Appeals Specialist - Human Services Program Specialist
Job in
Saint Paul, Ramsey County, Minnesota, 55145, USA
Listed on 2026-10-13
Listing for:
State of Minnesota
Full Time, Part Time
position Listed on 2026-10-13
Job specializations:
-
Government
Healthcare Administration, Human Services/ Social Work, Government Administration
Job Description & How to Apply Below
*
* Working Title:
Appeals Specialist*
* ** Job Class:
Human Services Program Specialist 2*
* ** Agency:
Human Services Dept*
* +
** Job ** : 97630
+
** 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** : 10/09/2026
+
** Closing Date** : 10/19/2026
+
** Hiring Agency/Seniority Unit** :
Human Services Dept / MAPE DHS Central Office
+
** Division/Unit** :
Health Care Administration / Integrity and Accountability
+
** Work Shift/Work Hours** :
Day Shift / 8:00am - 4:30pm
+
** Days of Work** :
Monday - Friday
+
** Travel Required** :
No
+
** Salary Range:** $26.89 - $39.22 / hourly; $56,146 - $81,891 / 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 ((Use the "Apply for this Job" box below)./connect
700/) :
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 posting may be used to fill multiple openings****
* ** 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 exists within the Eligibility Appeals Unit (EAU) to support the unit's response to Minnesota Health Care Programs (MHCP) eligibility appeals. The position conducts appeal intake and preliminary review, determines continued benefit eligibility, coordinates appeal information and documentation, implements agency appeal decisions, and independently researches and responds to certain appeals. The incumbent applies current and historical statutes, policies, and procedures to individual cases and coordinates with the Appeals Division, service agencies, MNsure, DHS program areas, appellants, and other stakeholders to ensure appeals are processed accurately, timely, and in accordance with applicable requirements.
Working in a high-volume, deadline-driven environment, the incumbent exercises independent judgment to analyze complex eligibility and procedural issues, identify required actions, monitor statutory deadlines, and ensure appropriate case actions are completed.
The position also supports EAU operations by maintaining accurate appeal information, identifying process improvement opportunities, and referring applicable cases for potential over payment assessment.
** Minimum Qualifications*
* Three (3) years of recent experience with Health Care Programs such as Medical Assistance and Minnesota Care.
+
Experience with eligibility and financial technology systems (such as METS, MAXIS, MMIS)
+ Experience reading, interpreting and implementing policies and procedures.
_
*** Bachelor's degree or higher in health care administration, business administration or related field may substitute for one (1) year of experience
*** _
** Preferred Qualifications*
* + Experience working with the…
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