Working Title: Provider Integrity Manager
Job Class: Human Services Manager 1
Agency: Human Services Dept
Job ID : 96766
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 : 09/02/2026
Closing Date : 09/22/2026
Hiring Agency/Seniority Unit : Human Services Dept / DHS Manager
Division/Unit : DHS-Central Office / ADSA Central Functions
Work Shift/Work Hours : Day shift
Days of Work : Monday - Friday
Travel Required : No
Salary Range: $41.58 - $60.10 / hourly; $86,819 - $125,488 / 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
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.
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.
The Provider Integrity Manager will manage and direct ADSA's statewide provider integrity program for Medicaid long-term services and supports (LTSS). Under administrative direction, the position plans, implements, evaluates, and continuously improves provider fraud, waste, and abuse (FWA) prevention and monitoring functions. This work requires strong partnerships across ADSA divisions and DHS enterprise program integrity partners.
The position directs a multidisciplinary Provider Integrity Team of 19 FTEs, including the Program Integrity Research and Compliance Team, Prepayment Review Team, and Operations and Coordination staff.
The incumbent applies expert knowledge of Medicaid LTSS policy, provider requirements, payment systems, and oversight. The position sets strategic direction, ensures work is coordinated across functions and uses data and findings to identify risks and drive policy, system, and operational improvements.
The position provides strategic oversight to ensure unit activities are coordinated and findings are leveraged across functions to strengthen Minnesota's Medicaid LTSS system. This includes payment and claims systems, provider compliance, OIG referrals, new Medicaid Management Information System (MMIS) changes, policy clarification, training and technical assistance, and broader operational improvements.
All provider integrity activities conducted in this team must be:
Documented, consistent, legally defensible, and audit-ready.
Aligned with federal and state statutes and DHS policies.
Coordinated with ADSA policy processes, payment and MMIS processes, OIG referral processes, and DHS enterprise program integrity strategy.
Implemented with attention to equity, due process, service continuity, and impact on people receiving LTSS.
Minimum Qualifications
Demonstrated leadership experience
Leadership experience can include:
Experience as a supervisor, leadworker, 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:
1+ year of experience identifying issues, goals and strategic actions
100+ hours per year time commitment
AND
4 years of professional work experience with Medicaid LTSS, provider oversight, compliance or program integrity. Experience must demonstrate the following:
Experience with Medicaid LTSS policies, provider standards, or program requirements
Leading or supporting compliance, audit, monitoring or payment integrity work
Using data or findings to identify risks and inform decisions
Working with Medicaid claims, authorization, provider, provider enrollment or eligibility systems
Communicating complex findings and recommendations to leadership, staff, or external partners
Preferred Qualifications
Experience setting strategic direction for provider integrity, compliance or audit functions.
Experience supervising or leading multidisciplinary teams.
Experience using analysis findings to drive system, policy, or operational improvements.
Experience working with data from MMIS, MnCHOICES, MnITS, MAXIS, METS, or MPSE.
Coordinating across programs or organizational partners.
Variety of experiences working effectively with others from different backgrounds and cultures
Additional Requirements
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.
REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.
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.
