Medicaid Consultant

Colorado Department of Education – What We Do 
The Colorado Department of Education (CDE) provides leadership, resources, support, and accountability to the state's 178 school districts, 1,888 schools, over 53,000 teachers, and over 3,200 administrators to help them build capacity to meet the needs of the state's approximately 905,000 public school students. In addition, CDE provides structural and administrative support to the Colorado School for the Deaf and the Blind and the Charter School Institute.

As the administrative arm of the State Board of Education, CDE is responsible for implementing state and federal education laws, disbursing state and federal funds, holding schools and districts accountable for performance, licensing all educators, and providing public transparency of performance and financial data.

CDE is a values-based agency that serves students, parents, and the general public by protecting public trust through ensuring adherence to laws, strong stewardship of public funds, and accountability for student performance.

Why Work For CDE
The work we do is rewarding and impacts the students, families, educators, and communities across Colorado. Our leadership also promotes a culture that puts families and self-care as a priority. Along with meaningful work and an environment that puts employees first, the state also offers rich benefits that intend to make us an Employer of Choice!
The following is a summary of the benefits we offer:

• Flexible work schedules and flexible workplace options that may include flexible working hours, working from home, working in the office, and/or a hybrid working environment.
• Premier medical, dental, vision, and dependent life insurance options. All with a generous employer contribution keeping employee costs as low as possible.
• Employer paid short-term disability and life insurance
• Up to 160 hours of Paid Family Medical Leave (PFML)
• 11 paid holidays per year
• Competitive vacation and sick leave accruals
• Retirement through the Public Employees Retirement Association (PERA) www.copera.org
• Employer paid RTD Eco Pass (certain restrictions may apply)
• Paid professional development opportunities

Position Summary:
Colorado’s School Health Services Program, also known as the School Medicaid Program, allows participating districts and Boards of Cooperative Educational Services (BOCES) to access federal Medicaid funds for services they provide to Medicaid enrolled children according to an Individualized Education Program (IEP), Individualized Family Service Plan (IFSP) or other plan of care. This program improves Districts’ and BOCES’ ability to provide additional or enhanced health and/or health-related services for all students through reimbursement dollars.
The School Health Services Medicaid Consultant supports the delivery of the School Health Services Program (School Medicaid) through the development, implementation and maintenance of quality systems and supports. The consultant provides guidance, technical assistance and training to districts and BOCES participating in the School Health Services Program (School Medicaid) in coordination with the Department of Health Care Policy and Financing (HCPF).
This position is Full-time, is Hybrid (Remote/Home Office w/requirement to report to Work location per business needs)
Office hours are typically Mon-Fri, 8 am-5 pm
Extended hours during the evening or the weekend may be required by business needs
A Remote (Home) office is required
Required to report to the work location per business needs


Major Duties and Responsibilities:
Build and maintain a successful working relationship with the Colorado Department of Health Care Policy and Financing (HCPF).
Adhere to the requirements outlined in the interagency agreement between HCPF and Colorado Department of Education (CDE).
Provide leadership throughout the state and increase awareness and understanding of the School Health Services program.
Work with HCPF to recruit non-participating districts and BOCES to participate in the School Health Services Program.
Collaborate with HCPF to create and update program guidelines.
Review, interpret and implement policy changes when necessary.
Improve and maximize utilization of the program by conducting comprehensive reviews of Informed Parental Consents and Local Services Plans.
Coordinate with HCPF to provide support to program coordinators and team members.
Review and revise Local Services Plan guidelines and procedures as needed.
Maintain a current copy of the Local Services Plan for all participating districts.
Review and evaluate Local Services Plans submitted by districts or BOCES to ensure the plan meets Colorado legislative requirements.
Assist local program participants with the development, coordination and/or revisions of the Local Services Plan.
Support district/BOCES Community Advisory Committees and program coordinators by reviewing the Local Services Plan development and providing guidance and technical assistance with processes.
Conduct annual reviews of internal systems related to the submission, revision and annual reporting of Local Services Plans.
Submit Reimbursement Spending Reports to HCPF annually.  
Assist local program participants with submission of program Reimbursement Spending Reports.  
Collect and report participating programs’ yearly expenditures to HCPF and the individual participating districts/BOCES.
Compile and analyze information from the Reimbursement Spending Report to CDE as reported by districts and BOCES to evaluate the implementation of Local Services Plans and their outcomes.
Collaborate with HCPF to support training needs related to all components of the School Health Services program, including Local Services Plans, reimbursement spending reports, parental consent, Random Moment-in-Time Studies, Medicaid Administrative Claiming and provider qualifications.
Develop and maintain a detailed project schedule, manage and oversee program activities and assure districts and BOCES are supported and accountable to the activities plan outlined in the participant’s Local Services Plan.
Manage budgets, vendor contracts, purchases and monthly financial reporting.
Incorporate feedback from program participants to develop, implement and improve program tools and systems to reduce the administrative burden on program participants.
Other duties as assigned by the immediate supervisor.MINIMUM EDUCATION  AND EXPERIENCE  REQUIREMENTS:
High school diploma or GED
 
QUALIFICATIONS AND CONDITIONS: 
Preferred working knowledge of Health First Colorado and the School Health Services Program (School Medicaid)
Preferred experience working with the School Health Services Program (School Medicaid)
Experience in program development and improvement
Highly proficient in Google Suite and  Microsoft Office Products (2017 or newer), including Excel and Office 365
Demonstrated ability to work independently
Demonstrated ability to follow standard budgeting and expenditure procedures
Demonstrated data management skills with an emphasis in data collection, utilization and reporting
Demonstrated success in building strong community partnerships
Strong written and verbal communication skills
Preferred virtual and in-person presentation experience with basic understanding of adult learning theory
Available to present in-person and virtually during all Annual Trainings, Mid-Year Trainings, and Stakeholder meetings.  
Ability to travel throughout Colorado and out of state

Conditions of Employment (Required):

• Must be willing and able to submit to the pre-screening process and pass a background check.

Complete Applications must include:

• Completed Online Application: Required - Submitted through our ATS.
• Cover Letter: Required - Copy and Paste into the Supplemental Questions (11,000 character limit, aprx. 3 pages) 
• Resume: Required - Copy and Paste into the Supplemental Questions (11,000 character limit, aprx. 3 pages)

Equity, Diversity, and Inclusion (EDI) and Equal Employment Opportunity
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, a 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 Colorado Department of Education 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 performing 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 hr@cde.state.co.us.