Supplemental Payment Rates Specialist - Human Services Program Representative 2

State of Minnesota; Saint Paul (MN); Hybrid; USD 69,000 - 101,000; Full time

Job summary

The State of Minnesota is hiring a Supplemental Payment Rates Specialist in St. Paul to manage supplemental payments for health care providers and analyze hospital claims data used by the team.

You will work with senior staff to determine Upper Payment Limits (UPL), and coordinate with fiscal staff to effectuate payments while maintaining the Flat File dataset. Telework is eligible for Minnesota residents with supervisor approval.

Qualifications

• Three years of professional experience working with Health Care Programs, health insurance or health care billing and claiming.
• 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.

Responsibilities

• 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

Skills

Excel

Data analysis

Policy knowledge

Job description

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 (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : 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.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email [e-mail] . Please indicate what assistance is needed.