Child and Youth Medicaid Specialist - Family/County Focus

Child and Youth Medicaid Specialist - Family/County Focus

02 Mar 2024
Colorado, Denver, 80221 Denver USA

Child and Youth Medicaid Specialist - Family/County Focus

Child and Youth Medicaid Specialist - Family/County Focus Print ( Apply  Child and Youth Medicaid Specialist - Family/County Focus Salary$56,028.00 - $89,652.00 AnnuallyLocation Denver, COJob TypeFull TimeJob NumberIHA 07188 02/13/2024DepartmentColorado Department of Human ServicesDivisionOCYF (Office of Children, Youth & Families)Opening Date02/29/2024Closing Date3/14/2024 11:59 PM MountainFLSADetermined by PositionPrimary Physical Work AddressColorado Department of Human Services, 1575 Sherman Street, Denver CO 80203FLSA StatusExempt; position is not eligible for overtime compensation.




Department InformationThis position is open only to Colorado state residents. Most State of Colorado employees are eligible for a great benefit package! Please see the Supplemental Information section below for details! ( About Us:The Office of Children, Youth and Families (OCYF) exists to manage internal programs and divisions as well as all external activities, including the supervision of 64 counties’ social/human services for compliance with Federal and State statutes and regulations.The Child Welfare Medicaid Specialist team ensures that children and youth in the child welfare and youth services systems have a more seamless connection to physical and behavioral healthcare services, which improves health outcomes, minimizes harm to children and youth, and ensures timely permanency planning.Opt in below to receive text message updates on CDHS recruiting events! CDHSCareers Description of JobThe Office of Children, Youth and Families welcomes your interest in the Child and Youth Medicaid Specialist - Family/County Focus position. The candidate in this position will report to the OCYF Medical Director and is part of a Child Welfare Medicaid Specialist team who are working as expert resources to help families, counties, and providers in navigating Medicaid enrollment, ensuring consistent access to care, and removing barriers to Medicaid access for the child welfare population and the Division of Youth Services (DYS) community-placed youth. Job Duties:

Review the current infrastructure for accessing Medicaid for specialized populations in the child welfare system including foster care, adoption, emancipation, and Division of Youth Services (DYS) community-placed youth.

Determine what processes are needed to operationalize a Child Welfare Medicaid system that is largely devoid of barriers to accessing health care services.

Evaluate processes and, in collaboration with team members, provide programmatic and policy recommendations to both CDHS and HCPF to ensure guidelines support that children and youth are enrolled in Medicaid appropriately, transferred between Regional Accountability Entities (RAEs).

Provide analysis and consultation on how to individualize existing guidelines to meet specific and unique member needs enabling each child and youth in the child welfare system to have a more seamless connection to physical and behavioral healthcare services.

Serve as a navigator for youth, child welfare-involved families and county departments of human/social services to ensure successful eligibility enrollment and continuous access to care, especially in situations where geographic location and service providers may shift throughout the youth’s treatment and placement life cycle.

Provide individual case review for 24/7 community providers serving these children and youth to determine accurate and appropriate billing options based on existing policy and guidelines to maximize Medicaid funding to support the availability of needed treatment.

Collaborate with system partners in setting policy and monitoring related to accessing Medicaid services for children and youth in the child welfare and DYS systems

Provides subject matter expertise and collaboration within the Colorado Department of Human Services (CDHS) Division of Child Welfare, Colorado Department of Health Care and Policy Financing (HCPF) Colorado Medicaid services, Colorado Benefit Management System (CBMS), Child Welfare Trails database, Colorado inter Change’s provider-facing systems, among other areas.

Other Duties as assigned

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal RightsIn order to meet the minimum qualifications for the position a candidate must meet at least one or more of the following: Minimum Qualifications:

Six (6) years of experience in an occupational field related to the work assigned to the position.


Two (2) years of professional experience in an occupational field

related to the work assigned to the position and a b achelor's degree from an accredited institution in a related field. Allowable substitutions:

Additional appropriate experience will substitute for the degree requirement on a year-for-year basis.

