Medicaid Provider Audits & Investigations (MPAI) Supervisor - Human Services Supervisor 3 (Saint Paul)

Medicaid Provider Audits & Investigations (MPAI) Supervisor - Human Services Supervisor 3 (Saint Paul)

03 Aug
|
Minnesota Direct Care and Treatment
|
Saint Paul

03 Aug

Minnesota Direct Care and Treatment

Saint Paul

Working Title: Medicaid Provider Audits & Investigations (MPAI) Supervisor Job Class: Human Services Supervisor 3 Agency: Human Services Dept

- Job ID: 95986
- Location: St. Paul
- Telework Eligible: Yes
- Full/Part Time: Full-Time
- Regular/Temporary: Limited
- Who May Apply: Open to all qualified job seekers
- Date Posted: 07/31/2026
- Closing Date: 08/13/2026
- Hiring Agency/Seniority Unit: Human Services Dept / DHS Central Office MMA
- Division/Unit: Office of Inspector General / Administration
- Work Shift/Work Hours: Day Shift / 8:00am - 4:30pm
- Days of Work: Monday - Friday
- Travel Required: Approx. 10%
- Salary Range: $38.83 - $55.93 / hourly; $81,077 - $116,781 / annually
- Classified Status: Unclassified
- Bargaining Unit/Union: 216 - Middle Management Association/MMA
- End Date: 09/03/2029
- FLSA Status: Exempt - Executive
- Designated in Connect 700 Program for Applicants with Disabilities: No

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 is used to fill multiple vacancies.
- This position is a Temporary Unclassified role for approximately three (3) years.

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 Medicaid Provider Audits & Investigations (MPAI) Supervisor directs the identification and investigation of fraud, waste, abuse and error by health care providers and recipients participating in Minnesota’s Health Care Program (MHCP). Responsibilities Include But Are Not Limited To

- Enforce compliance with state and federal laws and regulations governing the programs.
- Exercise supervisory authority to ensure that applicable labor agreements and plans are equitably administered and employees will effectively perform assigned job duties to achieve the objectives of the section.
- Administer the Medicaid Provider Audits & Investigations (MPAI) Unit so that there is compliance with, and enforcement of, state and federal laws regarding Minnesota’s publicly funded health care programs.
- Direct the development, implementation and maintenance of an effective system for analysis of provider data so that possible provider and recipient misuse of services or billing may be identified and there is substantial compliance with federal regulations regarding the Medicaid Management Information System (MMIS).
- Develop and maintain relationships with other units of DHS, other state agencies, health related licensing boards, professional associations and federal agencies so that external resources are available for, and coordinated with, MPAI activity and to improve program integrity policies.

Minimum Qualifications

- To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.**

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 commitment

AND Four (4) years of experience conducting claims, healthcare, or human services investigations or audits; monitoring or overseeing publicly funded healthcare programs, including Minnesota Health Care Programs; or administering compliance with and/or enforcement of state and federal laws governing publicly funded healthcare programs, including healthcare fraud investigations

AND

Experience Must Demonstrate The Following

- Investigative methods, interviewing techniques, and/or investigatory processes sufficient to direct complex provider investigations and evaluate investigative findings.
- Direct the development, implementation and/or maintenance of an effective system for analysis of health care provider data.
- Hire employees, assign work, and/or evaluate employee performance to meet program objectives.
- Develop, approve and/or implement policies.

Preferred Qualifications

- Knowledge of federal regulations, state statutes, and departmental rules, policies and procedures governing publicly funded health care programs sufficient to direct investigations, ensure program compliance, and oversee appropriate administrative actions.
- Skilled in problem solving and decision making sufficient to evaluate investigative information, determine appropriate investigative strategies, and resolve complex program integrity issues.
- Experience with the administrative hearing process and testifying at hearings.
- Knowledge of Department of Human Services (DHS) systems such as MMIS, MAXIS, and the Data Warehouse.
- Understanding of local human service agencies, state welfare systems and health care delivery systems sufficient to evaluate provider practices and coordinate investigative activities.
- Effectively communicate with both technical and non-technical personnel, to county users, internal DHS staff and external agencies.
- Ability to utilize technical skills primarily to analyze data and make logical recommendations.
- Variety of experiences working effectively with others from different backgrounds and cultures.

Additional Requirements This position requires successful completion of the following: It Is The Policy Of The Department Of Human Services That The Individual Selected For This Position Successfully Complete a Background Investigation Prior To Employment, Including The Following Components

- Criminal background check
- Reference check
- Fingerprinting check (MNJIS/CJIS)

Complete the Criminal Justice Information System (CJIS) Security Awareness training within 3-business days from the start of employment; and successfully obtain/retain CJIS certification annually. How To Apply Select “Apply for Job” at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at (phone hidden) or email [email protected]. For additional information about the application process, go to http://www.mn.gov/careers.

Contact

If you have questions about the position, contact Melanie LaBrie at [email protected].

If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services’ ADA Coordinator at (phone hidden) or DEPARTMENT OF HUMAN [email protected] for assistance.





About Human Services Dept WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can achieve their highest potential.

Working together to improve the state we love. What do Minnesota's State employees have in common?

- A sense of purpose in their work
- Connection with their coworkers and communities
- Opportunities for personal and professional growth

Perks As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.

Your Benefits May Include

- 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

Support To Help You Reach Your Career Goals

- Training, classes, and professional development
- Tuition reimbursement
- Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov)

Employee Assistance Program (EAP) For Work/life Support

- A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
- Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
- Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care

Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota. EQUAL OPPORTUNITY EMPLOYERS Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply.

The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.

Applicants With Disabilities Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at (phone hidden) or email [email protected] and let us know the support you need.

📌 Medicaid Provider Audits & Investigations (MPAI) Supervisor - Human Services Supervisor 3 (Saint Paul)
🏢 Minnesota Direct Care and Treatment
📍 Saint Paul

Reply to this offer

Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.

Subscribe to this job alert:

Get the latest job offers by email for: medicaid provider audits & investigations (mpai) supervisor - human services supervisor 3 (saint paul) / saint paul

Subscribe to this job alert:

Get the latest job offers by email for: medicaid provider audits & investigations (mpai) supervisor - human services supervisor 3 (saint paul) / saint paul