• Working Title: Provider Integrity Manager
• Job Class: Human Services Manager 1
• Agency: Human Services Dept
• + •Job ID•: 96766 + •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
• : 09/02/2026 +
• Closing Date
• : 09/22/2026 +
• Hiring Agency/Seniority Unit
• : Human Services Dept / DHS Manager +
• Division/Unit
• : DHS-Central Office / ADSA Central Functions +
• Work Shift/Work Hours
• : Day shift +
• Days of Work
• : Monday
• Friday +
• Travel Required
• : No +
• Salary Range:
• $41.58
• $60.10 / hourly; $86,819
• $125,488 / annually +
• Classified Status
• : Classified +
• Bargaining Unit/Union
• : 220
• Manager/Unrep +
• FLSA Status
• : Exempt
• Executive + Designated in Connect 700 Program for Applicants with Disabilities (https://mn.

gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes _This position is eligible for_ telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) _for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework._ 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. DHS does not participate in E-Verify.

• 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. The Provider Integrity Manager will manage and direct ADSA's statewide provider integrity program for Medicaid long-term services and supports (LTSS). Under administrative direction, the position plans, implements, evaluates, and continuously improves provider fraud, waste, and abuse (FWA) prevention and monitoring functions. This work requires strong partnerships across ADSA divisions and DHS enterprise program integrity partners. The position directs a multidisciplinary Provider Integrity Team of 19 FTEs, including the Program Integrity Research and Compliance Team, Prepayment Review Team, and Operations and Coordination staff. The incumbent applies expert knowledge of Medicaid LTSS policy, provider requirements, payment systems, and oversight. The position sets strategic direction, ensures work is coordinated across functions and uses data and findings to identify risks and drive policy, system, and operational improvements. The position provides strategic oversight to ensure unit activities are coordinated and findings are leveraged across functions to strengthen Minnesota's Medicaid LTSS system. This includes payment and claims systems, provider compliance, OIG referrals, new Medicaid Management Information System (MMIS) changes, policy clarification, training and technical assistance, and broader operational improvements. All provider integrity activities conducted in this team must be:

+ Documented, consistent, legally defensible, and audit-ready.

+ Aligned with federal and state statutes and DHS policies.

+ Coordinated with ADSA policy processes, payment and MMIS processes, OIG referral processes, and DHS enterprise program integrity strategy.

+ Implemented with attention to equity, due process, service continuity, and impact on people receiving LTSS.

• Minimum Qualifications
• 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: + 1+ year of experience identifying issues, goals and strategic actions + 100+ hours per year time commitment AND 4 years of professional work experience with Medicaid LTSS, provider oversight, compliance or program integrity.

Experience must demonstrate the following:

+ Experience with Medicaid LTSS policies, provider standards, or program requirements

+ Leading or supporting compliance, audit, monitoring or payment integrity work

+ Using data or findings to identify risks and inform decisions

+ Working with Medicaid claims, authorization, provider, provider enrollment or eligibility systems

+ Communicating complex findings and recommendations to leadership, staff, or external partners

• Preferred Qualifications
• + Experience setting strategic direction for provider integrity, compliance or audit functions.

+ Experience supervising or leading multidisciplinary teams.

+ Experience using analysis findings to drive system, policy, or operational improvements.

+ Experience working with data from MMIS, MnCHOICES, MnITS, MAXIS, METS, or MPSE.

+ Coordinating across programs or organizational partners.

+ 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.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status. Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.