What are the responsibilities and job description for the Managed Care Contracting and Rates (MCCR) Director - Human Services Manager 4 position at Minnesota Department of Human Services?
Working Title: Managed Care Contracting and Rates (MCCR) Director
Job Class: Human Services Manager 4
Agency: Human Services Dept
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.
This position exists to direct all aspects of the Managed Care contracting, rate setting, and compliance functions for the department. Approximately 85% of the Medicaid and MinnesotaCare enrollees receive their health care services through managed care. As the director of this large business area, the Managed Care Contracting and Rates (MCCR) Director, in conjunction with Health Care Administration (HCA) and DHS executive leadership, oversee procurement, contracting, coverage policies, and capitation rate setting with the Managed Care Organizations (MCOs) for multiple MCO contracts covering Medicaid Families and Children and MinnesotaCare and Special Needs Purchasing (SNP) populations. The incumbent provides strategic leadership and direction, is the primary negotiator for the state, represents DHS internally and externally regarding the purchasing strategies employed by the state’s public health care programs, collaborates with leadership from other state agencies including MDH, Commerce, and MNSure. This position is also responsible for coordinating the MCO coverage policies, rate development impacts, and contract compliance with other areas across DHS, including those within other administrations. This position manages three sections, the Special Needs Purchasing section, the Managed Care Contracting and Service implementation section, and the Managed Care rates section, as well as an administrative assistant who supports the entire unit.
Responsibilities may include:
3 years of leadership experience managing health care organizations/areas, including strategic planning and directing the work of staff.
Experience demonstrates:
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.
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 this position, contact Diogo at diogo.reis@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 Kelly Ellich at kelly.ellich@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 DHS_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 Minnesota's State employees have in common?
As an employee, you'll 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:
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.
Job Class: Human Services Manager 4
Agency: Human Services Dept
- Job ID: 90577
- 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: 12/03/2025
- Closing Date: 12/23/2025
- Hiring Agency/Seniority Unit: Human Services Dept / DHS Manager
- Division/Unit: Health Care Administration / Managed Care Contracting and Rates
- Work Shift/Work Hours: Day Shift / 8:00am - 5:00pm
- Days of Work: Monday - Friday
- Travel Required: No
- Salary Range: $50.25 - $71.95 / hourly; $104,922 - $150,231 / annually
- Classified Status: Classified
- Bargaining Unit/Union: 220 - Manager/Unrep
- FLSA Status: Exempt - Executive
- Designated in Connect 700 Program for Applicants with Disabilities: Yes
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.
This position exists to direct all aspects of the Managed Care contracting, rate setting, and compliance functions for the department. Approximately 85% of the Medicaid and MinnesotaCare enrollees receive their health care services through managed care. As the director of this large business area, the Managed Care Contracting and Rates (MCCR) Director, in conjunction with Health Care Administration (HCA) and DHS executive leadership, oversee procurement, contracting, coverage policies, and capitation rate setting with the Managed Care Organizations (MCOs) for multiple MCO contracts covering Medicaid Families and Children and MinnesotaCare and Special Needs Purchasing (SNP) populations. The incumbent provides strategic leadership and direction, is the primary negotiator for the state, represents DHS internally and externally regarding the purchasing strategies employed by the state’s public health care programs, collaborates with leadership from other state agencies including MDH, Commerce, and MNSure. This position is also responsible for coordinating the MCO coverage policies, rate development impacts, and contract compliance with other areas across DHS, including those within other administrations. This position manages three sections, the Special Needs Purchasing section, the Managed Care Contracting and Service implementation section, and the Managed Care rates section, as well as an administrative assistant who supports the entire unit.
Responsibilities may include:
- Direct the Managed Care Contracting and Rates teams to oversee the development, execution, and administration of managed care contracts and rates for all products, including traditional Medicaid services, MinnesotaCare, and Medicare and Medicaid integrated products.
- Develop, implement, and expand use of new purchasing strategies, including representing DHS in the development of managed care purchasing strategies that integrate additional policy areas or social services.
- Oversee the procurement process for all managed care products and leads contract negotiations for contract awards and renewals.
3 years of leadership experience managing health care organizations/areas, including strategic planning and directing the work of staff.
Experience demonstrates:
- Working with and an understanding of health care benefits policy, including the relationship between services, disparities in health outcomes and issues related to access.
- Knowledge of health care delivery system and health care marketplace, including financing
- Understanding of fee-for-service vs. managed care concepts with ability to optimize funding through the effective management of both payment options.
- Strong oral and written communication skills, with the ability to bring groups to consensus, broker agreements, and clearly state and defend a position.
- Strong analytical, problem solving, and organizational skills with the ability to produce and measure performance and results.
- Understanding of the complexity of Minnesota’s federal and state relationship and funding sources.
- Experience and skills needed to research, develop, and recommend resource acquisition, utilization, and management strategies.
- Knowledge of and ability to interpret state and federal level policies impacting HCA’s programs, policies, health care purchasing strategies, and operations.
- skills to manage large-scale contract operations, manage relations with health plans, and ensure that negotiated contracts will produce intended results at a cost acceptable to the state.
- A background as a contract or healthcare attorney.
- Experience in legislative policy-making.
- Variety of experiences working effectively with others from different backgrounds and cultures.
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.
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 this position, contact Diogo at diogo.reis@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 Kelly Ellich at kelly.ellich@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 DHS_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 Minnesota's State employees have in common?
- A sense of purpose in their work
- Connection with their coworkers and communities
- Opportunities for personal and professional growth
As an employee, you'll 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
- Training, classes, and professional development
- Tuition reimbursement
- Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov)
- A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
- Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
- Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care
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.
Salary : $104,922 - $150,231