Working Title: School-Based Medicaid Specialist
Job Class: Human Services Program Representative 2
Agency: Human Services Dept
Job ID : 88770
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 : 09/09/2025
Closing Date : 09/22/2025
Hiring Agency/Seniority Unit : Human Services Dept / MAPE DHS Central Office
Division/Unit : DHS-Central Office / BHDH Children's Mental Health
Work Shift/Work Hours : Day Shift / 8:00am to 4:30pm
Days of Work : Monday - Friday
Travel Required : Yes, (Up to 10% for meetings)
Salary Range: $32.40 - $47.76 / hourly; $67,651 - $99,723 / annually
Classified Status : Unclassified
Bargaining Unit/Union : 214 - MN Assoc of Professional Empl/MAPE
End Date : 06/30/2027
FLSA Status : Nonexempt
Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : 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 unclassified position that includes state benefits
*This position is eligible for** telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) 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 provide comprehensive support regarding Medicaid policy for school-based services, focusing on infrastructure, billing, compliance, rates, and policy. They provide expertise in Medicaid and school mental health services, particularly in School Based Community Services (SBCS), School-Linked Behavioral Health (SLBH), School Social Work, and CTSS. Responsibilities include collaborating with Minnesota Department of Education (MDE), Health Care Administration (HCA), Department of Human Services (DHS), and community stakeholders to align Medicaid policies and implement services effectively. The specialist reviews Center for Medicaid Services (CMS) and Children's Health Insurance Program (CHIP) guidance for compliance and advises DHS staff and policymakers on future directions, ensuring consistency and innovation in school-based mental health programs.
Responsibilities include, but not limited to:
To serve as the subject matter expert for implementation, enhancement and program development of all Medicaid behavioral health services delivered in school-based settings outside of the IEP/IFSP.This service is commonly referred to in Minnesota as School Based Community Services (SBCS).
Engage in implementation activities and infrastructure development for School Based Community Services, training, and support of DHS, MDE, Managed Care Organizations, and local school district staff on the program policy, documentation, and medical necessity standards.
Maintain knowledge of new and upcoming Medicaid/CHIP benefits for delivery in school-based settings along with prospective guidance to DHS, MDE and other leaders in innovative opportunities related to school based behavioral health services.
ComplywithallFederal and State Medicaid documentation and review requirements.
Minimum Qualifications
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.
Three (3) years of expert-level working experiences understanding Medicaid benefit systems and structures.
Experience must clearly demonstrate:
Knowledge of implementation of Medicaid benefits for mental health services.
Knowledge of billing processes and state-specific guidelines essential for ensuring compliance with regulations to maximize Medicaid funding for school services.
Understanding of MCO processes and requirements to ensure effective payment for services implemented in school settings.
Understanding of mental health services provided in schools.
Must have a valid driver's license.
*Bachelor's degree in human services, social work, psychology, or another related fields may substitute for one (1) year of work experience.
**Master's degree in human services, social work, psychology, or another related fields may substitute for two (2) years of work experience.
Preferred Qualifications
Variety of experiences working effectively with others from different backgrounds and cultures.
Familiarity with program evaluation and research methodologies. Helps in evaluating the impact of mental health services and making data-driven decisions.
Insight into existing and new guidance from Medicaid detailing flexibilities in Medicaid service delivery not currently accessed in Minnesota.
Knowledge of effective community consultation practices. Insight into the structure and functioning of school systems, including special education laws and policies.
Demonstrated ability to communicate with strong oral, written and listening skills.
Additional Requirements
Minnesota Department of Human Services (DHS) criminal background check will be conducted 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).
AN EQUAL OPPORTUNITY EMPLOYER
Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.
Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.
