Remote Medicaid Program Integrity & Continuity Lead

State of Minnesota; Saint Paul (MN); Hybrid; USD 81,000 - 117,000; Full time

Job summary

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.

Responsibilities

• 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.

Job description

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.