Medicaid Provider Investigations Leader – Remote

State of Minnesota; Saint Paul (MN); Hybrid; USD 94,000 - 135,000; Full time

Job summary

The State of Minnesota seeks a Medicaid Provider Investigations Manager – Community-Based to lead investigations across community-based services funded by DHS and MHCP. The role requires executive leadership, strategic planning, and management of an inspector general unit, ensuring program integrity in home and community settings.

Telework is eligible for residents with approval; periodic travel is expected.

Qualifications

• Five years directing investigative or program integrity activities.
• Experience leading teams and supervising staff.
• Ability to build internal/external partnerships and use data for investigations.
• Knowledge of community-based services and regulatory frameworks.

Responsibilities

• Direct investigations involving a wide range of provider types and service delivery models; focus on high-risk patterns.
• Develop and implement investigative practices and protocols for payment integrity and program compliance.
• Direct a team of supervisors, lead investigators, and investigators.
• Collaborate with federal/state partners to ensure coordinated program integrity oversight.

Skills

Leadership

Investigations

Data analytics

Stakeholder collaboration

Tools

CJIS Security

Job description

The State of Minnesota seeks a Medicaid Provider Investigations Manager – Community-Based to lead investigations across community-based services funded by DHS and MHCP. The role requires executive leadership, strategic planning, and management of an inspector general unit, ensuring program integrity in home and community settings.

Telework is eligible for residents with approval; periodic travel is expected.