Enterprise Solutions Integration (ESI) Work Requirements Business Analyst

JOB
STATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATIONNote: This announcement may be used to fill multiple openings.Envision Yourself Working at HCPFThe 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.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 looking for an Enterprise Solutions Integration (ESI) Work Requirements Business Analyst for the ESI Division of the Health Information Office (HIO)!The ESI Division of HIO manages the design, integration, and certification of all systems and interfaces within Colorado’s Medicaid Enterprise System (CMES). The Division ensures interoperability, data accuracy, and federal compliance across all CMES modules including eligibility, claims, provider, and analytics processes. ESI implements technology solutions supporting new CMS policy mandates, including Medicaid Work Requirements, to ensure the Department’s programs remain compliant, efficient, and member-focused. The work section is responsible for researching, eliciting, verifying and validating the transmission of data and integration functions and processes through the Enterprise Solutions Integration Platform and across the CMES ecosystem. This unit enforces data and integration governance processes by utilizing the Software Development Life Cycle (SDLC) methodologies and integration industry best practices to ensure consistency with all Module Vendors across the CMES ecosystem.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 plansMedical, Dental, and Vision insurance coverageAutomatic Short-Term and Optional Long-Term Disability CoverageLife and AD&D InsuranceFlexible 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 LeaveAccrued Sick Leave for State of Colorado Temporary EmployeesFlexplace and Flextime work arrangementsVariety of discounts on services and products available through the State of Colorado's Work-Life Employment Discount ProgramFree RTD EcoPass to all eligible State EmployeesReduced college tuition through CSU GlobalCredit Union of Colorado Membership EligibilitySome 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-programsWe 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.**

EXAMPLE OF DUTIES
What You’ll Be Doing as ESI Work Requirements Business Analyst: Serves as the Department’s business and systems authority for Colorado Medicaid Enterprise System (CMES) system behavior, interface design, and data integration, ensuring policy intent is correctly operationalized in technical solutions supporting HR1 Medicaid Work Requirements compliance.Applies knowledge of Medicaid & CHP+ operations, CMES integration and eligibility systems, MITA 3.0 standards, and CMS guidance to translate policy and operational requirements into clear business, functional, system, and interface requirements, validating that proposed technical solutions correctly implement business intent within CBMS and the broader Medicaid Enterprise. Leads the business and system design for interfaces supporting ex parte and verification processes, defining when, why, and how systems exchange information to support accurate eligibility determinations. Reviews and validates functional and technical design documents to ensure traceability to approved business requirements and alignment with policy intent prior to implementation. Leads requirements elicitation and review activities, including business process mapping, functional specifications, interface requirements, and testing artifacts, serving as the primary interpreter between policy, operations, and technical teams to ensure alignment with policy intent, system architecture, and Department governance standards within the scope of HR1 work requirements.Works with policy and eligibility operations teams to confirm functional specifications reflect the intent of Medicaid Work Requirements system requirements.Directs contractors through the SDLC and governance processes by setting expectations for requirements quality, system design decisions, data flows, and configuration standards, reviewing deliverables for business correctness, system integrity, and operational feasibility.Collaborates with contractors, state agencies, federal entities, and private-sector partners to establish secure APIs and batch interfaces for employment, education, and service verification.Supports the full testing lifecycle in collaboration with stakeholders and contractors, including System Integration Testing (SIT), End-to-End (E2E) testing, and User Acceptance Testing (UAT), as well as post-implementation validation, ensuring test scenarios and results validate system functionality and integrations with traceability to approved requirements. Serves as a Business Analyst and Systems Integration liaison for Work Requirements implementation, representing HCPF in cross-organizational discussions on system behavior, requirements interpretation, and interface design with CBMS, OIT, vendors, CMS, and other stakeholders as appropriate.Provides ESI SDLC and integration governance consultation to policy and operations teams on feasibility, risks, and resource impacts of proposed system changes.Leads integration technical briefings and readiness reviews with executive leadership, CMS representatives, and stakeholders as needed.

SUPPLEMENTAL INFORMATION
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 ProcessThe 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 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, Anupreet Kaur, at anupreet.kaur@state.co.us.The Department of Health Care Policy & Financing does not offer sponsored visas for employment purposes.