Specialist - Human Services Program Representative

Full job description When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives.
Job Details Working Title: Rates and Analysis Specialist Job Class: Human Services Program Representative 1 Agency: Human Services Dept Job ID : 76546 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 : 05/08/2024 Closing Date : 05/17/2024 Hiring Agency/Seniority Unit : Human Services Dept / MAPE DHS Central Office Division/Unit : Health Care Administration / Health Improvement and Benefits Design - Outpatient Rates Work Shift/Work Hours : Day Shift / 8:00am - 4:30pm Days of Work : Monday - Friday Travel Required : No Salary Range: $27.58 - $40.49 / hourly; $57,587 - $84,543 / annually Classified Status : Classified Bargaining Unit/Union : 214 - MN Assoc of Professional Empl/MAPE FLSA Status : Nonexempt Designated in Connect 700 Program for Applicants with Disabilities: Yes 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.
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.
Job Summary Telework (Within Minnesota or Neighboring States)¿and Flexible Hours Options Are Available.
Within the Minnesota Health Care Programs (MHCP), this position has responsibility for:
Payment policy application for specific benefits authorized and available under MHCP. Producing paid claims reports for hospitals. Generating and analyzing reports of current and future ambulatory rates areas such as Indian Health Service services, medical supplies and equipment, prosthetics, orthotics, outpatient hospital, free standing ambulatory surgery centers, laboratory, physician and ensuring accepted rates are accurately reflected in the MMIS system. Systems design, writing and submission of system change requests, testing and implementing system changes, data analysis, and a range of activities related to a fee-for-service program. Qualifications Minimum Qualifications Two years professional experience working with Health Care Programs, health insurance or health care billing and health care claims adjudication, demonstrating the following:
Working knowledge of health care funding, payment or service delivery; Writing data queries, analysis and interpretation of data, measurement of performance and distillation of the data results for department use; Proficiency with Microsoft Office products including Word, Excel, PowerPoint Bachelor's degree or higher degree in human services, business, healthcare or related field may substitute one year of professional experience. Preferred Qualifications Knowledge of the state's Medicaid Management Information System (MMIS) or similar health care claims adjudication system. Knowledge and understanding of federal and state legal authority as it relates to MHCP benefit and rate policies 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.
Application Details How to Apply Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the job information line at or email . For additional information about the application process, go to
Contact If you have questions about this position, contact Chris Ricker at
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Kelly Ellich at .
If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services' ADA Coordinator at or for assistance.
About Human Services Dept WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can achieve their highest potential.
Working together to improve the state we love. What do Minnesota's State employees have in common?
A sense of purpose in their work Connection with their coworkers and communities Opportunities for personal and professional growth Benefits As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.
Your benefits may include: Paid vacation and sick leave 12 paid holidays each year Low-cost medical, dental, vision, and prescription drug plans Fertility care, including IVF Diabetes care Dental and orthodontic care for adults and children 6 weeks paid leave for parents of newborn or newly adopted children Pension plan that provides income when you retire (after working at least three years) Employer paid life insurance to provide support for your family in the event of death Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury Tax-free expense accounts for health, dental, and dependent care Resources that provide support and promote physical, emotional, social, and financial well-being Support to help you reach your career goals: Training, classes, and professional development Tuition reimbursement Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov) Employee Assistance Program (EAP) for work/life support: A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.
EQUAL OPPORTUNITY EMPLOYERS Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.
APPLICANTS WITH DISABILITIES Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the job information line at or email and let us know the support you need.