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Working Title: Appeals and Compliance Consultant

Job Class: Human Services Program Consultant

Agency: Human Services Dept

+ **Job ID** : 89903

+ **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** : 10/28/2025

+ **Closing Date** : 11/10/2025

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

+ **Division/Unit** : Health Care Administration / Integrity and Accountability

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

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

+ **Travel Required** : No

+ **Salary Range:** $35.96 - $53.32 / hourly; $75,084 - $111,332 / annually

+ **Classified Status** : Classified

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

+ **FLSA Status** : Exempt - Administrative

+ 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 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 Appeals and Compliance Consultant provides legal analysis, management and expertise for the Department’s compliance objectives and daily activity within the DHS Health Care Integrity & Accountability (HCIA) Division._

_Responsibilities may include:_

+ _Serves as a legal and technical expert for HCIA activities, with a particular focus on health care appeals legal oversight and representation for the agency. This attorney will provide legal and technical support for various health care appeals. This position provides expertise in the preparation and defense of the agency's position in the federally and state-mandated Medicaid and MinnesotaCare administrative state fair hearing appeal responses for the fee-for-service delivery system, and support for and legal oversight of provider appeals._

+ _The incumbent ensures consistent, accurate, and timely-responses to requests for health care-specific data, and works to support DHS HCA employees remain in compliance with federal and state statutes, case law, and federal and state court rules governing data practices._

+ _Oversee and advise on legal process and policy for Medical Assistance (MA) and MinnesotaCare (MCRE) member overpayment activities, which occur at the county level._

+ _Coordinate with the HCA directors and managers to develop legislative, rulemaking, and policy proposals, responses, documents, and supporting fiscal information to determine compliance, recommend actions or changes needed to achieve compliance if needed, and formulate changes in legislation or administrative rules to assist Administration activities._

Minimum Qualifications

Three (3) years specialized professional experience in working with the federal and state law, case law, and regulations governing MHCP eligibility, MA, MinnesotaCare, TPL, fee-for-service delivery system, managed care, or administrative appeals in Minnesota.

Experience must demonstrate:

+ Knowledge and experience with legislative processes, document formats, and accepted procedures for introducing and supporting proposed legislation.

Preferred Qualifications

+ JD degree from an ABA accredited law school.

+ Experience with program or process design.

+ Advanced legal research and writing skills.

+ Experience with DHS’ policies, procedures, and protocol for handling its state legislative responsibilities and submitting documents for legislative applications.

+ Knowledge of data practices laws and requirements.

+ 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.