Working Title: Medicaid Compliance and Investigations Manager
Job Class: Human Services Manager 2
Agency: Human Services Dept
Job ID : 96317
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 : 08/13/2026
Closing Date : 09/08/2026
Hiring Agency/Seniority Unit : Human Services Dept / DHS Manager
Division/Unit : Department of Human Services (DHS) / Office of Inspector General (OIG)-PIO Operations Management
Work Shift/Work Hours : Day Shift / 8:00 a.m. - 4:30 p.m.
Days of Work : Monday - Friday
Travel Required : Yes
Salary Range: $44.80 - $64.46 / hourly; $93,542 - $134,592 / annually
Classified Status : Classified
Bargaining Unit/Union : 220 - Manager/Unrep
FLSA Status : Exempt - Executive
Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes
The Department of Human Services (DHS) 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 (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.
*Approximately, 10% or less travel.
The purpose of this position is to provide leadership and oversight of Medicaid program integrity functions, including screening, audits, intake, and investigations. This role ensures compliance with federal and state requirements, strengthens fraud prevention and detection efforts, and promotes accountability through cross-agency collaboration and data-driven oversight.
Responsibilities include but are not limited to:
Develop, maintain, and manage data-driven systems and oversight for the internal Medicaid investigations team, assuring investigationsareguidedby analytics,conductedeffectivelyandconsistentlyandalignwithstateandfederalrequirements.
ManagetheIntakeand PreliminaryInvestigations Teambyimplementingdatadrivenpracticestooptimize Department of Human Services (DHS)resources,prioritize cases, and ensure efficient and effective handling of program integrity concerns.
OverseetheHomeandCommunityBased ServicesEarlyandOftenteam by providingleadership,directionandoversighttoensure effective operations.
ManagetheMedicaidProvider Screeningteam.
Direct otheractivitiesasassignedbytheAssistant DeputyInspectorGeneral, ProgramIntegrityOversight Division.
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.
Demonstrated leadership experience
Leadership experience can include:
Experience as a supervisor, lead worker, team lead, 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:
AND
Five (5) years of providing direction to a work unit responsible for investigatory, compliance, or program integrity activities in Minnesota Health Care Programs or a comparable setting.
AND
Experience must demonstrate the following:
Develop, maintain, and manage data-driven systems and oversight to tract program integrity across work unit.
Leading, supervising, or coordinating teams.
Developandmaintain workingrelationshipswithinternalandexternalpartners.
Leveragedataanalyticstoidentifytrends, prioritizereferrals,and/or allocateinvestigativeresources.
Preferred Qualifications
Working knowledge of regulatory aspects of state and federal policies to Minnesota Health Care Programs and the publicbenefit programs administered by DHS.
Understanding of governmentaloperationsandstructure,statutoryauthority,thestateandfederallegislativeprocessesandrulemaking.
Implement and evaluate practical solutions in a politically and programmaticallycomplex environment.
Knowledge of assistancefundingand provider @types and requirements.
Understanding of principles of administrative management, planning, budgeting, fiscal control techniques and participatory management processes with professionals.
Provide effectiveleadership that inspires a teameffort toward accomplishingdivision goals and objectives.
Variety of experiences working effectively with others from different backgrounds and cultures.
Additional Requirements
This position requires successful completion of the following:
It is the policy of the Department of Human Services that the individual selected for this position successfully complete a background investigation prior to employment, including the following components:
Criminal background check
Reference check
Fingerprinting check (MNJIS/CJIS)
Complete the Criminal Justice Information System (CJIS) Security Awareness training within 3-business days from the start of employment; and successfully obtain/retain CJIS certification annually.
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.
