Hybrid Workplace Arrangement

Although this position will be designated under the department’s hybrid workplace program, it will still be required to report to the department office on a scheduled basis and at the discretion of the supervisor, based on business need.

The salary range posted for this position is Q1 $7,834 – Q3 $10,180 /monthly; although a salary range is listed, hiring salary will be set commensurate with the successful candidate’s qualifications and in compliance with the Equal Pay for Equal Work Act.

This announcement may be used to fill multiple vacancies.

The Department of Regulatory Agencies (DORA) is dedicated to preserving the integrity of the marketplace and is committed to promoting a fair and competitive business environment in Colorado.

Consumer protection is our mission.

DORA values and promotes diversity, supporting a workplace that is inclusive of people from different backgrounds and experiences; creating an environment that is reflective of our communities; promoting positive relationships; and putting forth unique perspectives to fulfill our mission.

• Employer-sponsored RTD EcoPass, with offices located at Civic Center Plaza, above the RTD Civic Center station and just a few blocks from RTD light rail.
• Extensive work-life programs such as flexible schedules, training and professional development opportunities on a wide variety of subjects, and more!
• Employee wellness programs, including the Colorado State Employee Assistance Program (CSEAP), which provides free, confidential counseling services.
• Bike-to-work programs, including access to storage lockers and bike racks.
• Flexible retirement benefits, including a choice of the PERA Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans.
• Medical and Dental Health Insurance for employees and optional coverage for their dependents.
• Life Insurance for employees, and optional coverage for their dependents.
• Paid Time Off, including 11 paid holidays.
• Short- and long-term disability coverage.
• Tuition assistance program.

Check out our excellent benefits package!

Description Of Job

The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado. DOI helps consumers by answering their questions, investigating their complaints, and helping them to understand their insurance. The division regulates and monitors insurance companies in Colorado, as well as insurance agents, ensuring all are following the law.

The Life and Health Policy Work Unit includes the operations and staff of four units: The Life and Health Consumer Services Section, the Market Regulation Section, Behavioral Health Unit, Health Insurance Affordability Enterprise Unit and other policy areas including Primary Care and Prescription Drug Affordability.

Position: SFA 4091

This position leads the Behavioral Health Unit and is responsible for directing the implementation of duties related to HB 19-1269, MHPAEA, and associated federal regulations, including ensuring compliance and reporting; and leading the Division’s strategic and policy relationship with the newly created Behavioral Health Administration (BHA). HB 19-1269 requires the Commissioner to adopt rules to establish reasonable time periods for visits with a provider for treatment of a behavioral, mental health, or substance use disorder after an initial visit with a provider. Position oversees the implementation, evaluation, and refinement of requirements for carriers to establish procedures to authorize treatment by nonparticipating providers when a participating provider is not available under network adequacy requirements; and to reimburse treatment or services for behavioral, mental health, or substance use disorders obtained from a nonparticipating provider because the covered service was not available within established time and distance standards using the same methodology the carrier uses to reimburse covered medical services provided by nonparticipating providers. Additionally, the position oversees 1 FTE.

Duties Include, But Are Not Limited To

• Directing carrier compliance with HB 19-1269 through collaboration with multiple Division teams, including Market Regulation and Life and Health Rates and Forms; and leading team strategy, process development, and coordination on all parity-related issues and violations;
• Leading carrier communication on identified issues and working collaboratively towards resolution of identified issues;
• Consulting subject matter experts to inform the parity initiatives of the Division, preparing documents for senior leadership review, and preparing presentations related to the parity work of the Division; and conducting in-depth analysis of parity issues to guide the Division’s strategic priorities in parity enforcement;
• Leading oversight of commercial market parity testing and investigations, including financial requirements and non-financial requirements (quantitative and non-quantitative treatment limitations);
• Addressing incoming inquiries on parity-related issues and responding appropriately; developing and implementing an integrated strategic communications plan to advance the Division’s requirement to implement HB 19-1269 and ensure that all parties are regularly updated on the Division’s parity work;
• Serving as the lead expert for all parity-related issues in private insurance and partnering with experts in other state agencies, organizations, providers, and non-profit organizations involved in behavioral health across Colorado;
• Supporting process improvement projects through the identification of opportunities and solutions for improvement and the implementation of such solutions; legislative implementation; template revision; and other Division initiatives;
• Providing strategic direction to staff on establishing processes and procedures for aligning the behavioral health standards (network adequacy, credentialing, reimbursement rates) between the current standards across payers in the commercial market and the standards developed by the BHA;
• Managing the operations for all of the work conducted by the team, including resolving any operational problems, and generating, distributing, and maintaining workload and other various records, including ensuring the accuracy of leave use and management.

