Medicaid Program Integrity and Systems Coordinator​/Human Services Program Consultant

Position: Medicaid Payments Program Integrity and Systems Coordinator / Human Services Program Consultant
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* Working Title:

Medicaid Payments Program Integrity and Systems Coordinator*
* ** Job Class:
Human Services Program Consultant*
* ** Agency:
Human Services Dept*
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** Job ** : 96921

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** Location** :
St. Paul

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** Telework Eligible** :
Yes

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** Full/Part Time** :
Full-Time

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** Regular/Temporary** :
Unlimited

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** Who May Apply** :
Open to all qualified job seekers

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** Date Posted** : 09/10/2026

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** Closing Date** : 09/23/2026

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** Hiring Agency/Seniority Unit** :
Human Services Dept / MAPE DHS Central Office

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** Division/Unit** : DHS-Central Office / HCA MPPS Claims Ops Integrity

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** Work Shift/Work Hours** :
Day Shift

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** Days of Work** :
Monday - Friday

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** Travel Required** :
No

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** Salary Range:**  $36.59 - $54.25 / hourly; $76,399 - $113,274 / annually

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** Classified Status** :
Classified

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** Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE

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** FLSA Status** :
Exempt - Administrative

+ Designated in Connect 700 Program for Applicants with Disabilities ((Use the "Apply for this Job" box below)./connect
700/) :
Yes

_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._

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 exists to provide advanced professional knowledge as a business owner and coordinator to provide guidance, prioritize, plan, lead, and support Medicaid's efforts for its payment system maintenance, operations, development and implementation for multiple business areas within the Medicaid program so that it meets the needs of a wide variety of stakeholders. The person in this role serves as a Medicaid payments policy content expert and speaks on behalf of his/her administration in interactions with business architects, developers and other IT project leads to ensure that IT staff clearly understand their business, including its policies, programs and clientele and have timely information necessary to successfully maintain, operate, develop and modernize the claims payment IT system.

He/she ensures compliance with federal and state policies, laws and regulations necessary to implement Medicaid program requirements.

This position will:

+ Provide strategic and tactical guidance, support, and oversight of Medicaid payment activities and projects by developing, updating and implementing activities as they relate to system, policy, procedural or operational changes that occur as a result.

+ Develop, direct and coordinate implementation of MHCP program integrity and compliance policies and, directives to ensure systems and operational procedures are compliant with all relevant federal and state statutes and regulations.

+ Partner with DHS HCA, OIG and MFCU to set strategies for, develop, implement and oversee MPPS business unit efforts and claims payment system to apply pre-payment review activity in an effort to prevent of fraud, waste and abuse within the MHCP programs. Act as a subject matter expert on various complex issues and interactions among health care and other related programs

MPPS operationalizes systems and policies necessary to process payment transactions for services provided through a wide array of programs and for external systems that utilize the data or information stored within the systems operated by the business units.

** Minimum Qualifications*
* 3 years of professional experience with health care programs such as Minnesota Health Care Programs. Experience must demonstrate the following:

+ Thorough understanding or ability to develop expertise in Minnesota Health Care Programs in a short time-frame

+ Knowledge and experience with Medicaid policy, systems, benefits, and service…