Screening Specialist / Human Services Program Representative 1 - Remote Eligible

Screening Specialist

This position exists to conduct on site screening of newly, currently, or reenrolling Minnesota Health Care Program (MHCP) providers. The role of the Screening Specialist is to travel throughout the state to conduct screening activity for moderate or high-risk providers to verify accuracy of information submitted to the Department of Human Services (DHS) and to review compliance with Federal and State requirements for enrollment eligibility. Screening activities are a key step in identifying and preventing program integrity concerns.

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.

Two (2) years professional experience in the area of compliance monitoring, provider enrollment, or experience with rules and regulations regarding Minnesota Health Care Programs.

AND

Experience must demonstrate the following:

• Conduct research using multiple data sources.
• Experience conducting interviews and obtaining information.
• Make a recommendation and document all information.

Preferred Qualifications

Knowledge of fee-for-service and Managed Care Organizations, Minnesota Medicaid Information System (MMIS), SharePoint, Case Tracker, Electronic Data Management System (EDMS/Navigator) and the role of compliance, oversight, and regulation, specifically in government

Conduct "fitness tests" of enrolling or reenrolling providers to gain knowledge and detect any potential program integrity concerns.

Critical thinking and professional judgement in order to react and pivot actions on site in response to situations.

Written skills to be able to document findings and recommendations in an accurate, clear and concise manner.

Typing and computer skills to perform data entry, report generation, and electronic system navigation.

Time management and organizational skills in order to use time and resources efficiently.

Practice and implement safety measures and techniques while working in the field independently.

Communication skills in order to clearly convey expectations and direction to providers

Variety of experiences working effectively with others from different backgrounds and cultures.

Additional Requirements

Incumbent must possess and maintain a valid Driver's License with no disqualifying moving violations within the past two (2) years.

Be able to navigate physical environments that may not be accessible.

Be able to lift and carry up to 25 pounds intermittently

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.