"Alerted.org

Working Title: SMRT Appeals and Team Lead

Job Class: Human Services Program Representative 2

Agency: Human Services Dept

+ **Job ID** : 87662

+ **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** : 07/18/2025

+ **Closing Date** : 07/31/2025

+ **Hiring Agency/Seniority Unit** : Human Services Dept / MAPE DHS Central Office

+ **Division/Unit** : Health Care Administration / Eligibility and Access

+ **Work Shift/Work Hours** : Day Shift / 8:00am - 4:30pm

+ **Days of Work** : Monday - Friday

+ **Travel Required** : No

+ **Salary Range:** $31.92 - $47.05 / hourly; $66,648 - $98,240 / annually

+ **Classified Status** : Classified

+ **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE

+ **FLSA Status** : Nonexempt

+ Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

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.

_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 State Medical Review Team (SMRT) Appeals and Team Lead provides advanced technical leadership and expertise in disability determination across Minnesota Health Care Programs, including Medical Assistance ABD, MA-EPD, TEFRA, Managed Care Exclusion, SNBC, and MA Home and Community-Based Waivered services. This position serves as the primary point of contact for SMRT’s appeals process, representing the department in Fair Hearings and ensuring that determinations are accurate, policy-compliant, and defensible under federal and state guidelines.

In addition to leading and coordinating SMRT’s appeals work, the Appeals and Team Lead supports staff by providing day-to-day technical guidance, mentoring, workflow monitoring, quality assurance, and assistance with specialized case consultations. This position identifies and implements process improvements, contributes to the ongoing refinement of policies and procedures, and collaborates with leadership to enhance efficiency and outcomes. The Appeals and Team Lead plays a key role on the SMRT Leadership Team, guiding daily operations and supporting initiatives to improve client, provider, and staff experiences while maintaining compliance with state and federal requirements.

Minimum Qualifications

Three (3) years of specialized experience interpreting and applying Social Security Disability laws sufficient to issue accurate and timely disability determinations in accordance with state and federal laws and agency policies and procedures.

Experience must demonstrate **all** of the following:

+ Advanced knowledge of disability evaluation frameworks such as SSA medical listings, vocational rules, CFR, POMS, and SSRs.

+ Understanding of medical terminology as it relates to physical and mental health conditions documented in medical records.

+ Experience writing detailed briefs, case summaries, or documentation for disability or legal proceedings that demonstrate the ability to clearly and accurately present medical, vocational, or legal analysis aligned with program requirements.

Preferred Qualifications

+ Eligible for Direct Payment Non-Attorneys (EDPNA) status or licensed Social Security Disability Law Attorney highly preferred.

+ Experience representing cases in Fair Hearings or similar administrative proceedings.

+ Proficiency in the following systems: ISDS, MAXIS, MMIS, METS, SSIS, MnCHOICES Assessment Tools, and SMI.

+ Proven ability to provide coaching, mentoring, and technical guidance in a high-volume environment.

+ Strong time management, analytical, problem-solving, and prioritization skills, with ability to work well under pressure.

+ Strong customer service skills, including the ability to communicate professionally and clearly over the phone, in person, and in writing.

+ Proven ability to build and maintain effective working relationships with internal teams and external stakeholders (counties, providers, clients, advocates, etc.)

+ Demonstrated organizational skills and the ability to manage multiple projects with competing deadlines

+ Proficiency with Microsoft Office Suite (Outlook, Word, Excel), SharePoint and Adobe Pro

+ Ability to work independently and collaboratively as part of a team

+ Understanding of DHS policies, procedures, processes, laws, and rules and related Minnesota State statutes that govern the work of the State Medical Review Team.

+ Advanced knowledge of state standards for communication, accessibility, and equity

+ 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 [email protected] . Please indicate what assistance is needed.