Behavioral Health Fund Eligibility Coordinator - Human Services Program Specialist 2

State of Minnesota; Saint Paul (MN); On-site; USD 56,000 - 82,000; Full time

Job summary

State of Minnesota’s Department of Human Services is seeking a Behavioral Health Fund Eligibility Coordinator in St. Paul. This role leads the BHF Eligibility Team, resolving highly complex determinations with policy interpretation, and guiding staff to ensure consistent, compliant decisions.

Telework may be eligible for Minnesota residents with supervisor approval. The position emphasizes program integrity, data analysis, and cross-team collaboration to improve equity and access to behavioral

Qualifications

• Understanding of Medicare, Minnesota's Medical Assistance (MA) program including MAD-EPD, and MinnesotaCare as they apply to SUD-related benefits.
• Detailed understanding of SUD treatment system and current process for tribal/county BHF eligibility determinations.
• Analyzing, evaluating, and conducting investigations related to program compliance and eligibility.
• Foundational knowledge of research and data analysis principles, methods, and techniques to support program operations and decision-making.
• Knowledge of business process improvement principles and techniques to evaluate workflows and implement efficiency improvements.
• Proficiency with Word, Excel, PowerPoint; MMIS/MAXIS experience for system modifications.

Responsibilities

• Lead work with staff and management to assess case files for compliance with federal, state and departmental policies and procedures.
• Develop and maintain a case audit tool and perform audits to ensure quality and correct policy application.
• Provide quality management for data and processes and lead process improvements.

Skills

Medicare/MA/SUD knowledge

Data analysis basics

Policy interpretation

Quality management

Communication skills

Education

Bachelor's degree in psychology, human services, social work, or related field

Tools

MMIS/MAXIS

Microsoft Office Suite

Job description

Behavioral Health Fund Eligibility Coordinator - Human Services Program Specialist 2

When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives.

Working Title: Behavioral Health Fund Eligibility Coordinator
Job Class: Human Services Program Specialist 2
Agency: Human Services Dept

• Job ID: 96412
• Location: St. Paul
• Full/Part Time: Full-Time
• Regular/Temporary: Unlimited
• Who May Apply: Open to all qualified job seekers
• Date Posted: 08/19/2026
• Closing Date: 08/25/2026
• Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
• Division/Unit: DHS-Central Office / BHA SUD Leadership
• Work Shift/Work Hours: Day Shift / 8:00am to 4:30pm
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $26.89 - $39.22 / hourly; $56,146 - $81,891 / annually
• Classified Status: Classified
• Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE

The Department of Human Services 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.

Job Summary

This position is eligible for telework for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework.

This position serves as the lead technical authority and escalation point for the Behavioral Health Fund (BHF) Eligibility Team, responsible for managing highly complex, sensitive, and non-routine eligibility determinations that require advanced interpretation of policy, law, and program requirements.

The role provides functional leadership without direct supervision, guiding staff in the resolution of complex cases, ensuring consistency in decision-making, and maintaining program integrity. The incumbent exercises advanced technical expertise and independent judgment in addressing escalated issues, including appeals, compliance concerns, and determinations involving multiple systems, funding streams, or conflicting information.

This position significantly influences program outcomes, compliance risk, and statewide consistency in BHF eligibility determinations. It leads quality assurance efforts, identifies systemic issues, and drives process and policy improvements to enhance operational efficiency and equitable access to services.

The incumbent serves as the primary escalation resource for complex eligibility issues, including subsequent requests, appeals, audits, and high-risk determinations, while providing expert guidance to staff and stakeholders and ensuring consistent application of policy across the unit.

Responsibilities include, but are not limited to:

• Lead the work with other staff and program management to assess case files and processes for compliance with federal, state and departmental policies and procedures. Provide quality management for data and processes. Develop and maintain a case audit tool and perform case audits that address the quality of work and the correct application of policies and procedures.

There are three (3) differentways to qualify for this position, and you must have the required work experience listed below:

One (1) year of working experience advising and/or providing strategic insight for a human services eligibility program along with the required work experience listed below.

Three (3) years of working experience providing technical or administrative support duties for a human services eligibility program along with the required work experience listed below.

Bachelor’s degree in psychology, human services, social work, or another closely related degree.

AND

Two (2) years of working experience providing technical or administrative support duties for a human services eligibility program along with the required work experiences listed below.

Required work experience must clearly demonstrate:

• Practical understanding of Medicare, Minnesota's Medical Assistance (MA) program including Medical Assistance for Employed Persons with Disabilities (MAD-EPD), and MinnesotaCare, as they apply to SUD-related benefits.
• Detailed understanding of SUD treatment system, and current process for tribal/county BHF eligibility determinations.
• Analyzing, evaluating, and conducting investigations related to program compliance and eligibility.
• Foundational knowledge of research and data analysis principles, methods, and techniques sufficient to collect, interpret, and apply data to support program operations and decision-making.
• Knowledge of business process improvement principles and techniques, including the ability to evaluate workflows and recommend or implement efficiency and quality improvements.
• Use Microsoft Office Suite (Word, Excel, PowerPoint); advanced skills in MMIS and/or similar systems used in enrollment processing (e.g., METS, MAXIS) sufficient to assess and apply system modifications.

Preferred Qualifications

• Variety of experiences working effectively with others from different backgrounds and cultures.
• Basic knowledge of SUD policies, procedures, processes, programs, funding sources and business goals.
• Basic knowledge of other federal, state or local resources for individuals with behavioral health needs, including advocacy organizations, SUD treatment providers and entities that support people with SUD treatment needs.
• Work effectively as a team member and independently, responding to multiple priorities and within tight timeframes.
• Demonstrate strong human relations skills; communicate clearly and professionally with a variety of individuals/groups, in person and in writing (e.g., rules/policies, technical, narrative, non-narrative documents) in a manner consistent with audience understanding.
• Adult learning principles and techniques necessary to provide information, guidance, technical assistance and written instructions to establish processes or tasks and how they will be completed.
• Working knowledge of HIPAA and data privacy requirements.
• Ability to maintain composure during challenging situations.

Additional Requirements

• Minnesota Department of Human Services(DHS) criminal background check will be conducted on all finalists for this position. Finalists must pass the DHS background check.
• Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance. It also includes contact with the applicant's former employer(s).

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID# 96412, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Dennis Stevenson at [e-mail].

We Make a Difference: The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can reach their highest potential.

Working together to improve the state we love.

What do Minnesota's State employees have in common?

• A sense of purpose in their work
• Connection with their coworkers and communities
• Opportunities for personal and professional growth

As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.

Your benefits may include:

• Paid vacation and sick leave
• 12 paid holidays each year
• Low-cost medical, dental, vision, and prescription drug plans
  • Fertility care, including IVF
  • Diabetes care
  • Dental and orthodontic care for adults and children
• 6 weeks paid leave for parents of newborn or newly adopted children
• Pension plan that provides income when you retire (after working at least three years)
• Employer paid life insurance to provide support for your family in the event of death
• Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
• Tax-free expense accounts for health, dental, and dependent care
• Resources that provide support and promote physical, emotional, social, and financial well-being

Support to help you reach your career goals:

• Training, classes, and professional development
• Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov )

Employee Assistance Program (EAP) for work/life support:

• A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
• Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
• Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care

Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.

EQUAL OPPORTUNITY EMPLOYERS

Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.

APPLICANTS WITH DISABILITIES

Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651-259-3637 or email [e-mail] and let us know the support you need.