7+ CO HCPF Eligibility Audits Manager Jobs

colorado hcpf eligibility audits section manager governmentjobs

7+ CO HCPF Eligibility Audits Manager Jobs

This position throughout the Colorado Division of Well being Care Coverage & Financing (HCPF) oversees the staff liable for making certain the integrity of the Well being First Colorado (Colorado’s Medicaid program) and Youngster Well being Plan Plus (CHP+) applications. This includes scrutinizing recipient eligibility based mostly on established standards, which embody elements similar to revenue, family measurement, and incapacity standing. A rigorous examination course of helps preserve program funding for these actually in want and safeguard taxpayer {dollars}. These audits can embody varied strategies, together with reviewing documentation, conducting interviews, and using information evaluation strategies. The place requires a deep understanding of state and federal laws associated to Medicaid and CHP+.

Sustaining the fiscal well being and public belief in these important security internet applications necessitates diligent oversight. By making certain solely eligible people obtain advantages, the state can maximize restricted sources and provide important providers to those that qualify. This course of not solely protects taxpayer {dollars} but additionally contributes to the long-term sustainability of those applications, enabling HCPF to proceed supporting weak populations. Correct eligibility determinations additionally reduce the danger of improper funds and potential fraud, additional reinforcing public confidence within the system. The elevated availability of on-line job postings by means of platforms like GovernmentJobs has streamlined the appliance course of for these important authorities positions.

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