Provider Integrity Manager​/Human Services Manager

Provider Integrity Manager

Job Class:
Human Services Manager 1

Agency:
Human Services Dept

Location:

St. Paul

Telework Eligible:
Yes

Full/Part Time:
Full-Time

Regular/Temporary:
Unlimited

Who May Apply:
Open to all qualified job seekers

Closing Date: 09/22/2026

Hiring Agency/Seniority Unit:
Human Services Dept / DHS Manager

Division/Unit: DHS-Central Office / ADSA Central Functions

Work Shift/

Work Hours:

Day shift

Days of Work:
Monday
- Friday

Travel Required:

No

Salary Range: $41.58 - $60.10 / hourly; $86,819 - $125,488 / annually

Classified Status:
Classified

Bargaining Unit/Union: 220 - Manager/Unrep

FLSA Status:
Exempt
- Executive

Designated in Connect 700 Program for Applicants with Disabilities:
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.

The Provider Integrity Manager will manage and direct ADSA's statewide provider integrity program for Medicaid long-term services and supports (LTSS). Under administrative direction, the position plans, implements, evaluates, and continuously improves provider fraud, waste, and abuse (FWA) prevention and monitoring functions. This work requires strong partnerships across ADSA divisions and DHS enterprise program integrity partners.

The position directs a multidisciplinary Provider Integrity Team of 19 FTEs, including the Program Integrity Research and Compliance Team, Prepayment Review Team, and Operations and Coordination staff.

The incumbent applies expert knowledge of Medicaid LTSS policy, provider requirements, payment systems, and oversight. The position sets strategic direction, ensures work is coordinated across functions and uses data and findings to identify risks and drive policy, system, and operational improvements.

The position provides strategic oversight to ensure unit activities are coordinated and findings are leveraged across functions to strengthen Minnesota's Medicaid LTSS system. This includes payment and claims systems, provider compliance, OIG referrals, new Medicaid Management Information System (MMIS) changes, policy clarification, training and technical assistance, and broader operational improvements.

All provider integrity activities conducted in this team must be:

• Documented, consistent, legally defensible, and audit-ready.
• Aligned with federal and state statutes and DHS policies.
• Coordinated with ADSA policy processes, payment and MMIS processes, OIG referral processes, and DHS enterprise program integrity strategy.
• Implemented with attention to equity, due process, service continuity, and impact on people receiving LTSS.

Minimum Qualifications

Demonstrated leadership experience*

* Leadership experience can include:

• Experience as a supervisor, lead worker, team lead, project lead;
• Completion of a State of Minnesota leadership program (e.g. ELI, L4);
• A paid/unpaid position leading a program or chairing a committee (e.g. ERG) - experience must include:
• 1+ year of experience identifying issues, goals and strategic actions
• 100+ hours per year time commitment

AND

4 years of professional work experience with Medicaid LTSS, provider oversight, compliance or program integrity. Experience must demonstrate the following:

• Experience with Medicaid LTSS policies, provider standards, or program requirements
• Leading or supporting compliance, audit, monitoring or payment integrity work
• Using data or findings to identify risks…