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Working Title: Federal Audit Contract Coordinator

Job Class: Human Services Program Consultant

Agency: Human Services Dept

+ **Job ID** : 90156

+ **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** : 11/07/2025

+ **Closing Date** : 11/20/2025

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

+ **Division/Unit** : Department of Human Services (DHS) / Office of Inspector General (OIG)-PIO POAI RAC/UPIC Unit

+ **Work Shift/Work Hours** : Day Shift / 8:00 a.m. - 4:30 p.m.

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

+ **Travel Required** : Yes

+ **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 (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 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._

*Approximately, 5% travel.

This position will direct and coordinate 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:

+ DirectandmanagethescopeoftheRAC, UPIC,andothercontractor audits.

+ Actasliaisononcontractormatterswithproviders,providerassociations,other Department of Human Services (DHS) divisions and administrations, and federal and state agencies impacted by contractor activities.

+ Ensureandenforcecontractorcompliancewithstateandfederalregulatoryand contractual requirements.

+ Oversee the reporting obligations of the contractors to assure legal and contract requirementsaremetandtoassurethatresultingpaymentstothecontractorsare appropriate.

+ _Independently investigate, lead, and mentor other staff to initiate, develop, and resolve program integrity related cases which could lead to administrative actions._

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 specialized professional experience with receiving, identifying, and/or conducting a full range of regulatory investigations designed to detect, identify, correct, and/or resolve instances of suspected fraud, waste, and abuse by providers.

AND

Experience must demonstrate the following:

+ Auditing health care claims.

+ Represent agency program integrity efforts and related policies, rules, and statutes, to contracted vendors, auditors, and agency staff to assure vendor projects.

+ Develop processes, procedures, and trainings about contracted vendor work and present to both internal and external stakeholders.

+ Health care policy development.

+ Developandmaintain asystemforassessingthecontractor’scompliancewith contract terms.

+ Assess contractors’ compliance with state and federal regulations and contractual requirements.

Preferred Qualifications

+ 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

-Minnesota Medicaid claims processing and coding system

+ Experienceconductingdatamininganddata analytics

+ Working knowledge **of** principlesandpracticesof provideraudits, programintegrityinitiatives,healthcare delivery systems, and health care provider roles.

+ ExtensiveknowledgeandexperienceusingExcel.

+ ComfortwithMicrosoft WordandSharePoint.

+ Effectivelymanageworkload anddeadlines.

+ Skilledinproblem solvinganddecision-makingtechniques.

+ Speakingclearlyandconfidently,inbothlarge andsmallgroup 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:

+ Criminal background check

+ Reference check

+ Fingerprinting check (MNJIS/CJIS)

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.

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.