Lead Program Eligibility Auditor - Telework Eligible (Saint Paul)

Lead Program Eligibility Auditor - Telework Eligible (Saint Paul)

02 Oct
|
Minnesota Direct Care and Treatment
|
Saint Paul

02 Oct

Minnesota Direct Care and Treatment

Saint Paul

Elevate your career with the State of Minnesota as a Lead Program Eligibility Auditor. This full time position offers telework flexibility and focuses on auditing program compliance and eligibility reviews. In this crucial role within the Human Services Department, you'll support the Program Compliance and Audits team while serving as a key decision-maker and subject matter expert.

Your responsibilities will include managing audit findings, educating team members, and generating performance reports. You will also oversee quality control in eligibility review processes, making a significant impact on Minnesota's health services. Key Responsibilities:

- Conduct eligibility reviews for quality assurance
- Review medical claims errors for compliance
- Develop dashboard performance reports for audits
- Revise reviewer manuals for team guidance
- Act as resource for eligibility audit team Requirements:
- 3 years of program eligibility/auditing experience
- Proficient in MAXIS, METS, MMIS, and PRISM
- Strong Microsoft Office skills
- Bachelor's degree may substitute for experience
- Master's degree may substitute for more experience Utilize your auditing expertise to enhance program compliance and improve health services in Minnesota.

📌 Lead Program Eligibility Auditor - Telework Eligible (Saint Paul)
🏢 Minnesota Direct Care and Treatment
📍 Saint Paul

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