Medicaid Program Integrity Review Supervisor - Human Services Supervisor 2

• Job ID: 94385
• Location: St. Paul
• Telework Eligible: Yes
• Full/Part Time: Full-Time
• Regular/Temporary: Limited
• Who May Apply: Open to all qualified job seekers
• Date Posted: 05/21/2026
• Closing Date: 06/04/2026
• Hiring Agency/Seniority Unit: Human Services Dept / DHS Central Office MMA
• Division/Unit: DHS-Central Office / BHDH Behavioral Health Directo
• Work Shift/Work Hours: Day Shift / 8:00am to 4:30pm
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $34.11 - $49.39 / hourly; $71,221 - $103,126 / annually
• Classified Status: Unclassified
• Bargaining Unit/Union: 216 - Middle Management Association/MMA
• End Date: 12/01/2027
• FLSA Status: Exempt - Executive
• Designated in Connect 700 Program for Applicants with Disabilities: No
  
  

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 is a temporary position with state benefits***
  
  

This is an 18-month temporary position (with the possibility of extension) that leads a team of temporary Medicaid Program Integrity Review Specialists. The team reviews behavioral health services billed to Medicaid to make sure claims are accurate and meet program requirements. Services reviewed include Adult Rehabilitative Mental Health Services (ARMHS), Intensive Residential Treatment Services (IRTS), Peer Services, and Assertive Community Treatment (ACT).

As supervisor, you will guide your team’s day-to-day work, answer questions about policy and clinical standards, and make sure reviews are done consistently and on time. You will also be the main point of contact between the review team and DHS policy experts and Behavioral Health Administration (BHA) leadership.

This work helps protect Minnesota’s Medicaid program and ensures public funds are used appropriately.

Key responsibilities will include:

• Supervise and support a team of temporary Program Integrity Review Specialists, helping them complete prepayment reviews, focused claims reviews, and provider recertification reviews accurately and on schedule.
• Provide guidance on clinical and policy questions — including medical necessity criteria, documentation standards, and program integrity requirements — so the team can make consistent, well-grounded recommendations.
• Manage workload across the team, coordinating assignments and adjusting priorities as needed.
• Oversee onboarding and ongoing training so team members stay current on behavioral health services, review procedures, and DHS policy changes.
• Maintain accurate records of review activities and prepare regular reports on team outputs, trends, and outcomes for program leadership.
• Administer applicable labor agreements fairly and support team members in meeting performance expectations through coaching, feedback, and corrective action when needed.
• Serve as the primary liaison between the review team and DHS policy staff and BHA leadership.
  
  

Demonstrated leadership experience*

• Leadership experience can include:
• Experience as a supervisor, lead worker, team leader, 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:
  
  

Three (3) years of advanced-level work experience conducting clinical and policy reviews of Medicaid services within a human services program.

This experience must demonstrate:

• A solid understanding of behavioral health conditions, treatment approaches, and service delivery for programs such as ARMHS, IRTS, Peer Services, and ACT.
• In-depth knowledge of Medicaid program rules, medical necessity criteria, and clinical documentation standards for behavioral health services.
• Hands-on experience with program integrity review methods — including prepayment review, focused claims review, and provider recertification review.
• Familiarity with audit processes, fraud prevention, and Medicaid program integrity standards.
• A basic understanding of healthcare coding and billing as it applies to behavioral health services.
  
  

• Variety of experiences working effectively with people from backgrounds and cultures different than one’s own.
• Strong communication skills — able to explain complex topics clearly, both in writing and in conversation, and to listen and respond openly to team members’ questions and concerns.
• Knowledge of supervisory practices, including workload management, coaching, performance feedback, and corrective action.
• Certification as a Program Integrity Professional (CPIP) or in Healthcare Compliance.
• Experience working with Medicaid claims platforms, electronic health record (EHR) systems, or reporting tools.
• Ability to identify patterns or trends in review findings that may signal systemic documentation issues or provider compliance concerns.
  
  

• The MinnesotaDepartment of Human Services (DHS) will conduct criminal background checks on all finalists for this position. Finalists must pass the DHS background check.
• Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance. It also includes contact with the applicant's former employer(s).
  
  

Select “Apply for Job” at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651-259-3637 or email careers@state.mn.us. For additional information about the application process, go to http://www.mn.gov/careers.

Contact

If you have questions about this position, contact Kristine Preston at kristine.preston@state.mn.us.

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 651-431-4945 or DEPARTMENT OF HUMAN SERVICES_ADA@state.mn.us 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 professional growth
  
  

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
  
  

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 opportunity, 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 651-259-3637 or email careers@state.mn.us and let us know the support you need.