Medicaid Program Integrity & Continuity of Care Supervisor - Human Services Supervisor 3

State of Minnesota; Saint Paul (MN); Ibrido; USD 81.000 - 117.000; Tempo pieno

Descrizione del lavoro

State of Minnesota is seeking a Medicaid Program Integrity & Continuity of Care Supervisor in St. Paul to lead two statutory program functions within the Behavioral Health Administration (BHA) that protect Medicaid recipients and ensure continuity of care during transitions.

The role directs a 5.0 FTE multidisciplinary unit, supervises policy development, oversight, and training, and partners across DHS and state agencies to support compliant, quality services.

Mansioni

• Direct BHA's implementation of continuity of care and complex transition requirements of Minn. Stat. §§ 256B.045 and 256B.046, setting program goals, standards, and methods so recipients experience safe transitions when a provider is actioned or encounters an event.
• Exercise supervisory authority to ensure labor agreements and plans are administered and employees perform duties to meet annual unit objectives.
• Direct BHA's mandatory provider compliance training program for high-risk provider types from vendor development to in-house ownership and expansion.
• Represent BHA and DHS with lead agencies, ombudspersons, providers, and partners, coordinating continuity of care and training across DHS.
• Use program data to guide direction, recommend policy changes, and support public reporting obligations.
• Ensure records, data handling, and outputs meet quality, legal, and data practices requirements.

Descrizione del lavoro

Working Title: Medicaid Program Integrity & Continuity of Care Supervisor

Job Class: Human Services Supervisor 3

Agency: Human Services Dept

• Job ID : 98242
• 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 : 11/05/2026
• Closing Date : 11/19/2026
• Hiring Agency/Seniority Unit : Human Services Dept / DHS Central Office MMA
• Division/Unit : DHS-Central Office / BHA Program Integrity
• Work Shift/Work Hours : Day Shift
• Days of Work : Monday - Friday
• Travel Required : Yes,(20% for meetings)
• Salary Range: $38.83 - $55.93 / hourly; $81,077 - $116,781 / annually
• Classified Status : Classified
• Bargaining Unit/Union : 216 - Middle Management Association/MMA
• 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 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 is eligible for telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) 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.

Flexible work hours may be permitted with supervisor approval.

This position exists to lead two statutory program functions for the Behavioral Health Administration (BHA) that protect Medicaid recipients and the integrity of Minnesota's behavioral health system. The first is BHA's implementation of the continuity of care and complex transition requirements enacted in 2026 (Minn. Stat. §§ 256B.045 and 256B.046). Under these requirements, the commissioner must ensure that recipients continue to receive medically necessary services, free choice of provider, and safe and stable housing when a provider is subject to administrative action or experiences a serious operational event. The commissioner must also provide support, oversight, and direction to lead agencies and providers during complex transitions. The second is the mandatory compliance training that owners and managerial and supervisory staff of BHA high-risk provider types must complete as a condition of Medicaid enrollment.

This incumbent integrates policy development, lead agency oversight, cross-administration coordination, and provider training into one program. The incumbent supervises a 5.0 FTE multidisciplinary unit comprising two Continuity of Care Policy Analysts, two Compliance Training Specialists, and one Document Coordinator; sets program goals and methods; serves as BHA's lead on the department-wide continuity of care team; and directs the transition of compliance training from an initial vendor build to in-house state ownership and expansion. The work links directly to BHA's other program integrity functions: administrative actions against providers trigger continuity of care duties, and review findings shape what providers are trained on.

Some responsibilities include, but are not limited to:

• Direct BHA's implementation of the continuity of care and complex transition requirements of Minn. Stat. §§ 256B.045 and 256B.046, setting program goals, standards, and methods so that recipients of BHA services experience safe, orderly transitions when a provider is subject to an administrative action or serious operational event.
• Exercise supervisory authority so that applicable labor agreements and plans are equitably administered and employees under my jurisdiction effectively perform assigned job duties to achieve the annual objectives of the unit.
• Direct BHA's mandatory provider compliance training program for high-risk provider types, from initial vendor development through in-house ownership, maintenance, and expansion.
• Represent BHA and DHS with lead agencies, ombudsperson offices, providers, and other partners, and coordinate continuity of care and training work across DHS administrations and with other state agencies.
• Use program data to guide program direction, recommend policy and legislative changes, and support the department's public reporting obligations.
• Ensure the team's records, data handling, and work products meet quality, legal, and data practices requirements.

**All DHS Leaders are expected to demonstrate and develop the five (5) competency themes from the Enterprise-wide Leader Competency Model:

• Leading Self
• Leading Others
• Leading the Organization
• Leading Outside the Organization
• Getting Work Done

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:
• 1+ year of experience identifying issues, goals and strategic actions
• 100+ hours per year commitment

AND

Four (4) years of specialized experience working with Medicaid and continuity of care and complex transition services demonstrate the following:

• Practical experience in behavioral health service systems, particularly residential SUD and residential mental health treatment, and the roles of lead agencies, managed care organizations, and ombudsperson offices.
• Experience with Medicaid provider enrollment, high-risk provider screening, and program integrity concepts.
• Working understanding of adult learning, instructional design, and training evaluation, and vendor contract monitoring.
• Experience in program development, policy analysis, and the legislative process.
• Experience with or awareness of program integrity review methods (such as prepayment review, focused claims review, or provider recertification review), audit processes, fraud prevention, and Medicaid program integrity standards.
• Program management experience that includes knowledge of process improvement methods.

Preferred Qualifications

• Variety of experiences working effectively with others from different backgrounds and cultures; including but not limited to Minnesota Tribal communities.
• Strong human relations and communication skills; communicate clearly and professionally both verbally and in writing; respond openly to requests and concerns for internal and external stakeholders.
• Understanding of the state legislative development process sufficient to develop successful legislative and/or budget proposals and to prepare documents.
• Designing programs, procedures, and guidance where no established model exists.
• Coordinating and negotiating across organizations under time pressure.
• Bachelor's degree or higher in social work, psychology, public policy, or another related degree field.
• Independent licensure as a mental health professional and/or licensed alcohol drug counselor.

Additional Requirements

• MinnesotaDepartmentofHumanServices(DHS) will conduct a criminalbackgroundcheckonallfinalistsforthisposition.Finalistsmustpassthe DHS backgroundcheck.
• Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance.It alsoincludescontact withtheapplicant'sformer employer(s).

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 [e-mail] . Please indicate what assistance is needed.