Supplemental Payment Rates Specialist - Human Services Program Representative 2

Minnesota Department of Human Services; Saint Paul (MN); Teletrabalho; USD 69 000 - 101 000; Tempo integral

Resumo da oferta

Minnesota Department of Human Services is seeking a Supplemental Payment Rates Specialist to manage supplemental payments and hospital claims data within Health Care Administration. The role collaborates with fiscal and data teams to ensure accurate payments and reporting.

Telework is eligible for Minnesota residents or bordering states with approval; expect day shift hours in a two-person team. Strong data analysis and policy understanding are essential.

Qualificações

• Understanding of federal and state health care payment policy requirements.
• Proficiency constructing and analyzing large datasets within Excel.
• Ability to present complex data sets clearly and concisely.

Responsabilidades

• Manage supplemental payments to non-hospital providers including those funded by certified public expenditures (CPEs) and intergovernmental transfers (IGTs).
• Manage the Division’s subset of inpatient and outpatient hospital claims data (Flat File).
• In coordination with senior staff, determine federally required Upper Payment Limits (UPL).
• Manage the cost settlement process for hospital and dental services for State Operated Services providers.

Conhecimentos

Policy knowledge

Excel data analysis

Data presentation

Descrição da oferta de emprego

Working Title: Supplemental Payment Rates Specialist

Job Class: Human Services Program Representative 2

Agency: Human Services Dept

• Job ID: 97595
• 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: 10/08/2026
• Closing Date: 10/21/2026
• Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
• Division/Unit: Health Care Administration / Health Improvement and Benefit Design
• Work Shift/Work Hours: Day Shift / 8:00am - 4:30pm
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $32.97 - $48.60 / hourly; $68,841 - $101,476 / annually
• Classified Status: Classified
• Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
• FLSA Status: Nonexempt
• Designated in Connect 700 Program for Applicants with Disabilities: Yes

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.

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.

This position will be part of a two‑person team responsible for managing supplemental payments to various health care providers participating in Minnesota Health Care Programs. This position will work closely with eligible health care providers to determine and document the provider’s eligibility to receive supplemental payments, obtain the information needed to compute the payment, compute the payment, and in coordination with fiscal staff, effectuate the payments. In coordination with data analysis staff, this position is also responsible for maintaining and reporting from the dataset of inpatient and outpatient hospital claims used by the team.

• Manage assigned supplemental payments to various non‑hospital providers including those funded by certified public expenditures (CPEs) and intergovernmental transfers (IGTs).
• Manage all activities related to the Division’s subset of inpatient and outpatient hospital claims data, commonly referred to as the Flat File.
• In coordination with senior supplemental rates staff, determine federally required Upper Payment Limits (UPL).
• Manage the cost settlement process for hospital and dental services provided by State Operated Services providers.

Minimum Qualifications

• Three years of professional experience working with Health Care Programs, health insurance or health care billing and claiming demonstrating the following:
  • Understanding of federal and state laws and regulations governing state and federal health care program payment policy requirements
  • Proficiency constructing and analyzing large datasets within Excel
  • Proficiency in presenting complex data sets in a clear and concise manner

Preferred Qualifications

• Ability to monitor, interpret, apply, and assess policy and budget implications of changes to federal and state laws, rules and regulations
• Ability to assess the implications of proposed payment reforms at federal and state levels
• Ability to analyze and write complex technical documents
• Ability to identify, articulate, analyze, and resolve complex problems
• Knowledge of Minnesota’s legislative process and procedures
• Strong oral and written communication skills
• Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a 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 this position, contact Michaelyn 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)

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.