Integrity​/SIU Technical Coordinator

Payment Integrity/SIU Technical Coordinator

Bloomington, MN, United States

• Job Identification 117270
• Organization Health Partners/GHI, Health Partners Enterprise
• Posting Date 01/30/2026, 04:33 PM
• Locations 8170 33rd Ave S - Bloomington
• Work Schedule M-F, business hours
• Hours Per Week/FTE 40 hrs weekly / 1.0 FTE
• Job Shift Day
• Position Type Full-time regular
• Job Category Claims
• Department Payment Integrity
• Pay Range $29.57 - $44.35 hourly
• Pay Range Statement Compensation is based on the level and requirements of the role. Pay within our ranges may also be determined by education, experience, knowledge, skills, location, and abilities as well as internal equity. Hired candidates may be eligible to receive additional compensation based on role (e.g., shift differential, bonus, sales incentive, productivity pay, etc.).
• Overtime Eligibility Status Exempt
• Worker Type Employee

Health Partners is hiring a Payment Integrity/SIU Technical Coordinator to provide technical supervision and work direction to staff. The role assumes the responsibility of unit supervisor in the absence of the supervisor, overseeing the expedient and accurate adjudication of claims, and providing direction, guidance and support necessary to bring about individual development in line with department objectives. The coordinator serves as a project leader in the use, development, implementation and enhancement of systems, coordinating the activities of all affected areas.

• Supervision:
  Assists in the selection, development and supervision of staff to ensure achievement of department objectives. Selects and motivates a competent workforce. Assumes the role of supervisor in the absence of the supervisor, including signing timecards, hiring and firing decisions, union issues and time off approval.
• Technical Competence:
  Develops staff technical competence to ensure maximum production and quality standards. Designs and revises procedures to facilitate efficient claims processing. Prepares, conducts and analyzes both system and user audits to ensure new, promoting and existing employees’ technical competence, heightening production and quality standards, and improving system use. Provides follow‑up support through evaluation sessions with each staff member.
• System Expert:
  Supports staff in identifying potential improvements in automated or manual processes. Provides expertise in training on system functionality, including all modules of the claims system and DEC applications (auths, supplemental insurance, claims processing, online benefits, membership systems, HCSS, etc.). Investigates claims problems and assists in their resolution. Conducts training of new examiners and remedial training of experienced examiners as needed.
  
  Performs benefit interpretation to define and facilitate development of procedures resulting from implementation or revision of claims processes. Maintains a current knowledge base and utilizes new training techniques and documentation to ensure efficiency and eliminate redundancy.
• Data Interpretation:
  Ensures the quality of data collection through an audit process to meet expected standards. Facilitates management assimilation of data by interpreting reports and highlighting trends. Determines quantity of claims required for the auditing of each examiner and audits and authorizes payment of claims over examiner limits.
• Support:
  Supports unit, departmental and divisional teams through participation in appropriate meetings and projects. Coordinates all processes affected by projects to capture complete information for training documentation and implementation. Interacts with other supervisors and their personnel from other departments or organizations to resolve mutual problems. Participates in departmental planning and redesign.

Other Duties:
Performs additional duties, attends meetings and assumes projects as assigned by supervisor, manager or director.

• Bachelor’s degree with at least two years of claims experience in the administration of insurance benefits, or Associate degree with two years of Health Partners experience. Education requirement may be waived based on a…