DEPARTMENT OF HUMAN SERVICES

Health Care

Minnesota Association of Professional Employees  (MAPE)
 
 

**Bidders – Please note that you will be required to provide an updated resume to the hiring supervisor/manager for this position.**

 
2026-10-08
2026-10-14
146408
Human Svcs Prog Rep 2
None
Full Time
Full Employer Contribution
Health Care Administration
Cost Based Rates
HCO - MAPE DHS Central Office
DHS CO Andersen
Michaelyn Bruer
michaelyn.bruer@state.mn.us
Ellich,Kelly P
Kelly.Ellich@state.mn.us

This position will be part of a two-person team responsible for managing supplemental payments to various health care providers participating in Minnesota Health Care Programs. This position will work closely with eligible health care providers to determine and document the provider’s eligibility to receive supplemental payments, obtain the information needed to compute the payment, compute the payment, and in coordination with fiscal staff, effectuate the payments. In coordination with data analysis staff, this position is also responsible for maintaining and reporting from the dataset of inpatient and outpatient hospital claims used by the team. • Manage assigned supplemental payments to various non-hospital providers including those funded by certified public expenditures (CPEs) and intergovernmental transfers (IGTs). • Manage all activities related to the Division’s subset of inpatient and outpatient hospital claims data, commonly referred to as the Flat File. • In coordination with senior supplemental rates staff, determine federally required Upper Payment Limits (UPL). • Manage the cost settlement process for hospital and dental services provided by State Operated Services providers

Three years of professional experience working with Health Care Programs, health insurance or health care billing and claiming demonstrating the following: • Understanding of federal and state laws and regulations governing state and federal health care program payment policy requirements • Proficiency constructing and analyzing large datasets within Excel • Proficiency in presenting complex data sets in a clear and concise manner