MINIMUM QUALIFICATIONS (MQs)

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

There are two ways to qualify for this position: 1) Experience OR 2) A Combination of Education and Experience

Option 1: Experience

Nine (9) Years Of Professional* Experience Working For a Healthcare Provider, a Non-profit Health Or Advocacy Organization, In The Health Insurance Industry, In a Health Policy Consulting Environment, Or For a Governmental Regulatory Entity, Performing One (1) Of The Following Three (3) Functions

• Developing, implementing, or supporting a healthcare policy agenda focused on health insurance access and affordability, including identifying, evaluating and proposing health-related policies, legislation and regulations;
• Conducting stakeholder outreach and engagement, including building and sustaining relationships with legislators, state agencies, healthcare industry representatives, and state and national interest groups and advocacy organizations;
• Conducting studies and analyses of programs or projects through active participation in the planning, coordination, development and/or evaluation to improve behavioral health coverage practices or other health coverage issues (access, antidiscrimination, and/or health coverage disparities).

The nine (9) years must include at least two (2) years of one (1) of the following:

• Formal supervisory** or equivalent experience in managing professional level staff (responsible for the pay, status, and tenure of subordinate employees); OR
• Experience working as a work leader***, responsible for assigning and reviewing the work of subordinate employees, and holding them accountable for performance.

Option 2: A Combination of Education AND Experience

• Associate’s Degree and Experience: Graduation from an accredited college or university with an associate’s degree in social work, sociology, psychology, statistics, project management, public administration, public health, political science, healthcare administration, healthcare management, law, or in a field of study directly related to the work assignment; AND
• Seven (7) years of professional* experience working for a healthcare provider, a non-profit health or advocacy organization, in the health insurance industry, in a health policy consulting environment, or for a governmental regulatory entity, performing one (1) of the following three (3) functions:
• Developing, implementing, or supporting a healthcare policy agenda focused on health insurance access and affordability, including identifying, evaluating and proposing health-related policies, legislation and regulations;
• Conducting stakeholder outreach and engagement, including building and sustaining relationships with legislators, state agencies, healthcare industry representatives, and state and national interest groups and advocacy organizations;
• Conducting studies and analyses of programs or projects through active participation in the planning, coordination, development and/or evaluation to improve behavioral health coverage practices or other health coverage issues (access, antidiscrimination, and/or health coverage disparities).
• The seven (7) years must include at least two (2) years of one (1) of the following:
• Formal supervisory** or equivalent experience in managing professional level staff (responsible for the pay, status, and tenure of subordinate employees); OR
• Experience working as a work leader***, responsible for assigning and reviewing the work of subordinate employees, and holding them accountable for performance.

OR

• Bachelor’s Degree and Experience: Graduation from an accredited college or university with a bachelor’s degree in social work, sociology, psychology, statistics, project management, public administration, public health, political science, healthcare administration, healthcare management, law, or in a field of study directly related to the work assignment; AND
• Five (5) years of professional* experience working for a healthcare provider, a non-profit health or advocacy organization, in the health insurance industry, in a health policy consulting environment, or for a governmental regulatory entity, performing one (1) of the following three (3) functions:
• Developing, implementing, or supporting a healthcare policy agenda focused on health insurance access and affordability, including identifying, evaluating and proposing health-related policies, legislation and regulations;
• Conducting stakeholder outreach and engagement, including building and sustaining relationships with legislators, state agencies, healthcare industry representatives, and state and national interest groups and advocacy organizations;
• Conducting studies and analyses of programs or projects through active participation in the planning, coordination, development and/or evaluation to improve behavioral health coverage practices or other health coverage issues (access, antidiscrimination, and/or health coverage disparities).
• The five (5) years must include at least two (2) years of one (1) of the following:
• Formal supervisory** or equivalent experience in managing professional level staff (responsible for the pay, status, and tenure of subordinate employees); OR
• Experience working as a work leader***, responsible for assigning and reviewing the work of subordinate employees, and holding them accountable for performance.

Document this experience in your application IN DETAIL, as your experience will not be inferred or assumed. Part-time experience will be prorated.

Substitutions

• Partial credit toward the degree requirement will be given for completed college/university coursework that did not result in a degree.A master’s or doctorate degree from an accredited college or university in a field of study related to the work assignment will substitute for the bachelor’s degree requirement.
• Professional work involves exercising discretion, analytical skill, judgment and personal accountability and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is: uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor’s or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.

