Healthcare Technology Program Manager

6 days ago


Denver, Colorado, United States Health Care Policy And Financing Full time

At Health Care Policy and Financing, we're dedicated to improving healthcare equity, access, and outcomes for Coloradans. We oversee and operate Health First Colorado, Child Health Plan Plus, and other state public health programs.

Job Summary

We're seeking a highly skilled Managed Care Technology Administrator to join our team. In this role, you'll be responsible for determining enrollment and attribution policy, as well as health plan network management.

About the Role

This position is critical in supporting the Program Operations Unit and other staff within the Section on all contract-related issues related to managed care eligibility, enrollment, UAT testing, and RAE provider network management.

Duties and Responsibilities
  • SUPPORT PROGRAM OPERATIONS UNIT AND OTHER STAFF WITHIN THE SECTION AS NEEDED ON ALL CONTRACT-RELATED ISSUES RELATED TO MANAGED CARE ELIGIBILITY, ENROLLMENT, UAT TESTING, AND RAE PROVIDER NETWORK MANAGEMENT.
  • Oversight of key enrollment operations processes and provision of support to leadership and staff for various managed care enrollment/eligibility activities.
  • Oversight of RAE provider contracting operations and provision of support to RAEs as well as internal stakeholders for processes related to RAE provider network management.
  • Action as technical resource related to enrollment, eligibility, PCMP provider network management, UAT testing, encounter SLA performance, and performance metrics.
Benefits

We offer a competitive salary range of $85,000 - $110,000 per year, depending on experience, plus excellent benefits, including:

  • PERA retirement benefits
  • 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

Additionally, you'll enjoy flexible work arrangements, free RTD EcoPass, Credit Union of Colorado Membership Eligibility, and more



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