Provider Integrity Manager / Human Services Manager 1

Minnesota Department of Human Services; Saint Paul (MN); Hybrid; USD 87,000 - 125,000; Full time

Benefits offered by this job

Paid vacation and sick leave

12 paid holidays

Pension plan

Employer paid life insurance

Disability insurance

Tax-free expense accounts

Training and professional development

Job summary

The Minnesota Department of Human Services is seeking a Provider Integrity Manager to lead ADSA's statewide Medicaid LTSS integrity program. You will plan, implement, and evaluate strategies to prevent fraud, waste, and abuse while coordinating a multidisciplinary team of 19 FTEs.

This executive role requires deep knowledge of Medicaid LTSS policies, provider standards, and complex data analysis to inform policy and system improvements. Strong collaboration with DHS divisions is essential.

Qualifications

• 4 years of professional work experience with Medicaid LTSS, provider oversight, compliance or program integrity.
• Experience with Medicaid LTSS policies, provider standards, or program requirements.
• Leading or supporting compliance, audit, monitoring or payment integrity work.
• Using data or findings to identify risks and inform decisions.
• Working with Medicaid claims, authorization, provider, provider enrollment or eligibility systems.
• Communicating complex findings and recommendations to leadership, staff, or external partners.

Responsibilities

• Manage and direct ADSA's statewide provider integrity program for Medicaid LTSS.
• Plan, implement, evaluate, and continuously improve provider fraud, waste, and abuse prevention and monitoring.
• Direct a multidisciplinary Provider Integrity Team of 19 FTEs.
• Provide strategic oversight to coordinate unit activities across functions.
• Leverage data and findings to drive policy, system, and operational improvements.

Skills

Leadership experience

Medicaid LTSS knowledge

Data analysis

Communication of findings

Job description

• Telework Eligible: Yes

• Job ID: 96766
• 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: 09/02/2026
• Closing Date: 09/22/2026
• Hiring Agency/Seniority Unit: Human Services Dept / DHS Manager
• Division/Unit: DHS-Central Office / ADSA Central Functions
• Work Shift/Work Hours: Day shift
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $41.58 - $60.10 / hourly; $86,819 - $125,488 / annually
• Classified Status: Classified
• Bargaining Unit/Union: 220 - Manager/Unrep
• FLSA Status: Exempt - Executive
• Designated in Connect 700 Program for Applicants with Disabilities: Yes

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.

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.

The Provider Integrity Manager will manage and direct ADSA's statewide provider integrity program for Medicaid long-term services and supports (LTSS). Under administrative direction, the position plans, implements, evaluates, and continuously improves provider fraud, waste, and abuse (FWA) prevention and monitoring functions. This work requires strong partnerships across ADSA divisions and DHS enterprise program integrity partners.

The position directs a multidisciplinary Provider Integrity Team of 19 FTEs, including the Program Integrity Research and Compliance Team, Prepayment Review Team, and Operations and Coordination staff.

The incumbent applies expert knowledge of Medicaid LTSS policy, provider requirements, payment systems, and oversight. The position sets strategic direction, ensures work is coordinated across functions and uses data and findings to identify risks and drive policy, system, and operational improvements.

The position provides strategic oversight to ensure unit activities are coordinated and findings are leveraged across functions to strengthen Minnesota’s Medicaid LTSS system. This includes payment and claims systems, provider compliance, OIG referrals, new Medicaid Management Information System (MMIS) changes, policy clarification, training and technical assistance, and broader operational improvements.

All provider integrity activities conducted in this team must be:

• Documented, consistent, legally defensible, and audit-ready.
• Aligned with federal and state statutes and DHS policies.
• Coordinated with ADSA policy processes, payment and MMIS processes, OIG referral processes, and DHS enterprise program integrity strategy.
• Implemented with attention to equity, due process, service continuity, and impact on people receiving LTSS.

Minimum Qualifications

Demonstrated leadership experience*

Leadership experience can include:

• Experience as a supervisor, leadworker, 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 time commitment

AND

4 years of professional work experience with Medicaid LTSS, provider oversight, compliance or program integrity. Experience must demonstrate the following:

• Experience with Medicaid LTSS policies, provider standards, or program requirements
• Leading or supporting compliance, audit, monitoring or payment integrity work
• Using data or findings to identify risks and inform decisions
• Working with Medicaid claims, authorization, provider, provider enrollment or eligibility systems
• Communicating complex findings and recommendations to leadership, staff, or external partners

Preferred Qualifications

• Experience setting strategic direction for provider integrity, compliance or audit functions.
• Experience supervising or leading multidisciplinary teams.
• Experience using analysis findings to drive system, policy, or operational improvements.
• Experience working with data from MMIS, MnCHOICES, MnITS, MAXIS, METS, or MPSE.
• Coordinating across programs or organizational partners.
• Variety of experiences 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.

Contact

If you have questions about the position, contact Colin Stemper at [e-mail].

About Human Services Dept

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 achieve 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

Benefits

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
• Tuition reimbursement
• 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.