- Telework Eligible: Yes

Working Title: Medicaid Program Integrity Review Supervisor

Job Class: Human Services Supervisor 2

Agency: Human Services Dept

- Job ID: 98254
- 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: 11/06/2026
- Closing Date: 11/20/2026
- Hiring Agency/Seniority Unit: Human Services Dept / DHS Central Office MMA
- Division/Unit: DHS-Central Office / BHA Program Integrity
- Work Shift/Work Hours: Day Shift / 8:00am to 4:30pm
- Days of Work: Monday - Friday
- Travel Required: yes,(20% for meetings)
- Salary Range: $34.71 - $50.25 / hourly; $72,474 - $104,922 / annually
- Classified Status: Classified
- Bargaining Unit/Union: 216 - Middle Management Association/MMA
- FLSA Status: Exempt - Executive
- Designated in Connect 700 Program for Applicants with Disabilities: Yes

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 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.

Flexible work hours may be permitted with supervisor approval.

This position exists to direct the Behavioral Health Administration's (BHA) Medicaid payment integrity program for behavioral health services. The incumbent integrates clinical review, policy interpretation, data analytics, and cross‑administration compliance activities into a single program that determines whether Medicaid claims for substance use disorder (SUD), mental health, and integrated behavioral health services are allowable, medically necessary, and properly paid. The program's core activities are prepayment review of claims from providers and services identified as high‑risk, and Centers for Medicare & Medicaid Services (CMS)–directed focused review of questionable claims.

The incumbent supervises a team of five (5) Medicaid Payment Integrity Policy Analysts who serve as the program's clinical and policy subject matter experts. The incumbent sets the program's goals, standards, and review strategy; leads the planned expansion of program integrity review across BHA's Medicaid‑funded service array; serves as BHA's operational lead for CMS focused review activity; and advises BHA leadership on policy, rule,



and legislative changes needed to close program vulnerabilities.

The position works under administrative direction from the Program Integrity & Continuity of Care Manager and is evaluated on results. Its work protects the fiscal integrity of Minnesota's Medicaid behavioral health programs and the state's standing with CMS, while preserving recipient access to medically necessary care.

Key Responsibilities Will Include

- Direct BHA's Medicaid payment integrity review program—including prepayment review and CMS‑directed focused review—across SUD, mental health, and integrated services, establishing program goals, standards, and review strategy and exercising final unit‑level authority on complex determinations.
- Exercise supervisory authority so that applicable labor agreements and plans are equitably administered and assigned employees effectively perform assigned job duties to achieve the annual objectives of the unit.
- Lead the planning, development, and implementation of the expansion of Medicaid program integrity review across BHA, and shape the policy, rule, and legislative framework that supports it.
- Serve as BHA's operational lead for CMS focused review activity and represent the payment integrity program with DHS administrations, OIG, and external partners.
- Direct unit quality assurance, review targeting, and performance measurement in coordination with the BHA data analytics team.
- Ensure program records, appeals support, and data handling meet audit, legal, and data practices requirements.

All DHS Leaders are expected to demonstrate and develop the five (5) competency themes from the Enterprise‑wide Leader Competency Model:

📌 Medicaid Program Integrity Review Supervisor (St Paul)
🏢 Minnesota Direct Care and Treatment
📍 St Paul