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DEPARTMENT OF HUMAN SERVICES

Behavioral Health

Middle Management Association (MMA)

Bidders: Please have an updated resume ready to submit to the hiring supervisor/manager when requested.

Date Posted:

11-06-2026

Date Closing:

11-13-2026

Posting Number:

146361

Job Classification:

Human Services Supervisor 2

Class Option:

None

Employment Condition:

Full Time

Insurance Eligibility:

Full Employer Contribution

Seniority Unit:

016 - DHS Central Office MMA

Work Location:

DHS CO Andersen

Supervisor:

Jen Sather

Supervisor Email:

Jen.m.sather@state.mn.us

Recruiter:

Stevenson,Dennis B

Recruiter Email:

Dennis.B.Stevenson@state.mn.us

General Description of Duties:

This position exists to direct the Behavioral Health Administration's (BHA) Medicaid payment integrity program for behavioral health services. The incumbent integrates clinical review, policy interpretation, data analytics, and cross-administration compliance activities into a single program that determines whether Medicaid claims for substance use disorder (SUD), mental health, and integrated behavioral health services are allowable, medically necessary, and properly paid. The program's core activities are prepayment review of claims from providers and services identified as high-risk, and Centers for Medicare & Medicaid Services (CMS)–directed focused review of questionable claims.

The incumbent supervises a team of five (5) Medicaid Payment Integrity Policy Analysts who serve as the program's clinical and policy subject matter experts. The incumbent sets the program's goals, standards, and review strategy; leads the planned expansion of program integrity review across BHA's Medicaid-funded service array; serves as BHA's operational lead for CMS focused review activity; and advises BHA leadership on policy, rule, and legislative changes needed to close program vulnerabilities.

The position works under administrative direction from the Program Integrity & Continuity of Care Manager and is evaluated on results. Its work protects the fiscal integrity of Minnesota's Medicaid behavioral health programs and the state's standing with CMS, while preserving recipient access to medically necessary care.

Key responsibilities will include:

-Direct BHA's Medicaid payment integrity review program—including prepayment review and CMS-directed focused review—across SUD, mental health, and integrated services, establishing program goals, standards, and review strategy and exercising final unit-level authority on complex determinations.
-Exercise supervisory authority so that applicable labor agreements and plans are equitably administered and assigned employees effectively perform assigned job duties to achieve the annual objectives of the unit. 
-Lead the planning, development, and implementation of the expansion of Medicaid program integrity review across BHA, and shape the policy, rule, and legislative framework that supports it.
-Serve as BHA's operational lead for CMS focused review activity and represent the payment integrity program with DHS administrations, OIG, and external partners.
-Direct unit quality assurance, review targeting, and performance measurement in coordination with the BHA data analytics team. 
-Ensure program records, appeals support, and data handling meet audit, legal, and data practices requirements.

**All DHS Leaders are expected to demonstrate and develop the five (5) competency themes from the Enterprise-wide Leader Competency Model:

Leading Self
Leading Others
Leading the Organization
Leading Outside the Organization
Getting Work Done

Required Qualifications:

To be considered, your resume must clearly describe your experience in the areas below, including the start and end month/year for each position held.

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: 
1+ year of experience identifying issues, goals and strategic actions 
100+ hours per year commitment 
AND

Three (3) years of advanced-level work experience conducting clinical and policy reviews of Medicaid services within a human services program.

This experience must demonstrate:

-Minnesota's behavioral health service delivery system across SUD, mental health, and integrated services, including service standards and documentation requirements under Minnesota Statutes chapters 245G, 245I, 254B, and 256B.

-Medicaid program integrity requirements and methods, including prepayment and focused claims review, improper payment identification, risk-based targeting, payment withholds, and fraud, waste, and abuse referral (including 42 CFR Parts 455 and 456).

-Medicaid coverage, medical necessity, State Plan, claims processing, rate methodology, and behavioral health coding and billing.

-In-depth knowledge of Medicaid program rules, medical necessity criteria, and clinical documentation standards for behavioral health services.

-Hands-on experience with program integrity review methods — including prepayment review, focused claims review, and provider recertification review.

*Bachelor’s degree in healthcare administration, social work, mental health, or a related field may substitute for one (1) year of experience.

**Master’s degree in healthcare administration, social work, mental health, or a related field may substitute for two (2) years of experience.

Eligible “expressions of interest” must be able to perform the essential functions of the job, with or without accommodations.

Per the MMA bargaining unit agreement, you must be a permanent or probationary supervisor in the same classification and the same seniority unit as this vacancy in order to submit an "expression of interest". To submit an "expression of interest" enter your employee ID: