Minnesota Department of Human Services · 8 hours ago
Medicaid Provider Audits & Investigations Supervisor / Human Services Supervisor 3
St Paul, MN
Full-time
Hybrid
Mid, Senior Level
$38.16/hr - $54.97/hr
4+ years expThe Minnesota Department of Human Services is committed to improving the well-being and quality of life for all Minnesotans. They are seeking a Medicaid Provider Audits & Investigations Supervisor to direct investigations of fraud, waste, and abuse within health care programs, ensuring compliance with relevant laws and regulations.
Government Administration
No H1B
Responsibilities
Direct the identification and investigation of fraud, waste, abuse and error by health care providers and recipients participating in Minnesota’s Health Care Program (MHCP)
Enforce compliance with state and federal laws and regulations governing the programs
Qualification
Required
Leadership experience can include: Experience as a supervisor, lead worker, team lead, project lead, mentor; 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
Four (4) years of experience conducting claims, health care or human services investigations or audits, quality monitoring of funded programs; or oversight of programs related to Minnesota Health Care Programs or health care fraud
Experience must demonstrate the following: Ensuring compliance with state and federal laws regarding health care programs; Recommend, develop, approve and/or implement policies to define an administrative system to be utilized by staff; Direct the development, implementation and maintenance of a system for analysis of providers; Utilize technical skills primarily to analyze data and make recommendations
Preferred
Knowledge of federal regulations, state statutes, and departmental rules, policies and procedures related to the public programs
Experience with the administrative hearing process and testifying at hearings
Knowledge of local human service agencies, state welfare systems and health care delivery systems
Skills in investigations and interviewing technique and investigatory process. Skills in problem solving and decision-making techniques
Understanding complex interrelationships of data, information, and evidence that are obtained or observed during an investigation
Adapts to changing priorities, situations and demands
Ability to handle multiple tasks and priorities effectively and efficiently. Ability and willingness to help, support, and feedback to others
Able to effectively communicate with both technical and non-technical personnel, to county users, internal DHS staff and external agencies
Variety of experiences working effectively with others from different backgrounds and cultures
Benefits
Paid vacation and sick leave
12 paid holidays each year
Low-cost medical, dental, vision, and prescription drug plans
Fertility care, including IVF
Diabetes care
Dental and orthodontic care for adults and children
6 weeks paid leave for parents of newborn or newly adopted children
Pension plan that provides income when you retire (after working at least three years)
Employer paid life insurance to provide support for your family in the event of death
Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
Tax-free expense accounts for health, dental, and dependent care
Resources that provide support and promote physical, emotional, social, and financial well-being
Training, classes, and professional development
Tuition reimbursement
Federal Public Service Loan Forgiveness Program
Employee Assistance Program (EAP) for work/life support
Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care
Company
Minnesota Department of Human Services
The Minnesota Department of Human Services (DHS) helps provide essential services to Minnesota’s most vulnerable residents.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Marshall E. Smith, MHA, FACHE
Health System Chief Executive Officer
Breanna B.
Human Resources Business Partner
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