Pueblo CMA Coordinator, Prior Authorization Request

Pueblo CMA Coordinator, Prior Authorization Request

THE RESOURCE EXCHANGE - 2.9

Pueblo, CO Job Details $22.32 - $23.19 an hour 4 days ago Benefits Mileage reimbursement Paid holidays Disability insurance Dental insurance 401(k) Paid time off Vision insurance Loan forgiveness Opportunities for advancement Pet insurance Qualifications Collaborate with healthcare professionals Working with individuals with developmental disabilities Document review (document control) Insurance prior authorization Regulatory compliance Patient advocacy Process improvement Collaborating with government agencies Mid-level State healthcare regulations Case management Client advocacy in social work Healthcare compliance Documentation review Communication skills Full Job Description Join a Mission-Driven Team Changing Lives Across Colorado Pueblo CMA Coordinator - Prior Authorization Requests The Resource Exchange (TRE) |

Pueblo, CO Starting Pay Range:

$22.32 - $23.19 per hour At TRE, we don't just provide services—we transform lives. For over 400 passionate team members, our work is rooted in supporting individuals with intellectual and developmental disabilities (IDD), behavioral health needs, and long-term service and support needs across Southern Colorado. We've been recognized as one of Colorado's Best Workplaces for five consecutive years because of one thing: our people show up every day with purpose, compassion, and a commitment to making systems work better for the individuals and families who depend on them. "The standard of work and the culture of providing excellent service is something I'm proud to be a part of." - TRE Team Member Why TRE is the Place for You This is more than an administrative role—it is a critical part of ensuring individuals with disabilities receive the services they need, when they need them. At TRE, you will: Support individuals with intellectual and developmental disabilities (IDD) and long-term care needs by ensuring timely access to essential services Play a direct role in helping families and individuals navigate complex Medicaid waiver systems Work with purpose in a mission-driven environment focused on inclusion, dignity, and person-centered care Join a collaborative team that values accuracy, advocacy, and service excellence Be part of an organization consistently recognized as one of Colorado's Best Workplaces Who We Are The Resource Exchange supports more than 12,000 individuals across Colorado through disability services, behavioral health supports, early intervention, and long-term care programs. Our team is made up of dedicated professionals who believe in: Independence for individuals with disabilities Strong, connected communities Advocacy through accurate, timely, and compassionate service delivery About the Role The Pueblo CMA Coordinator - Prior Authorization Requests plays a key role in ensuring individuals receiving Medicaid waiver services have timely, accurate, and compliant access to care. This position focuses on preparing, reviewing, and submitting Prior Authorization Requests (PARs) for Long-Term Services and Supports (LTSS), ensuring compliance with Colorado HCPF regulations and Medicaid waiver requirements. You will collaborate closely with Service Coordinators, providers, families, and state partners to ensure services are not delayed and individuals continue receiving critical support. What You'll Do In this role, you will: Prepare, review, and submit Prior Authorization Requests (PARs) for LTSS services Ensure compliance with Colorado Medicaid waiver rules and HCPF regulations Review documentation for accuracy, eligibility, and medical necessity Collaborate with Service Coordinators, providers, and state partners Resolve denials, discrepancies, and documentation issues with urgency and professionalism Maintain accurate records in state systems (MMIS, BUS, CCM, Bridge, etc.) Track PAR status and ensure timely submission and follow-up Support continuous improvement in documentation and authorization processes Advocate for individuals receiving waiver services through accurate and timely processing What We're Looking For We are especially looking for candidates who bring: Experience working with individuals with intellectual and developmental disabilities (IDD) (strongly preferred) Knowledge or exposure to Medicaid waiver programs, LTSS, or case management Strong attention to detail and ability to manage complex documentation requirements Ability to work in fast-paced, compliance-driven environments Strong communication and collaboration skills Comfort working within multiple data systems and regulatory guidelines A commitment to person-centered service and supporting vulnerable populations

Preferred Experience:

Case management, waiver coordination, or prior authorization experience Work in disability services, behavioral health, or human services Familiarity with Colorado HCPF systems and Medicaid processes What We Offer Health, dental, and vision insurance Employer-paid life and short-term disability 401(k) with employer contributions Lifestyle Spending Account for wellness Paid time off + holiday pay + your birthday off Flexible work environment Mileage reimbursement Public Student Loan Forgiveness (PSLF) eligible employer Training, growth, and advancement opportunities Pet insurance and supplemental benefit options Ready to Make an Impact? If you are detail-oriented, mission-driven, and passionate about supporting individuals with disabilities through accurate and timely service authorization, we'd love to hear from you. Apply today and help ensure individuals across Colorado receive the care and services they deserve.