Working Title: Medicaid Compliance and Investigations Manager

Job Class: Human Services Manager 2

Agency: Human Services Dept

- Job ID: 96317
- 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: 08/13/2026
- Closing Date: 09/08/2026
- Hiring Agency/Seniority Unit: Human Services Dept / DHS Manager
- Division/Unit: Department of Human Services (DHS) / Office of Inspector General (OIG)-PIO Operations Management
- Work Shift/Work Hours: Day Shift / 8:00 a.m.
- 4:30 p.m.
- Days of Work: Monday - Friday
- Travel Required: Yes
- Salary Range: $44.80 - $64.46 / hourly; $93,542 - $134,592 / annually
- Classified Status: Classified
- Bargaining Unit/Union: 220 - Manager/Unrep
- FLSA Status: Exempt - Executive
- Designated in Connect 700 Program for Applicants with Disabilities: Yes

The Department of Human Services (DHS) 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 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.
- Approximately, 10% or less travel.

The purpose of this position is to provide leadership and oversight of Medicaid program integrity functions, including screening, audits, intake, and investigations. This role ensures compliance with federal and state requirements, strengthens fraud prevention and detection efforts, and promotes accountability through cross-agency collaboration and data-driven oversight. Responsibilities Include But Are Not Limited To

- Develop, maintain, and manage data-driven systems and oversight for the internal Medicaid investigations team, assuring investigations are guided by analytics, conducted effectively and consistently and align with state and federal requirements.
- Manage the Intake and Preliminary Investigations Team by implementing data driven practices to optimize Department of Human Services (DHS) resources, prioritize cases, and ensure efficient and effective handling of program integrity concerns.
- Oversee the Home and Community Based Services Early and Often team by providing leadership, direction and oversight to ensure effective operations.
- Manage the Medicaid Provider Screening team.
- Direct other activities as assigned by the Assistant Deputy Inspector General, Program Integrity Oversight Division.

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:

AND Five (5) years of providing direction to a work unit responsible for investigatory, compliance, or program integrity activities in Minnesota Health Care Programs or a comparable setting.

AND

Experience Must Demonstrate The Following

- Develop, maintain, and manage data-driven systems and oversight to tract program integrity across work unit.
- Leading, supervising, or coordinating teams.
- Develop and maintain working relationships with internal and external partners.
- Leverage data analytics to identify trends, prioritize referrals, and/or allocate investigative resources.

Preferred Qualifications

- Working knowledge of regulatory aspects of state and federal policies to Minnesota Health Care Programs and the public benefit programs administered by DHS.
- Understanding of governmental operations andstructure, statutory authority, the state andfederal legislative processes and rulemaking.
- Implement and evaluate practical solutions in a politically and programmatically complex environment.
- Knowledge of assistance funding and provider types and requirements.
- Understanding of principles of administrative management, planning, budgeting, fiscal control techniques and participatory management processes with professionals.
- Provide effective leadership that inspires a team effort toward accomplishing division goals and objectives.
- 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 Stephanie Borscheid at [email protected].

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Carolyn Rice 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 skilled growth

Benefits 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 prospect, 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 Compliance and Investigations Manager / Human Services Manager 2 (Saint-Paul Parish)
🏢 Minnesota Direct Care and Treatment
📍 Saint-Paul Parish