Project Manager - Medicaid Program Integrity / Human Services Program Specialist 2 - Remote Eligible

Project Manager - Medicaid Program Integrity

Job Class: Human Services Program Specialist 2

Agency: Human Services Dept

Job ID: 94121

Location: St. Paul

Telework Eligible: Yes

Full/Part Time: Full-Time

Regular/Temporary: Limited

Who May Apply: Open to all qualified job seekers

Closing Date: 05/21/2026

Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office

Division/Unit: DHS-Central Office / ADSA DS Community Svcs Access

Work Shift/Work Hours: Day shift

Days of Work: Monday - Friday

Travel Required: Yes, up to 10%

Salary Range: $26.43 - $38.55 / hourly; $55,185 - $80,492 / annually

Classified Status: Unclassified

Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE

End Date: 12/31/2026

FLSA Status: Nonexempt

Designated in Connect 700 Program for Applicants with Disabilities: No

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 Project Manager - Medicaid Program Integrity will coordinate all efforts across the execution Aging and Disability Services Administration (ADSA) as it relates to Medicaid Program Integrity. This includes but may not be limited to:

• State plan benefits under Early Intensive Developmental and Behavioral Intervention (EIDBI)
• Personal Care Assistance (PCA)/Community First Services and Supports (CFSS)
• Home and Community-Based service (HCBS) waiver services including:
• Adult Day Service
• Adult Companion
• Integrated Community Supports (ICS)
• Individualized Home Support (IHS)
• Night Supervision

The Project Manager is responsible for providing strategic oversight, operationalizing and coordinating the work across ADSA and DHS related to strengthening program integrity in Medicaid. The position is responsible for coordinating, tracking, and ensuring that all ADSA-assigned requirements from the Centers for Medicare and Medicaid Services (CMS) through the Corrective Action Plan, focused reviews or audits, and other related activities are completed on-time and in-scope. The position will guide and manage the portfolio, track work progress, elevate issues, resolve problems, identify gaps and risks, and collaborate across the Department to ensure effective implementation.

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, day and year for each job held.

1 year professional experience in project planning and operations OR 3 years advanced technical or paraprofessional experience

OR

Bachelor's degree in Human Services, Public Policy, Public Administration or related field and 2 years of advanced technical or paraprofessional experience

OR

Master's degree in Human Services, Public Policy, Public Administration or related field

AND

Experience must demonstrate the following:

• Familiarity with Medicaid program rules, functional eligibility, person-centered support planning, and medical necessity concepts
• Program development and planning
• Awareness of audit processes, fraud prevention, and program integrity standards in Medicaid
• Familiarity with healthcare coding and billing basics relevant to behavioral health services

Preferred Qualifications

• Knowledge of HIPAA, state data practices, and confidentiality requirements for handling sensitive health information
• Understanding of aging and disability services in scope for the CMS corrective action plan, CMS focused reviews, and other CMS-related activities
• Effective written communication to document findings clearly and professionally
• Proficient computer skills for data entry and electronic documentation systems
• Variety of experiences working effectively with others from different backgrounds and/or 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.