and former State employees must ensure that your entire work history within the State Classified System, including at Institutions of Higher Education, is indicated in your application so that your time-in-series can be calculated accurately. Please verify that this information is included in your application in the supplemental questions.
04
Are you willing to accept an offer in the posted salary range?
05
Former state employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application. In the space below, please provide an explanation as to why the prior termination or resignation should NOT disqualify your application from the current position. Otherwise, please list N/A.
06
This position is responsible for coordinating and managing HCBS/CFC appeals, interpreting applicable federal and state requirements, preparing defensible Department positions, working with legal partners, and identifying appeal trends that may indicate systemic policy or operational gaps. Please describe your direct experience managing, preparing for, or participating in Medicaid, HCBS, long-term services and supports, disability services, or other administrative appeals. In your response, include: The types of appeals you supported; Your role in reviewing documentation, applying rule or policy, preparing appeal materials, or coordinating with legal counsel; How you ensured deadlines, documentation, and decisions were accurate and defensible; and An example of how an appeal outcome or trend informed a policy, training, operational, or compliance improvement.
07
This position serves as a subject matter expert for HCBS-DD waiver enrollment, Emergency Enrollment Requests, youth transitions, waiting list processes, and application of waiver criteria to ensure consistent and equitable access statewide. Please describe your direct experience with intellectual and developmental disability services, HCBS waiver enrollment, reserved capacity/emergency enrollment, youth transitions, or waiting list management. In your response, include: The program, waiver, or population you worked with; Your role in determining, reviewing, documenting, or advising on eligibility, enrollment, or waiting list decisions; How you applied statute, regulation, waiver criteria, or operational guidance to complex cases; and An example of a situation where you had to balance member need, program criteria, documentation requirements, and system capacity.
08
I understand that this is a term limited position funded until 6/30/2028.
Required Question
Employer State of Colorado
Address See the full announcement by clicking
the "Printer" icon located above the job title
Location varies by announcement, Colorado, --
Website https://careers.colorado.gov/