Member Benefit Appeals Supervisor

State of Colorado; Colorado; Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

PERA retirement benefits

Medical insurance

Dental insurance

Vision insurance

Disability coverage

Life insurance

FSAs

FMLA and PFML

Holidays and leave

Flexible schedules

RTD EcoPass

College tuition discount

Credit Union membership

Public Service Loan Forgiveness (PSLF)

Job summary

State of Colorado in Denver is seeking a qualified legal professional to join the Legal Division under the Department of Health Care Policy & Financing. The role emphasizes oversight of the member benefit appeals unit and collaboration with cross‑functional teams to ensure compliance with state and federal requirements.

We offer a hybrid work arrangement with on‑site onboarding at our downtown Denver office and flexible schedules.

Responsibilities

• Oversee the Department's Member Benefit Appeals Unit within the Legal Division.

Job description

STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION

Envision Yourself Working at HCPF

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:

• PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans
• Medical, Dental, and Vision insurance coverage
• Automatic Short-Term and Optional Long-Term Disability Coverage
• Life and AD&D Insurance
• Flexible Spending Accounts (FSAs)
• 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
• 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 to all eligible State Employees
• Reduced college tuition through CSU Global
• 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

Part of the Department’s Policy, Communication, & Administrations Office, the Legal Division exists to support the legal and privacy issues of the Department. The Legal Division is responsible for maintaining the Protected Health Information database that houses information regarding powers of attorney and authorizations, and to identify and control the release of Department records and protect the civil and privacy rights of program recipients under federal and state law, and to evaluate legal issues in the administration of Department programs to ensure compliance with federal and state law. The Legal Division is also responsible for reviewing client appeals and renders the final agency decision and undertakes special projects to provide advice to senior management on the Department's compliance with federal and state law. The Division also provides legal advice and counsel on the Department's contracts and procurement activities.

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 hybrid to full-time in the office. Specific discussions about the schedule will be discussed during the offer stage.

Please note - equipment provisioning and certain onboarding tasks will take place in person, in our downtown Denver office, on the first day of employment.

Position Overview

The Colorado Department of Health Care Policy & Financing (HCPF) is seeking an experienced legal professional and collaborative leader to serve as the Member Benefit Appeals Unit Supervisor within the Legal Division.

This position plays a critical role in overseeing the Department's member benefit