This role within the Colorado Department of Health Care Policy & Financing (HCPF) oversees the team responsible for ensuring the integrity of the Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+) programs. This involves scrutinizing recipient eligibility based on established criteria, which include factors such as income, household size, and disability status. A rigorous examination process helps maintain program funding for those truly in need and safeguard taxpayer dollars. These audits can encompass various methods, including reviewing documentation, conducting interviews, and utilizing data analysis techniques. The position requires a deep understanding of state and federal regulations related to Medicaid and CHP+.
Maintaining the fiscal health and public trust in these vital safety net programs necessitates diligent oversight. By ensuring only eligible individuals receive benefits, the state can maximize limited resources and offer essential services to those who qualify. This process not only protects taxpayer dollars but also contributes to the long-term sustainability of these programs, enabling HCPF to continue supporting vulnerable populations. Accurate eligibility determinations also minimize the risk of improper payments and potential fraud, further reinforcing public confidence in the system. The increased availability of online job postings through platforms like GovernmentJobs has streamlined the application process for these critical government positions.
