Quality Assurance Specialist - State Program Administrator Senior

Minnesota Department of Employment and Economic Development; Saint Paul (MN); Presencial; USD 40.000 - 58.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Paid vacation and sick leave

12 paid holidays

Health insurance

Pension plan

Descripción de la vacante

The Minnesota Department of Employment and Economic Development in St. Paul is seeking a Quality Assurance Specialist to support the Paid Family and Medical Leave claims adjudication team.

The role focuses on evaluating claim files for accuracy, consistency, and compliance with laws and program guidelines while partnering with adjudicators and supervisors. This is a full-time, day-shift position with telework eligibility.

Formación

• Two years of claims, appeals, case management operations, or contact center support with at least one year in quality control/QA.
• Ability to analyze data and communicate findings clearly.

Responsabilidades

• Evaluate claim files for accuracy, consistency, and compliance.
• Identify errors or discrepancies and recommend corrective actions.
• Monitor trends and provide feedback to improve workflow and service quality.

Conocimientos

Quality control

Quality assurance

Data analysis

Communication

Regulatory knowledge

Educación

Associate degree

Descripción del empleo

Working Title: Quality Assurance Specialist

Job Class: State Program Administrator Senior

Agency: Department of Employment and Economic Development

• Job ID: 98167
• Location: St. Paul
• Telework Eligible: Yes, may be eligible for some telework.
• Full/Part Time: Full-Time
• Regular/Temporary: Unlimited
• Who May Apply: This vacancy is open for bids and for all qualified job seekers simultaneously. Bidders will be considered through 11/12/2026.
• Date Posted: 11/05/2026
• Closing Date: 11/12/2026
• Hiring Agency/Seniority Unit: Department of Employment and Economic Development / MAPE
• Division/Unit: Paid Family and Medical Leave
• Work Shift/Work Hours: Day Shift, 8:00AM to 4:30PM
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $28.75 - $42.16 / hourly; $60,030 - $88,030 / annually
• Job Class Option: Quality Control
• Classified Status: Classified
• Bargaining Unit/Union: 214 - Minnesota Association of Professional Employees / MAPE
• FLSA Status: Nonexempt
• Designated in Connect 700 Program for Applicants with Disabilities: Yes

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.

Paid Leave is a new program that launched January 1, 2026. The program provides partial wage replacement to Minnesota workers that are out of work due to a qualifying condition such as a serious health condition that prevents you from working, or when you need time to care for a family member or a new child.

We have built a program that is easy for every Minnesotan to use. We are engaging the people who depend on us: workers, employers, caregivers, and insurers, to learn from them and continue to improve the program around what they need. We are using modern service delivery and product practices to deliver the program.

The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. It is a start‑up environment without legacy systems or preconceived ways of working. Our aim is to deliver a service that delights Minnesotans.

The Quality Assurance (QA) Specialist supports the claims adjudication team by ensuring the accuracy, consistency, and compliance of all claim development activities and determinations. This role is responsible for evaluating claim files, identifying errors or discrepancies, and recommending corrective actions to improve workflow efficiency and service quality. The QA Specialist partners closely with adjudicators, supervisors, and program leaders to ensure claims are processed in accordance with applicable laws, policies, procedures, and performance standards. By monitoring trends, providing feedback, and contributing to process improvements, the Quality Assurance Specialist helps maintain the integrity of the claims process and supports the organization’s commitment to delivering fair, timely, and high‑quality outcomes for all applicants.

This position will be based out of the St. Paul office.

This position is telework eligible. Staff are provided with the tools and equipment to be successful in a virtual work environment. Please note, the telework policy could change with notice based on business needs.

This posting may be used to fill multiple positions.

Minimum Qualifications

Two (2) years* experience in claims, appeals, case management operations, or contact center support for an eligibility or claims‑based program, including at least one (1) year of experience conducting quality control or quality assurance activities, such as reviewing work for accuracy, identifying errors or trends, and providing feedback or recommendations for improvement.

• Associate’s degree in Business Administration, Public Administration, Community Development, Economics, Human Resources, other closely related field as determined by the agency may substitute six (6) months of experience; bachelor’s degree substitutes for one (1) year of experience; master’s degree substitutes for eighteen (18) months of experience.

Applicants that meet the above minimum qualification will be further evaluated on the following:

• Experience developing effective recommendations for process, procedural, and/or policy improvements and working with management or other stakeholders on implementation.
• Experience auditing the work of others to determine accuracy and compliance with program requirements and guidelines.
• Strong written and verbal communication skills demonstrating the ability to document and/or explain complex concepts or processes to others with limited subject matter familiarity.
• Experience compiling and analyzing data to identify trends.
• Knowledge of state and federal regulations governing family and medical leave programs.

Preferred Qualifications

• Ability to manage work with minimal supervision while meeting deadlines and quotas.
• Experience conducting quality reviews or audits of claims, casework, or eligibility determinations to ensure accuracy, consistency, and compliance with program policies.
• Experience in training and mentoring of other staff to enhance their claims processing abilities.
• Knowledge of techniques for detecting fraud and preventing adjudication errors.
• Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experience working effectively with others from different backgrounds and cultures.

Additional Requirements

A job offer will be contingent upon successfully passing a background check. The background check may consist of the following components:

• Criminal Background Check
• Employment Records Check (current and former State employees only)
• Employment Reference Check
• Conflict of Interest Review
• Driver’s License and Records Check

The Minnesota Department of Employment and Economic Development will not sponsor applicants for work visas. All applicants must be legally authorized to work in the U.S.

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
• 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.

The Department of Employment and Economic Development is an equal opportunity, affirmative action, and veteran-friendly employer, and encourages all qualified candidates to apply for job opportunities. If you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at [e-mail]. Please indicate what assistance is needed.

Contact

If you have questions about this position, contact Lynda Zigah at [e-mail].