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When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives.
Job Details
Working Title: Federal Audit Contract Liaison
Job Class: Human Services Program Representative 2
Agency: Human Services Dept
The Department of Human Services (DHS) 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 youll 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.
Job Summary
The Federal Audit Contract Liaison is a Temporary Unclassified position and responsible for management and coordination of assigned activities involving federally mandated contractors, such as the Recovery Audit Contractor (RAC), the Unified Program Integrity Contractor (UPIC), and other contractors engaged by the Department to address program integrity issues in Minnesota Health Care Programs (MHCP).
Responsibilities include but are not limited to:
Qualifications
Minimum Qualifications
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.
Three (3) years of identifying and recommending targets for auditing by assessing services to determine where Minnesota Medicaid is vulnerable to overpayments and select areas of focus.
Experience must demonstrate the following:
Format, analyze, and prepare computer generated reports.
Prepare materials regarding contractor work.
Assist in assessing contractors' compliance with state and federal regulations and contractual requirements.
Preferred Qualifications
Knowledge of the following:
Knowledge of ICD-10, CPT and HCPCS coding experience and/or certification.
Federal and state laws and rules governing RACs and UPICs
Minnesota Health Care Programs, and specifically Medicaid
Fee-for-service and managed care programs
Medicare program and how it interacts with the Medicaid program
Third party liability and benefit recovery principles
Minnesota Medicaid Information System (MMIS) and the Data Warehouse
Minnesota Medicaid claims processing and coding systems
Analytic tools and data mining to identify Medicaid misbilling, overpayments, and fraud
Principles and practices of provider audits, program integrity initiatives, health care delivery systems, health care provider roles and responsibilities.
Knowledge and proficiency using Microsoft Word, Excel, and SharePoint.
Ability to analyze fiscal and statistical data and identify discrepancies.
Be skilled in problem solving and decision-making techniques.
Speaking clearly and confidently, in both large and small group settings.
Variety of experiences working effectively with others from different backgrounds and cultures.
Additional Requirements
This position requires successful completion of the following:
It is the policy of the Department of Human Services that the individual selected for this position successfully complete a background investigation prior to employment, including the following components:
Complete the Criminal Justice Information System (CJIS) Security Awareness training within 3-business days from the start of employment; and successfully obtain/retain CJIS certification annually.
Application Details
How to Apply
Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651-259-3637 or email careers@state.mn.us. For additional information about the application process, go to http://www.mn.gov/careers.
Contact
If you have questions about the position, contact Alyssa Ische at Alyssa.Ische@state.mn.us.
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Carolyn Rice at carolyn.rice@state.mn.us.
If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services' ADA Coordinator at 651-431-4945 or DEPARTMENT OF HUMAN SERVICES_ADA@state.mn.us for assistance.
About Human Services Dept
WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can achieve their highest potential.
Working together to improve the state we love.
What do Minnesotas State employees have in common?
Benefits
As an employee, youll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.
Your benefits may include:
Paid vacation and sick leave
12 paid holidays each year
Low-cost medical, dental, vision, and prescription drug plans
Fertility care, including IVF
Diabetes care
Dental and orthodontic care for adults and children
6 weeks paid leave for parents of newborn or newly adopted children
Pension plan that provides income when you retire (after working at least three years)
Employer paid life insurance to provide support for your family in the event of death
Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
Tax-free expense accounts for health, dental, and dependent care
Resources that provide support and promote physical, emotional, social, and financial well-being
Support to help you reach your career goals:
Employee Assistance Program (EAP) for work/life support:
Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.
EQUAL OPPORTUNITY EMPLOYERS
Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.
APPLICANTS WITH DISABILITIES
Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651-259-3637 or email careers@state.mn.us and let us know the support you need.
| Location | St. Paul, MN |
| Salary | $32.97–$48.60 Per Hour |
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