Additional appropriate education will substitute for the required experience on a year-for-year basis.

Preferred Qualifications:The preferred experience, competencies and abilities are highly desirable for this position and will be considered in selecting the successful candidate:

Ability to develop and maintain positive relationships with others.

Must be able to work independently as well as with a team.

Experience with child welfare policy, rules, and statutes.

Experience with Medicaid policy, rules, and statutes.

Excellent communication, interpersonal and decision-making skills.

Ability to build and maintain effective relationships with internal and external stakeholders.

Ability to manage and prioritize multiple project tasks to meet deadlines.

Ability to work in an unstructured environment, effectively managing time, logical problem-solving and analytical skills with demonstrated attention to detail and follow through.

Strong interpersonal skills with the ability to effectively engage and communicate with diverse audiences, various levels of the organization, and individuals with different knowledge levels.

Conditions of Employment:

A pre-employment criminal background check will be conducted as part of the selection process as this position is deemed to have direct contact with vulnerable persons. Felony convictions, conviction of crimes of moral turpitude, or convictions of misdemeanors related to job duties may disqualify you from being considered for this position. Should your background check reveal any charges or convictions, it is your responsibility to provide the CDHS Background Unit with an official disposition of any charges.

Former State employees who were disciplinarily terminated or resigned in lieu of termination must (1) disclose that information on the application (2) provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position, (3) provide the employee number from the applicant’s prior State employment. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

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 (, 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 ; 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 under Rules.

Supplemental InformationHow to Apply ( The Assessment Process For additional recruiting questions, please contact About Us: If your goal is to build a career that makes a difference, consider joining the dedicated people of the Colorado Department of Human Services ( (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. In addition to a great location and rewarding and meaningful work, we offer:

Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans

Medical and dental health plans

Employer supplemented Health Savings Account

Paid life insurance

Short- and long-term disability coverage

11 paid holidays per year plus vacation and sick leave

BenefitHub state employee discount program

Employee Wellness program (

Excellent work-life programs, such as flexible schedules, training and more

Remote work arrangements for eligible positions

Some positions may qualify for the Public Service Loan Forgiveness Program. For more

information, go to .

Our Values:

We believe in a people-first approach: To serve the people of Colorado, we develop a culture and work environment that creates an energized, inspired, and healthy team capable of giving their best to Coloradans .

Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.

We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.

Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.

We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.

Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.

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.

ADAA Accommodations: CDHS 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 ADAA Coordinator, Nancy Schmelzer, at or call 1-800-929-0791.


Toll Free Applicant Technical Support

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: 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 One of the primary duties of this role is to identify overarching areas of improvement needed in Colorado's child welfare Medicaid system and make recommendations to agency leadership on ways to mitigate these identified barriers. Describe how you would approach a situation (either a real life example or hypothetical) where you need to 1) understand barriers experienced by diverse partners using a single system, 2) analyze those various experiences, and 3) use that analysis to make recommendations for broad system improvements. 02 Describe your experience bringing together diverse partners to drive change. Include your role and give at least one specific example describing the partners, how you facilitated the work, and the outcomes. 03 Please explain why you are interested in this role and how your skillset and/or past experience would equip you to be successful. 04 The bottom of this job announcement provides links to additional information on how to apply, the assessment process, toll free applicant technical support, and about how the State of Colorado is an equal opportunity employer. Please acknowledge below that you have read the information provided in these links.

This information is available to me and I have read this information.

I am unable to access the links with this information on the job posting. (If you select this option, please contact the recruiter, whose information is listed on this announcement, so that they can send this information directly to you.)


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If you are a current or former State of Colorado employee, please list your employee number (starts with 997). Failure to provide this requested information may render your application incomplete, and you may no longer be considered for the position.


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.

Required Question

AgencyState of ColoradoAddressSee the full announcement by clicking the "Printer" icon located above the job title Location varies by announcement, Colorado, Website Apply Please verify your email address Verify Email

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