Bidders: Please note that you will be required to provide an updated resume to the hiring supervisor/manager for this position.
**This posting may be used to fill multiple vacancies.** This Provider Revalidation and Monitoring Supervisor will lead and oversee Minnesota’s MHCP provider enrollment revalidation and monitoring operations, ensuring that all providers are properly screened, enrolled, maintained, and disenrolled in accordance with federal and state laws. The supervisor manages the staff responsible for revalidating provider eligibility and maintaining accurate records for over 180,000 providers who deliver services to 900,000 MHCP members. The role ensures compliance with CMS requirements, supports system modernization, and safeguards the accuracy and integrity of the MMIS provider subsystem. It represents the business needs of the unit in system development, technology projects, audits, and cross-agency initiatives. Additionally, this position provides technical expertise on state and federal enrollment regulations, supports policy development, and collaborates with investigators and legal partners to address fraud and protect program integrity.
**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.** 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: o 1+ year of experience identifying issues, goals and strategic actions o 100+ hours per year time commitment AND 3 years of professional work experience with Minnesota Health Care Program (MHCP) provider enrollment process. Experience must demonstrate the following: • Experience with eligibility determination process and billing/coverage procedures of MHCP provider types and services • Experience with Federal and state Medicaid Program entry and continuation requirements set for health care and continuing care service providers in Minnesota • Experience running accountable systems of operations and apply assurance mechanisms