Modular Applications Test Analyst
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Modular Applications Test Analyst
Salary
$71,544.00 - $93,012.00 Annually
Location
Statewide, CO
Job Type
Full Time
Job Number
UHA 4859 - 8.2025
Department
Department of Health Care Policy and Financing
Division
Health Information Office
Opening Date
08/18/2025
Closing Date
8/27/2025 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
Department Contact Information
Sarah LaRue Talent Acquisition Specialist sarah.larue@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.
Description
Benefits
Questions
Department Information
STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION
Envision Yourself Working at HCPF (https://www.youtube.com/watch?v=5He6If7FyDY)
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.
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 a Modular Applications Test Analyst for the System Support & UA Testing Section of the Health Information Office (HIO)!
The System Support & UA Testing Section of HIO exists to manage and enhance computerized claims processing and information management systems and implement and maintain the Colorado interChange Medicaid Management Information System (MMIS), to ensure timely and accurate Medicaid Modular Applications System processing and payments in an environment of rapid policy change. It also exists to improve budget forecasting and monitoring capabilities and improve program management of Medicaid programs. The work unit is responsible for monitoring the fiscal agents' performance under the terms and conditions of the contract. Additionally, the work unit directs and supports the various State and Federal audits of the MMIS and resulting Medicaid claims reimbursement, provider enrollment and medical benefit coverage.
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 MODULAR SYSTEMS TEST ANALYST:
Staff authority in the application and utilization of principles, practices, theories, concepts, methods, and standards pertaining to the Colorado Medicaid Enterprise System (CMES) modules. In their capacity as a lead application tester, the individual serves as the authority on CMES testing issues.
Lead and guide Department management in making policy decisions regarding the direction of the Children's Basic Health Plan, Medicaid State Plan, BHA, and state-only plans, and serve as a resource for Department staff who require guidance on network design issues.
Provide details on testing protocols Department-wide, and develop a basis for departmental larger project and program decisions on the information provided from this position to make decisions impacting HCPF staff.
Serve as primary point and resource liaison for the section, HCPF staff, and/or outside contacts Modular Applications Systems and payment issues related to the System.
Provide training and technical expertise, ensuring confidentiality is maintained and assisting with systematic and procedural implementation, and responds to a variety of related inquiries.
Lead support of Modular Applications System processes, both internally to the agency and the System operations staff, as well as to external entities.
Review criteria for escalated managed care enrollment and claims payment requests based on program rules, policies, procedures, reports, and state and federal law related to Modular Applications and Systems.
Prepare monthly reporting and written recommendations to improve escalated claims payment processes and review.
Provide clarification and education to fiscal agent monitoring staff, public and private partners and contractors, following up with written and verbal responses to resolve all issues that surface during the review and handling all claim @types including managed care capitation payments related to Modular Applications and Systems.
Reference pricing and ensure other policy edits are correctly applied to escalated claims.
Review the operational process of client enrollments and capitations, and determine how it relates to applications and system encounters.
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.
Class Code & Classification Description:
H1C4XXANALYST IV (https://drive.google.com/file/d/0B4enHpLSVk4eemlDYjc4Vm9tT00/view?usp=sharing&resourcekey=0-sfhr9APhTwTTyRT-N0Eztg)
MINIMUM QUALIFICATIONS:
There are two ways to qualify for this position:
Option 1:
Experience Only:
Seven (7) total years of professional experience using Quality Assurance and/or testing software, and handling sensitive PHI and PII data in the healthcare field.
Option 2:
Education and Experience:
Bachelor's degree from an accredited institution in a related field
AND
Three (3) total years of professional experience using Quality Assurance and/or testing software, and handling sensitive PHI and PII data in the healthcare field.
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
PREFERRED QUALIFICATIONS
Previous relevant professional state experience
Professional experience:
Creating high-level scenarios from business requirements
Writing test cases with step-by-step instructions including expected results
Executing and documenting test case results
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 ( 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 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.
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 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 agency's 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?
Yes
No
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.
Yes
No
04
Are you willing to accept an offer in the posted salary range?
Yes
No
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
List any additional relevant experience you would like us to consider in determining if you meet the qualifications of this position. Please include the months and years relevant to the experience you describe.
Required Question
Employer
State of Colorado
Address
See the full announcement by clicking
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Location varies by announcement, Colorado, --
Website
https://careers.colorado.gov/
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