7+ CO HCPF Eligibility Audits Manager Jobs

colorado hcpf eligibility audits section manager governmentjobs

7+ CO HCPF Eligibility Audits Manager Jobs

This function throughout the Colorado Division of Well being Care Coverage & Financing (HCPF) oversees the crew accountable for guaranteeing the integrity of the Well being First Colorado (Colorado’s Medicaid program) and Little one Well being Plan Plus (CHP+) applications. This entails scrutinizing recipient eligibility based mostly on established standards, which embody components resembling earnings, family dimension, 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 numerous strategies, together with reviewing documentation, conducting interviews, and using information evaluation strategies. The place requires a deep understanding of state and federal rules associated to Medicaid and CHP+.

Sustaining the fiscal well being and public belief in these important security web applications necessitates diligent oversight. By guaranteeing solely eligible people obtain advantages, the state can maximize restricted sources and supply 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 susceptible populations. Correct eligibility determinations additionally decrease the danger of improper funds and potential fraud, additional reinforcing public confidence within the system. The elevated availability of on-line job postings via platforms like GovernmentJobs has streamlined the applying course of for these essential authorities positions.

Read more