Behavioral Health Medicaid Policy Specialist - Human Services Program Representative 2, St. Paul, Minnesota

Created 03/18/2023
Reference 11437442
Job type Full Time
Country United States
State Minnesota
City St. Paul
Zip 55102
Salary Competitive
When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives.

Working Title: Behavioral Health Medicaid Policy Specialist
Job Class: Human Services Program Representative 2
Agency: Human Services Dept
  • Who May Apply: Open to all qualified job seekers
  • Date Posted: 03/18/2023
  • Closing Date: 03/31/2023
  • Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
  • Division/Unit: DHS-Central Office / BHDH AMH MHCP
  • Work Shift: Day Shift
  • Work Hours: 8:00am to 4:30pm
  • Days of Work: Monday - Friday
  • Travel Required: No
  • Salary Range: $28.96 - $42.67 / hourly; $60,468 - $89,094 / annually
  • Classified Status: Classified
  • Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
  • FLSA Status: Nonexempt
  • Telework Eligible: Yes
  • Designated in Connect 700 Program for Applicants with Disabilities : Yes

Make a difference in the lives of Minnesotans.

The work you'll do is more than just a job. Join the talented, engaged and inclusive workforce dedicated to creating a better Minnesota.

Job Summary

*Telework (Within Minnesota or Neighboring States) and Flexible Hours Options Are Available.

The incumbent leads policy development and utilizes advanced technical expertise to develop and improve a broad range of Minnesota Health Care Programs (MHCP) policies. The position provides leadership and technical expertise specifically for development of new Behavioral Health benefits policy, provider qualifications policy, School Children Therapeutic Services and Supports (CTSS) policies, and other statewide service delivery standards. Responsibilities include managing the implementation of an unprecedented and highly-complex statewide mental health rates structure; and managing cross-agency implementation of statutory Behavioral Health Services, and submission to the federal government of Medicaid State Plan Amendments.

Some more responsibilities include, but are not limited to:
  • Minnesota Health Care Programs policy lead. Based on data and stakeholder analysis, conceptualizes Medicaid mental health policy enhancements, and leads the Medical Assistance Policy Team in the development and implementation of statewide children's mental health policies and service delivery standards in Minnesota Health Care Programs (MHCP);
  • Provider certification and licensing coordination. Provide leadership and both clinical and technical expertise in the certification of mental health providers and provide clinical expertise in the licensing review of mental health providers;
  • Healthcare system and program integrity. Conduct utilization reviews, and other analyses as determined by the management, to identify opportunities to improve clinical quality and service delivery effectiveness and efficiency. Perform as chief policy expert in the Department's conduct of internal and external reviews, audits, and enforcement actions with regard to publicly-financed Behavioral Health provider entities. Monitor internal operations and ensure coordination of Division compliance actions, clinical standards, and research analysis with the Health Care Administration to ensure operational compliance with federal and state regulations and policies;
  • Medical review and service authorization policy and training. Manage the Department's medical review and prior authorization standards, policies, and vendor training for Behavioral Health MHCP services.


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 professional experience administering mental health program policy and benefits, rates, billing and claims, eligibility, or service authorization policy for public healthcare programs.

Experience must clearly demonstrate:
  • Understanding of MHCP an Federal Medicaid policy related to mental health services;
  • Practical understanding of public healthcare programs: benefits, rates, billing and claims, eligibility, and service authorization policy;
  • Knowledge of Minnesota's Behavioral Health service delivery system;
  • Understanding of continuous improvement process;
  • Policy development, implementation and reform for a diverse set of internal/external stakeholders;
  • MS Office Suite and other programs such as: SharePoint, Medicaid Management Information System (MMIS).

*Bachelor's Degree in Social Work, Psychology, Education, Public Health, or another related fields may substitute for one (1) year of work experience.

**Master's Degree in Social Work, Psychology, Education, Public Health, or another related fields may substitute for two (2) years of work experience.

Preferred Qualifications
  • Variety of experiences working effectively with others from different backgrounds and cultures;
  • Clinical licensure in the mental health field;
  • Ability to evaluate providers' administrative and clinical infrastructures and reinforce state standards;
  • Ability to understand provider limitations and resolve provider barriers to implementation of state and federal policy;
  • Strong human relations and communication skills; communicate clearly and professionally both verbally and in writing; respond openly to requests and concerns.

Additional Requirements
  • Minnesota Department of Human Services (DHS) criminal background check will be conducted on all finalists for this position. Finalists must pass the DHS background check.
  • Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance. It also includes contact with the applicant's former employer(s).

Application Details

How to Apply

Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the job information line at 651-259-3637 or email . For additional information about the application process, go to .

If you have questions about the position, contact Deidre Jackson at .

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID# 64093, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Dennis Stevenson at .

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 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.

Why Work for Us

Diverse Workforce

We are committed to continually developing a workforce that reflects the diversity of our state and the populations we serve. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve the people of Minnesota.

A recent engagement survey of State of Minnesota employees found:
  • 95% of employees understand how their work helps achieve their agency's mission
  • 91% of employees feel trusted to do their jobs
  • 88% of employees feel equipped to look at situations from other cultural perspectives when doing their job
  • 87% of employees report flexibility in their work schedule

Comprehensive Benefits

Our benefits aim to balance four key elements that make life and work meaningful: health and wellness, financial well-being, professional development, and work/life harmony. As an employee, your benefits may include:
  • Public pension plan
  • Training and professional development
  • Paid vacation and sick leave
  • 12 paid holidays each year
  • Paid parental leave
  • Low-cost medical and dental coverage
  • Prescription drug coverage
  • Vision coverage
  • Wellness programs and resources
  • Employer paid life insurance
  • Short-term and long-term disability
  • Health care spending and savings accounts
  • Dependent care spending account
  • Tax-deferred compensation
  • Employee Assistance Program (EAP)
  • Tuition reimbursement
  • Federal Public Service Student Loan Forgiveness Program

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.


Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. The State of Minnesota recognizes that a diverse workforce is essential and strongly encourages qualified women, minorities, individuals with disabilities, and veterans to apply.

We will make reasonable accommodations 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 and indicate what assistance is needed.
Employer Department of Human Services - Direct Care and Treatment

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