Preferred Qualifications

• Master’s degree in a field of study directly related to the work assignment;
• Experience interpreting or applying stake and federal mental health policy and legislation – specifically the Mental Health Parity Act;
• Experience providing or coordinating provisions of technical assistance related to reducing behavioral health inequities;
• Stakeholder engagement and outreach experience, including preparing and providing presentations for various stakeholders to increase knowledge and awareness topics that may include public health or mental health;
• Experience making policy or decision determinations based on data analysis as it relates to healthcare;
• Experience applying principles, practices and techniques related to health care reimbursement;
• Project management experience, including organizational skills and prioritization and delegating of tasks to other team members;
• Experience promoting the efficient use of policy and regulatory levers to address barriers and create opportunities to advance healthcare transformation efforts.

Required Competencies: The following knowledge, skills, abilities, and personal characteristics are required competencies and may be considered during the selection process (including examination and/or interview):

• Demonstrated written communication skills, including the ability to convey information to various stakeholders in a clear, accurate, and concise written manner;
• Demonstrated verbal communication skills, including the ability to effectively convey information to audiences in a concise manner;
• Knowledge and familiarity with the Mental Health Parity Act, including objectives and methods to facilitate provisions;
• Demonstrated attention to detail;
• Demonstrated critical thinking and analytical skills, including having the ability to evaluate information in order to apply knowledge and to decide on the most appropriate course of action;
• Demonstrated prioritization skills, including planning, organizing tasks, and managing work assignments;
• Demonstrated time management skills, including the ability to multi-task to effectively manage competing and constantly changing priorities in order to meet tight deadlines;
• Demonstrated ability to understand and abide by workplace principles, practices and behaviors as internally identified and defined by the division and department;
• Demonstrated ability to read, understand, interpret, apply, and explain laws, rules, policies, and procedures;
• Sound judgment and the confidence to make decisions on a routine basis;
• Ability to travel independently, including work in-office, as required by business needs and scheduled by the supervisor;
• Integrity and high ethical standards;
• Accountability, reliability, including attendance;
• Ability to maintain confidential, controversial, or sensitive information;
• Self-starter, including the ability to work independently, learn new processes, utilize own knowledge and that of supervisor, and complete work with minimal supervision;
• Demonstrated professional demeanor;
• Knowledge and understanding in the use of PC software applications including Microsoft Office (Access, Word, Excel, etc.), and Google Suite (Doc’s, Sheets, Slides, etc).

Conditions of Employment: Candidates who fail to meet the conditions of employment will be removed from consideration.

• The successful passing of a reference check and/or, if required, a background check.
• A reference check may include but is not limited to: contacting previous and current supervisors to verify employment and discuss performance, a review of the personnel file, a review of the performance record, a review of job-related public information,etc.
• The type of background check depends on the job duties of the position, and can include a review of any criminal record, credit report, and/or driving record.
• Ability to travel independently, including work in-office, as required by business need and scheduled by the supervisor.

Supplemental Information

PLEASE READ – Required Application Materials

Interested individuals must submit the following online:

• A completed State of Colorado Application (log-in to your current NeoGov account or create a NeoGov account to complete the online application). Note: Incomplete applications, including incomplete work history sections or “see résumé,” “see attachment,” or “see addendum” statements, will not be accepted in lieu of a completed application form.
• A current email address on your application, as all communication pertaining to this position will be conducted via email. Please set up your email to accept messages from [email protected] and ‘@state.co.us’ addresses, and check your email often. Note: The department cannot guarantee the successful delivery of email, including incorrect filtering into junk mail folders.
• A detailed cover letter, explaining how you meet the required competencies and how your accomplishments, qualifications, skills, areas of expertise, personal characteristics, etc. make you a good fit for this position; you may also attach additional documents that demonstrate this.

Comparative Analysis Process: Structured Application Review

Part of, if not the entire, comparative analysis process for this position will involve a review of the information you submit in your application materials; Therefore, it is paramount that in the experience portion of your application and cover letter, you describe the extent to which you possess the education, experience, and competencies outlined in the job announcement as well as the required and/or preferred qualifications/competencies. You are also encouraged to attach additional documents to that effect. Failure to include adequate information or follow instructions may affect your score and prevent you from competing in subsequent measures used to arrive at a top group of applicants.

Veterans’ Preference: Candidates who wish to assert Veterans’ Preference should attach a copy of their DD-214 to their application. Failure to do so will result in being denied Veterans Preference.

PLEASE NOTE: Former State Personnel System employees who were disciplinarily terminated or resigned in lieu of termination must disclose this information on the application. Colorado Revised Statutes require that all state employees be hired and promoted through competitive examination of merit and fitness. Failure to include the required information, failure to follow instructions, and/or failure to submit materials by the application deadline may result in your application not being considered for the position and may affect your score or inclusion in the final pool of qualified candidates.

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.

DORA 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, at [email protected] .

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, US Mail, faxed or hand-delivered within ten (10) calendar days from your receipt of notice or acknowledgment 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 spb.colorado.gov 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 spb.colorado.gov under Rules.