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PHI HIPPA Management Analyst
(Jobs in Denver, CO)
 
Requirement id 134704
Job title Analyst
Job location in Denver, CO
Skills required Technical Writing, Data Security, PHI, HIPPA Management
Open Date 23-Jun-2022
Close Date
Job type Contract
Duration 10 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: Technical Writing, Data Security, PHI, HIPPA Management

Start Date : 07/11/2022

End Date : 04/24/2023

Submission Deadline : 06/30/2022

Client Info : CO CDHS



Description :

Office of Behavioral Health (OBH) Alternative Payment Model (APM) Business Analyst

This role serves as the liaison between the Behavioral Health Administration (BHA) Finance Team, the Data & Evaluation Team and the Medicaid Management Information System (MMIS) team at the Department of Health Care Policy & Financing (HCPF) to elicit business requirements for future BHA claims and encounter processing. They will have experience with alternative payment models that align with the payers efforts to shift away from fee-for-services payments to value-based payments. They will have experience with physical and/or behavioral health data.



About Us

On April 8, 2019, Governor Jared Polis directed the Colorado Department of Human Services to spearhead Colorados Behavioral Health Task Force. The mission of the Task Force was to evaluate and set the roadmap to improve the current behavioral health system in the state. Among almost 150 recommendations, Task Force members voted unanimously to create a new Behavioral Health Administration (BHA).

The BHA will be the first of its kind, working across all payer groups to measure results, hold providers accountable, and improve access. It will be empowered to lead change, to publicly hold itself and its stakeholders accountable, and to take advantage of every opportunity to ensure Coloradans feel a sense of improved quality of life when they intersect with our system. It will be instrumental in achieving the vision to have a comprehensive, equitable, effective continuum of behavioral health services that meet the needs of all Coloradans in the right place, at the right time, to achieve whole person health and wellbeing.

Description of Job

This position exists to support development of payment models and business processes with a level of technical expertise of healthcare payment business processes and payment models. Position is essential in doing work to develop new rate setting processes. This work can include data analysis, working with actuaries on rate setting methodologies, contract management and stakeholder engagement.
Primary Duties Include

Reimbursement Policy and Rate Model Development

Determines what data is necessary for rate setting purposes for different types of payment methodologies.
Helps to determine if quality measures can be executed with existing management guidance or if further clarification is necessary to do the work.
Must decide how best to pull and analyze data.
This position must be able to understand potentially complex rate models and be able to help providers understand their rates and the financial implications involved.
Translating complex financial models into contractual language for our providers.

Project Management and Operational Planning to Implement Payment Reform

Collaborate with agency stakeholders to develop new payment models for behavioral health services.
Decides what tasks need to be completed to develop new payment methodologies.
Must determine what tasks are a payment reform team task or if other Department staff or outside contractors are needed to assist with implementation.
Decides in which order, and when, to perform these structured tasks.

Data Analysis Supporting Payment Reform

Position escalates issues raised by stakeholders that exceed the legal and regulatory knowledge of this first working level position.
In responding to stakeholder inquiries and concerns, position evaluates management guidance, then decides when is appropriate to ask for assistance if the stakeholder inquiry is
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 134704 while calling.
 
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(Analyst: Technical Writing, Data Security, PHI, HIPPA Management in Denver, CO)
     
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