Working Title: Medicaid Program Integrity Manager

Job Class: Human Services Manager 2

Agency: Human Services Dept

• Job ID : 80422

• Location : St. Paul

• Telework Eligible : Yes

• Full/Part Time : Full-Time

• Regular/Temporary : Unlimited

• Who May Apply : Open to all qualified job seekers

• Date Posted : 09/21/2024

• Closing Date : 10/11/2024

• Hiring Agency/Seniority Unit : Human Services Dept / DHS Manager

• Division/Unit : Department of Human Services (DHS) / Office of Inspector General (OIG) Deputy Insp Gen F&FAI

• Work Shift/Work Hours : Day Shift / 8:00 a.m. - 4:30 p.m.

• Days of Work : Monday - Friday

• Travel Required : No

• Salary Range: $43.38 - $62.41 / hourly; $90,577 - $130,312 / annually

• Classified Status : Classified

• Bargaining Unit/Union : 220 - Manager/Unrep

• FLSA Status : Exempt - Executive

• Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

The Department of Human Services (DHS) is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DHS does not participate in E-Verify.

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

*This position has a flexible work arrangement that may allow for Telework (https://dhs.intranet.mn.gov/buildings-facilities/hybrid-telework/telework/index.jsp) or a mixture of working in our office and Telework (https://dhs.intranet.mn.gov/buildings-facilities/hybrid-telework/telework/index.jsp) .

This position exists to manage Medicaid program integrity audits and investigations, contractors performing work on behalf of the Program Integrity Oversight Division (PIO) and manage audits or reviews of PIO’s work by outside entities.

Minimum Qualifications

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

Demonstrated leadership experience*

*Leadership experience can include:

• Experience as a supervisor, lead worker, team lead, project lead;

• Completion of a State of Minnesota leadership program (e.g. ELI, L4);

• A paid/unpaid position leading a program or chairing a committee (e.g. ERG) - experience must include:

AND

Five (5) years of experience providing strategic direction to a work unit.

Experience must demonstrate the following:

• Awareness of government program integrity activities to prevent and detect fraud, waste, and abuse.

• Awareness of Department of Human Services programs and services.

• Evidence of effectively leading teams.

• Evidence of building strong working relationships with a variety of partners.

Preferred Qualifications

• A thorough working knowledge of Medical Assistance, Minnesota’s Medicaid program.

• A thorough working knowledge of managed care organizations and their participation in Minnesota Health Care Programs.

• A thorough working knowledge of the Minnesota Restricted Recipient Program.

• A thorough working knowledge of the state’s Recovery Audit Contractor (RAC) and Universal Program Integrity Contractor (UPIC).

• A thorough working knowledge of Medicaid provider audits and investigations methods and procedures.

• Knowledge of regulatory aspects of state and federal policies to Minnesota Health Care Programs and the public benefit programs administered by Department of Human Services (DHS).

• Demonstrated ability to provide effective leadership that inspires a team effort toward accomplishing division goals and objectives.

• Demonstrated ability to effectively communicate verbally and in writing.

• Demonstrated cultural competency skills.

• Demonstrated experience working effectively with others from different backgrounds and cultures.

Additional Requirements

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.