Working Title: Provider Integrity Manager

Job Class: Human Services Manager 1

Agency: Human Services Dept

Job ID: 96766

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: 09/02/2026

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, leadworker, 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 and inform decisions

Working with Medicaid claims, authorization, provider, provider enrollment or eligibility systems

Communicating complex findings and recommendations to leadership, staff, or external partners

Preferred Qualifications

Experience setting strategic direction for provider integrity, compliance or audit functions.

Experience supervising or leading multidisciplinary teams.

Experience using analysis findings to drive system, policy, or operational improvements.

Experience working with data from MMIS, MnCHOICES, MnITS, MAXIS, METS, or MPSE.

Coordinating across programs or organizational partners.

Variety of experiences working effectively with others from different backgrounds and cultures

Additional Requirements
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.

REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

Contact
If you have questions about the position, contact Colin Stemper at [email protected].

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

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 chance, 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.

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