**Bidders – Please note that you will be required to provide an updated resume to the hiring supervisor/manager for this position.** / / PTR#140280 is lead posting for 140278
***This posting may be used to fill multiple openings*** The Eligibility Appeals Supervisor will provide strategic leadership and operational oversight within the Eligibility Appeals Unit (EAU), a high-volume, high-impact unit responsible for representing the Department of Human Services (DHS) in state fair hearing appeals related to Medical Assistance (MA) and MinnesotaCare eligibility. This position leads a multidisciplinary team responsible for all aspects of eligibility appeals, including intake, case review, agency responses, quality assurance, process improvement, stakeholder collaboration, and implementation of hearing decisions. The supervisor ensures appeal responses and operations are timely, accurate, equitable, legally sound, and responsive to the changing health care eligibility environment. The incumbent will provide ongoing direction and oversight to ensure the team’s appeal response strategies remain effective, consistent, and responsive as policies, procedures, appeal trends, and agency needs evolve. This position provides strategic direction by: • Overseeing team preparations for federal and state eligibility policy changes that affect appeal response. • Adjusting staffing and workflows to meet changing appeal volumes and business needs. • Developing and maintaining efficient work processes, procedures, training, and quality assurance. • Collaborating with internal and external partners to support effective appeals operations. • Leading continuous improvement initiatives to increase timeliness, accuracy, and operational effectiveness. • Supporting technology and system improvements related to eligibility and appeals operations. All DHS Leaders are expected to demonstrate and develop the five (5) competency themes: • Leading Self • Leading Others • Leading the Organization • Leading Outside the Organization • Getting Work Done
Demonstrated leadership experience* *Leadership experience can include: • Experience as a supervisor, lead worker, 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 Three (3) years of professional work experience with health care programs demonstrating the following: • Experience in managing team members and engaging in performance management-based conversations. • Advanced knowledge of Medical Assistance, MinnesotaCare, or other public health care eligibility programs, including applicable eligibility policies and procedures. • Experience analyzing issues and making sound decisions based on policy, data, and available information. Bachelor’s degree in health care administration, human services or related field may substitute for 1 year of professional experience OR Master’s degree in health care administration, human services or related field may substitute for 2 years of professional experience.