Commercial Products Analyst I - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

About the role

We are recruiting for a mission-driven Commercial Products Analyst I - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!

Responsibilities

• Reviews all State and Federal regulations and policy changes, conducting independent research to understand regulatory intent and operational impact; then communicates and collaborates with program areas to support implementation.
• Supports in analysis and coordination of internal and regulatory audits and regulatory materials (handbooks, benefit information) and communications.
• Sustains collaborative relationships and promotes meaningful dialogue with regulatory bodies, internal teams and community partners.
• Works independently, with Commercial Products team and other Managed Care Departments, serving as liaison to interpret contractual or regulatory requirements, leading the effort to improve workflows, policies and procedures.
• Creates and compiles accurate and vetted reports, attestations and other submissions to the State and CMS.
• Researches and resolves member and provider escalations, requiring familiarity with Commercial health insurance benefits and ACA/Exchange products.
• Affords assistance in setting strategic direction of projects, developing project plans, analytic support services and applicable technical/subject matter expertise to achieve organizational goals.

Requirements

• Bachelor's degree required
• Less than 1 year of health care/plan experience with a preferred emphasis on Commercial health plan operations, regulatory issues, policy development or compliance required

Qualifications

• Substantial knowledge of managed care/health care administration, policy and compliance, particularly regarding Commercial health plan operations
• Proficiency in Microsoft Excel, including pivot tables, VLOOKUP, and other functions to analyze, reconcile and validate datasets
• Self-starter who works with limited supervision and guidance, demonstrating strong organizational skills and attention to detail
• Ability to define problems, collect data, establish facts and draw valid conclusions to implement solutions and ability to develop data requirements and work with operations teams and groups to extract, organize and analyze data and trends
• Critical thinking, strong written and verbal communication skills, and the ability to work collaboratively in groups

Skills

• Ability to interpret and synthesize Federal and State regulatory requirements
• Strong written and verbal communication skills
• Ability to work on multifaceted projects in conjunction with day-to-day activities

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development — while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you. Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Comprehensive medical, dental, vision plans in addition to employer paid disability and life insurance.
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic healthcare system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation. As Colorado’s primary, and essential, safety-net healthcare system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year. Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer. Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.