Demo

Managed Care Policy Specialist / Human Services Program Representative 2

Minnesota Department of Human Services
Paul, MN Full Time
POSTED ON 4/4/2026
AVAILABLE BEFORE 5/3/2026
Working Title: Managed Care Policy Specialist

Job Class: Human Services Program Representative 2

Agency: Human Services Dept

  • Job ID: 91745
  • 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: 04/04/2026
  • Closing Date: 04/17/2026
  • Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
  • Division/Unit: DHS-Central Office / ADSA AG/AS HCBS Policy & Prgm
  • Work Shift/Work Hours: Day Shift
  • Days of Work: Monday - Friday
  • Travel Required: No
  • Salary Range: $32.40 - $47.76 / hourly; $67,651 - $99,722 / annually
  • Classified Status: Classified
  • Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
  • FLSA Status: Nonexempt
  • Re-Posting: Yes
  • Designated in Connect 700 Program for Applicants with Disabilities: Yes

This position was previously announced on 01/28/2026. If you already applied for this job, you do not need to reapply.

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.

The Managed Care Policy Specialist provides leadership, coordination, and oversight of Minnesota’s managed care programs, including Minnesota Senior Health Options (MSHO), Minnesota Senior Care Plus (MSC ), and Special Needs Basic Care (SNBC) – both Integrated and Non-Integrated. The role focuses on ensuring alignment of policies, procedures, and quality monitoring related to home and community-based services (HCBS) and home care for individuals of all ages.

The position is responsible for maintaining compliance with State and Federal guidelines, including requirements from the Centers for Medicare & Medicaid Services (CMS), through the accurate completion and maintenance of Health Risk Assessments and corresponding support plans within the MnCHOICES application. It ensures consistency and quality across HCBS programs within the Aging and Disability Services Administration by leading the development, implementation, and evaluation of managed care requirements and policies.

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, day and year for each job held.**

3 years professional experience with Medicare and Medicaid policies and benefits. Experience must include the following:

  • Experience with Home and Community Based Services (HCBS) for older adults and persons with disabilities
  • Knowledge of Managed Care contracts and federal requirements pertaining to Dual Eligible Special Needs Plans (D-SNPs), in Minnesota known as Minnesota Senior Health Options (MSHO) and Integrated Special Needs Basic Care (SNBC)
  • Extensive understanding of county, tribal and managed care organizational structures and delivery of long term care benefits
  • Comprehensive understanding of the Health Risk Assessment and corresponding support plan

Bachelor’s Degree in Human Services, Public Policy, Social Work or related field may substitute for 1 year of experience OR Master’s degree in Human Services, Public Policy, Social Work or related field may substitute for 2 years of experience

Preferred Qualifications

  • Understanding of the various purchasing strategies used in managed care programs including capitation rates for elderly waiver.
  • Experience with DHS systems including but not limited to the MnCHOICES application and MMIS
  • Extensive understanding of human services IT systems and IT projects and translating policy into operational functions
  • Comprehensive understanding of and experience interpreting federal and state laws and regulations managed care eligibility requirements.
  • Variety of experiences working effectively with others from different backgrounds and/or 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.

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 Darci Buttke at Darci.Buttke@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 JaKeya Spencer at JaKeya.Spencer@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

Benefits

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

Support to help you reach your career goals:

  • 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)

Employee Assistance Program (EAP) for work/life support:

  • 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

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.

Salary : $67,651 - $99,722

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets
Employees: Get a Salary Increase
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Minnesota Department of Human Services

  • Minnesota Department of Human Services Paul, MN
  • Working Title: Disability Analyst Job Class: Human Services Program Representative 1 Agency: Human Services Dept Job ID: 93452 Location: St. Paul Telework ... more
  • 12 Days Ago

  • Minnesota Department of Human Services Paul, MN
  • Working Title: Data and Reports Coordinator Job Class: Management Analyst 4 Agency: Human Services Dept Job ID: 93414 Location: St. Paul Telework Eligible:... more
  • 12 Days Ago

  • Minnesota Department of Human Services Brainerd, MN
  • Working Title: HCCS Trainer and Education Specialist Job Class: Human Services Program Specialist 2 Agency: Human Services Dept Job ID: 93448 Location: Bra... more
  • 12 Days Ago

  • Minnesota Department of Human Services Paul, MN
  • Working Title: Internal Controls Specialist Job Class: State Program Administrator Principal Agency: Human Services Dept Job ID: 93367 Location: St. Paul T... more
  • 12 Days Ago


Not the job you're looking for? Here are some other Managed Care Policy Specialist / Human Services Program Representative 2 jobs in the Paul, MN area that may be a better fit.

  • Minnesota Department of Human Services Paul, MN
  • Working Title: Health Care Eligibility Policy Analyst Job Class: Human Services Program Representative 2 Agency: Human Services Dept Job ID: 92930 Location... more
  • 7 Days Ago

  • Minnesota Department of Human Services Paul, MN
  • Working Title: Health Care Eligibility Policy Consultant Job Class: Human Services Program Consultant Agency: Human Services Dept Job ID: 93052 Location: S... more
  • 21 Days Ago

AI Assistant is available now!

Feel free to start your new journey!