Behavioral Health Program Integrity & Continuity of Care Manager - Human Services Manager 1

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When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives.

Job Details

Working Title: Behavioral Health Program Integrity & Continuity of Care Manager

Job Class: Human Services Manager 1

Agency: Human Services Dept

• Job ID: 97987
• 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: 10/27/2026
• Closing Date: 11/17/2026
• Hiring Agency/Seniority Unit: Human Services Dept / DHS Manager
• Division/Unit: DHS-Central Office / BHDH Behavioral Health Directo
• Work Shift/Work Hours: Day Shift / 8:00am to 4:30pm
• Days of Work: Monday - Friday
• Travel Required: Yes, (20% for meetings)
• Salary Range: $41.58 - $60.10 / hourly; $86,819 - $125,488 / 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 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 youll 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.

Job Summary

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.

Flexible work hours may be permitted with supervisor approval.

This position exists to provide managerial leadership, strategic direction, and operational management for the Program Integrity & Continuity of Care Section within the Behavioral Health Administration (BHA), reporting directly to the Deputy Assistant Commissioner, BHA. The incumbent directs BHA's Medicaid program integrity, payment integrity, and continuity of care functions by providing management to three subordinate supervisory units: a temporary Program Integrity review unit (supervised by a Human Services Supervisor 2) and two permanent operational units-Medicaid Payment Integrity and Medicaid Program Integrity & Continuity of Care (each supervised by a proposed Human Services Supervisor 3).

The position governs a multi-tiered operational framework (encompassing work direction leads, policy analysts, compliance trainers, program specialists, and administrative intake support) to build a robust fraud-prevention infrastructure that stops Medicaid improper payments before and after disbursement. Concurrently, the incumbent directs the statewide administration of statutory continuity of care mandates under Minn. Stat. §§ 256B.045 and 256B.046, ensuring BHA meets its legal obligations to protect recipient welfare and maintain seamless access to medically necessary care when behavioral health providers face serious operational events or complex transitions. The manager is accountable for section-wide resource allocation, section planning, recommending policy changes to BHA program areas and leadership, and ensuring program operations align with enterprise priorities, federal Centers for Medicare & Medicaid Services (CMS) requirements, and inter-administration oversight protocols across DHS.

Duties include, but not limited to:

• Provide managerial leadership, operational governance, and supervisory direction to three subordinate supervisors and their multidisciplinary units; establish tiered organizational structures, workforce plans, and managerial controls that drive high performance, balance workloads, and ensure compliance with employer policies and statewide collective bargaining agreements.
• Lead section planning and contribute to BHA strategic planning as a member of the BHA leadership team, share program integrity and continuity of care findings with BHA program areas and recommend policy changes, and direct BHA's operational implementation and administration of statutory continuity of care and serious operational event mandates under Minn. Stat. §§ 256B.045 and 256B.046, safeguarding vulnerable recipients from service disruptions during provider closures or insolvencies.
• Direct section-wide Medicaid payment integrity operations, claims review governance, and fiscal resource management; oversee prepayment review and CMS-directed focused review of questionable claims to safeguard nearly $1 billion in annual Medicaid behavioral health expenditures against fraud, waste, and improper payments.
• Serve as BHA's senior representative in inter-agency fraud prevention, cross-divisional program integrity governance, and high-level stakeholder negotiations; oversee BHA's mandatory compliance training for owners and managers of BHA high-risk provider types, coordinating with other DHS administrations that train their own provider types.
• Partner with the BHA data analytics team, which produces the section's data analysis and dashboards, to define performance metrics, quality measures, and risk trends, and use the results to report to executive leadership; manage emergency provider transitions and ad hoc executive directives issued by the Deputy Assistant Commissioner or Assistant Commissioner. Overseeing the hiring of staff; mentoring and supervising staff who are designing and implementing complex work plans.

All DHS Leaders are expected to demonstrate and develop the five (5) competency themes from the Enterprise-wide Leader Competency Model:

• Leading Self
• Leading Others
• Leading the Organization
• Leading Outside the Organization
• Getting Work Done

Qualifications

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.

Demonstrated leadership experience*

• Leadership experience can include:

• Experience as a supervisor, lead worker, team lead, project lead.

• Completion of a State of Minnesota leadership program (e.g., ELI, L4).

• A paid/unpaid position leading a program or chairing a committee (e.g., ERG) - experience must include:

• 1+ year of experience identifying issues, goals, and strategic actions.

• 100+ hours per year time commitment

AND

Four (4) years of in-depth knowledge of Medicaid program integrity and continuity of care interventions, and care development demonstrating the following:

• High-level understanding of State and federal Medicaid statutory and regulatory frameworks, specifically Title XIX, federal CMS program integrity standards, and Minnesota statutes governing behavioral health programs.
• Practical understanding of program standards, clinical documentation criteria, coverage policies, and medical necessity definitions for Mental Health Programs such as, ARMHS, ACT, IRTS, and Substance Use Programs such as Residential, Outpatient and Peer Recovery Services.
• Experience with Medicaid payment integrity methodologies, including data analytics, prepayment review, focused claims review, and fraud/waste/abuse detection.
• Experience analyzing complex claims data, audit results, and provider trends to identify systemic vulnerabilities and translate them into recommendations for program areas and leadership.
• Practical understanding program management and continuous improvement process to produce and track measurable results.
• Experience with developing polices, directives, and/or instructions.

Preferred Qualifications

• Variety of experiences working effectively with others from different backgrounds and cultures.
• Strong human relations and communication skills; communicate clearly and professionally both verbally and in writing; respond openly to requests and concerns.
• Adult learning theory, curriculum design, and provider compliance training models.
• Analyzing complex claims data, audit results, and provider trends to identify systemic vulnerabilities and translate them into recommendations for program areas and leadership.
• Experience with high-stakes negotiation, dispute mediation, and consensus building among diverse regulatory, county, Tribal, and provider stakeholders.
• Experience leading cultural and organizational change while supporting the professional growth of diverse supervisory, clinical, and analytical personnel.
• Knowledge of laws and administrative procedures sufficient to serve as a policy and technical expert before legislative policy committees and other public forums.
• Understanding of organizational change processes and systems transformation frameworks.
• Creative and efficient problem solver able to address a complex range of policy, clinical management, and systems issues.

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 applicants 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 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 Tom Balsley at tom.balsely@state.mn.us.

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID# 97987, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Dennis Stevenson at dennis.b.stevenson@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 DEPARTMENT OF HUMAN SERVICES_ADA@state.mn.us for assistance.

About Human Services Dept

WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts on 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 Minnesotas 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, youll 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.