Durham, North Carolina
Spartanburg, South Carolina
Durham, North Carolina
Posted: 04-Mar-25
Location: Denver, Colorado
Internal Number: R10467
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Department
Enrollment ServicesJob SummaryUnder general supervision, assists with leading day-to-day operations of the Colorado Medical Assistance Program contract. Help to assist Enrollment Specialists with various CBMS and technical difficulties. Participate in coordinating and performing new candidate interviews. Identifies, researches, and resolves complex problems by assisting Enrollment staff to resolve as many issues as possible without escalation to management. Support management by making decisions regarding whether client information meets requirements for programs when circumstances require exceptions from, or interpretations of, the rules. Works and collaborates directly with both internal and external partners such as State entities, other departments and community organizations.
Essential Functions:
- Identifies, researches, and resolves complex case problems by assisting Enrollment staff. (10%)
- Assist with setting up phones and systems used by Enrollment staff. (10%)
- Assist Enrollment staff to resolve as many issues as possible without escalation to management. (10%)
- Assist in developing and mentoring new Enrollment staff. (10%)
- Monitors contract deliverables and operational trends to ensure compliance. (10%)
- Assist in resolving disputes from upset clients. (10%)
- Identifies and submits rewards for recognizing Enrollment staff for providing great customer service. (10%)
- Actively identifies problems and opportunities for improvement. (10%)
- Identifies appropriate solutions and involves others in the implementation process. (5%)
- Communicates findings and recommendations with department leadership. (5%)
- Makes decisions regarding whether client information meets requirements for programs when circumstances require exceptions from or interpretations of the rules. (5%)
- Effective analysis and use of management data and reports to establish standards to monitor and improve performance. (5%)
Education:
- High School Diploma or GED Required
Work Experience:
- 1-3 years two years of relevant administrative health care experience. Required
Licenses:
Knowledge, Skills and Abilities:
- Advanced knowledge of health care administration, including Medicaid and CHP+ eligibility and enrollment policy and processes.
- Knowledge of eligibility determination systems, preferably CBMS.
- Advanced knowledge of federal and Colorado statutes, legislative initiatives and regulations, as well as federal, State and local policies.
- Skilled in analytical thinking, problem solving, and process improvement.
- Skilled in providing excellent customer service.
- Ability to communicate effectively.
- Ability to disseminate program information, policies, rules and/or regulations.
- Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion.
- Ability to consistently implement department and organizational policies and procedures.
- Ability to work in teams to get projects done, and to work with those at all levels of the organization.
- Knowledge of medical assistance programs and the State CBMS system.
- Microsoft Office products such as Word, Excel, PowerPoint, and Outlook.
- Software and systems such as Salesforce, Five9, Epic, and CBMS.
- Ability to learn new computer applications.
Shift
Work Type
RegularSalary
$22.88 - $32.03 / hrBenefits
Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver?s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado?s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.
Applicants will be considered until the position is filled.