09 Nov
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Minnesota Direct Care and Treatment
|
Winnipeg
09 Nov
Minnesota Direct Care and Treatment
Winnipeg
Working Title: Quality Assurance SpecialistJob Class: PaulTelework Eligible: Yes, may be eligible for some telework.Full/Part Time: Full-TimeRegular/Temporary: Date Posted: 11/05/2026Closing Date: 11/12/2026Hiring Agency/Seniority Unit: Department of Employment and Economic Development / MAPEDivision/Unit: Paid Family and Medical LeaveWork Shift/Work Hours: Day Shift, 8:00AM to 4:30PMDays of Work: Monday - FridayTravel Required: NoSalary Range: $28.75 - $42.16 / hourly; $60,030 - $88,030 / annuallyJob Class Option: Quality ControlClassified Status: ClassifiedBargaining Unit/Union: 214 - Minnesota Association of Professional Employees / MAPEFLSA Status: NonexemptDesignated in Connect 700 Program for Applicants with Disabilities: 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.Paid Leave is a new program that launched January 1, 2026. The program provides partial wage replacement to Minnesota workers that are out of work due to a qualifying condition such as a serious health condition that prevents you from working, or when you need time to care for a family member or a current child.The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans.
The Quality
Assurance (QA) Specialist supports the claims adjudication team by ensuring the accuracy, consistency, and compliance of all claim development activities and determinations. This role is responsible for evaluating claim files, identifying errors or discrepancies, and recommending corrective actions to improve workflow efficiency and service quality. The QA Specialist partners closely with adjudicators, supervisors, and program leaders to ensure claims are processed in accordance with applicable laws, policies, procedures, and performance standards.
By monitoring trends, providing feedback, and contributing to process improvements, the Quality Assurance Specialist helps maintain the integrity of the claims process and supports the organization’s commitment to delivering fair, timely, and high‑quality outcomes for all applicants.Paul office.This position is telework eligible. Staff are provided with the tools and equipment to be successful in a virtual work environment. Please note, the telework policy could change with notice based on business needs.Only applicants whose resumes clearly demonstrate fulfillment of each of these minimum qualifications will be considered for this position.Two (2) years* experience in claims, appeals,
case management operations, or contact center support for an eligibility or claims-based program, including at least one (1) year of experience conducting quality control or quality assurance activities, such as reviewing work for accuracy, identifying errors or trends, and providing feedback or recommendations for improvement.Associate's degree in Business Administration, Public Administration, Community Development, Economics, Human Resources, other closely related field as determined by the agency may substitute six (6) months of experience; bachelor's degree substitutes for one (1) year of experience; master's degree substitutes for eighteen (18) months of experience.Experience developing effective recommendations for process, procedural, and/or policy improvements and working with management or other stakeholders on implementation.Experience compiling and analyzing data to identify trends.Knowledge of state and federal regulations governing family and medical leave programs.Ability to manage work with minimal supervision while meeting deadlines and quotas.Experience conducting quality reviews or audits of claims, casework, or eligibility determinations to ensure accuracy, consistency, and compliance with program policies.Experience in training and mentoring of other staff to enhance their claims processing abilities.Knowledge of techniques for detecting fraud and preventing adjudication errors.Criminal Background CheckEmployment Records Check (current and former State employees only)Employment Reference CheckConflict of Interest ReviewDriver’s License and Records CheckThe Minnesota Department of Employment and Economic Development will not sponsor applicants for work visas.
A sense of purpose in their workConnection with their coworkers and communitiesOpportunities for personal and professional growthBenefits 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.Paid vacation and sick leave12 paid holidays each yearLow-cost medical, dental, vision, and prescription drug plans Fertility care,
including IVFDiabetes careDental and orthodontic care for adults and children 6 weeks paid leave for parents of newborn or newly adopted childrenPension 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 deathShort-term and long-term disability insurance that can provide income if you are unable to work due to illness or injuryTax-free expense accounts for health, dental, and dependent careResources that provide support and promote physical, emotional, social, and financial well-beingSupport To Help You Reach Your Career Goals Training, classes, and professional developmentFederal 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 performanceCommon sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issuesDaily Living/Convenience Services: Chore services, home repair, trip planning, child/elder carePrograms, resources and perks eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.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] you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at karen.
📌 Quality Assurance Specialist - State Program Administrator Senior (Winnipeg)
🏢 Minnesota Direct Care and Treatment
📍 Winnipeg