Medicaid Program Integrity Lead — Continuity of Care

Minnesota Department of Human Services; Saint Paul (MN); Hybrid; USD 53,000 - 77,000; Full time

Benefits offered by this job

Telework eligible

Job summary

The Minnesota Department of Human Services seeks a leader to oversee two statutory program functions in Behavioral Health Administration (BHA) that safeguard Medicaid recipients and ensure program integrity. You will supervise a 5.0 FTE unit, align goals, and coordinate with lead agencies and providers to drive compliant training and policy execution.

You will guide data-driven program direction, propose policy changes, and ensure records meet legal and data practices requirements while

Qualifications

• Leadership experience required, including supervisory/lead roles.
• Experience with Medicaid provider enrollment, provider screening, and program integrity concepts.
• Working knowledge of adult learning, instructional design, and training evaluation.

Responsibilities

• Direct BHA's implementation of continuity of care and complex transition requirements.
• Exercise supervisory authority to ensure labor agreements and plans are administered effectively.
• Direct BHA's mandatory provider compliance training program for high-risk provider types.

Skills

Leadership

Policy analysis

Training design

Communication

Program management

Stakeholder coordination

Education

Bachelor’s degree or higher in social work, psychology, public policy, or related field

Independent licensure as a mental health professional and/or licensed alcohol drug counselor

Job description

The Minnesota Department of Human Services seeks a leader to oversee two statutory program functions in Behavioral Health Administration (BHA) that safeguard Medicaid recipients and ensure program integrity. You will supervise a 5.0 FTE unit, align goals, and coordinate with lead agencies and providers to drive compliant training and policy execution.

You will guide data-driven program direction, propose policy changes, and ensure records meet legal and data practices requirements while