Appeals Officer
Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5241362)
Apply
?
Appeals Officer
Salary
$95,892.00 - $124,656.00 Annually
Location
Denver Metro, CO
Job Type
Full Time
Job Number
UHA04907 02/23/2026
Department
Department of Health Care Policy and Financing
Division
Policy and Communications Office
Opening Date
02/23/2026
Closing Date
3/9/2026 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 Avenue Denver, CO 80203
FLSA Status
Exempt; position is not eligible for overtime compensation.
Department Contact Information
jessica.bosick@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
NOTE: This announcement may be used to fill multiple openings.
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.
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
Credit Union of Colorado (https://www.cuofco.org/credit-union-colorado-membership-eligibility) 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
The Office of Appeals issues Final Agency Decisions for Medicaid recipient appeals (known as the State Fair Hearing process). The State Fair Hearing process is an interagency process where the member's appeal is initiated at the Office of Administrative Courts and an Administrative Law Judge issues an Initial Decision. Once the Initial Decision is written, the case is transferred to the Office of Appeals for conclusion of the State Fair Hearing process. Overall, the work unit coordinates transfer of cases from the Office of Administrative Courts, recordkeeping, docketing of Initial Decisions and mailing, handling post hearing filings and answering phone calls and emails from parties concerning the department's appeal process (providing information to parties regarding the final stage of the department's appeal process in compliance with state and federal law). The end work product is issuance of a Final Agency Decision and preserving cases for judicial review by the District Court.Due to the legal nature of the recipient appeals process (both substantively and procedurally), the Appeals Office is housed in the legal division.
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 fully remote, hybrid, to full-time in the office. Specific discussions about the schedule will be discussed during the offer stage.
Description of Job
The Policy, Communications and Administration (PCA) Office welcomes your interest in the Appeals Officer position. The Appeals Officer is responsible for issuing all written Final Agency Decisions in Medicaid recipient/applicant appeals on behalf of the State Department as part of the federally mandated State Fair Hearing process. This position is responsible for communicating with other legal representatives, the Office of Administrative Courts, the Attorney General's Office, and State Department personnel. Because of the judicial role, the Appeals Officer must remain independent from the Department and may not directly communicate with employees concerning pending appeal matters.
Responsibilities include:
Review and analyze the record, exhibits, Initial Decision, and any exceptions or transcripts to determine the correctness of the Initial Decision.
If the Appeals Officer finds that there was an error in a finding of fact or conclusion of law, the Appeals Officer has the authority to overturn or modify the Initial Decision or remand the matter back to the Office of Administrative Courts for further proceedings.
Use independent legal decisions to analyze the Initial Decision in each individual case.
Resolve all Medicaid appeals without higher level approval.
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.
ADMINISTRATIVE LAW JUDGE II (H5L2XX) (https://dhr.colorado.gov/state-hr-professionals/job-classifications/class-description-and-minimum-qualifications-for-h5l)
MINIMUM QUALIFICATIONS:
Education and Experience:
Graduation from an accredited law school.
AND
Five years of experience practicing law (legal experience acquired after admission to the bar), two of which must have included experience appropriate to the work assignment, and qualified candidates shall have been licensed to practice law in the State of Colorado for five years.
Substitutions
None
Preferred Qualifications
Experience working with administrative law and/or the Office of Administrative Courts.
Public Health experience, including Medicaid.
Excellent verbal and written communication skills.
Related State of Colorado experience.
DEFINITION OF PROFESSIONAL EXPERIENCE: Professional experience is defined as experience that may include: independent judgment and discretion in performing work duties, a level of specialized knowledge, in-depth work requirements such as data gathering, analysis and interpretation, customer service across a broad range of individuals including key personnel, and/or individual accountability for results.
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 tospb.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.govunder 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.
Writing Sample Requirement:
Applicants are required to submit a writing sample that reflects their ability to analyze issues, apply relevant authority, and communicate clearly and effectively in writing. The submission must represent the applicant's own analysis and work product.
If generative artificial intelligence tools (such as ChatGPT) were used in drafting or editing the submission, such use must be disclosed in a brief statement accompanying the sample. The disclosure should describe how the tool was used (e.g., outlining, editing for clarity, grammar review, etc.). Regardless of any assistance used, the applicant is solely responsible for the content, accuracy, and integrity of the submission.
Redacted writing samples are acceptable. Applicants are responsible for ensuring that all confidential, privileged, or otherwise protected information is appropriately redacted prior to submission.
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, Minnie 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 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 and Financing? If so, please list their names here. Otherwise, please list N/A.
03
Are you willing to accept an offer within the posted salary range?
Yes
No
04
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 are listing.
05
Have you attached the required writing sample?
Yes
No
06
Please list any artificial intelligence tools you have used in the past?
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/
Apply
Please verify your email addressVerify Email
