Provider Operations Manager

PLEASE ATTACH THE ADDITIONAL REQUIREMENTS LISTED AT THE BOTTOM OF THIS PAGE

Job ID: 36745

Agency: Department of Human Services - Division of Long Term Services and Supports

Location: Pierre, SD

Salary: $70,672.54 Annual Salary, depending on qualifications

Pay Grade: K

Closing Date: 7/30/26

This is a Full-Time 40 Hours Weekly position with the Department of Human Services - Division of Long Term Services and Supports. For more information on the Department of Human Services, please visit https://dhs.sd.gov/en/ltss.

About DHS:

The South Dakota Department of Human Services encompasses a broad field dedicated to offering services that support older adults and individuals with disabilities. Our programs promote independence and inclusion through person-centered services. DHS comes together with the common goal of bettering the lives of South Dakotans.

DHS strives to create an environment where people are inspired and challenged to create excellence, grow their skills, discover advancement opportunities, and are rewarded for their contributions. Join our team as we focus on helping our fellow human beings overcome adversity and reach their full potential.

Our Benefits Include:

• 15 days/120 Hours of Vacation Leave
• 14 days/112 Hours of Sick Leave
• 11 Paid Holidays
• Employee health insurance includes plan with a $0 premium for employee-only coverage
• Flexible Benefits - Dental, Vision, Life Insurance, Critical Illness and more
• Paid Parental & Family Medical Leave
• 6% Fully Matched Retirement Plan
• Reduced Tuition for In-State Colleges/Universities
• Employee Wellness Program
• Continued Education/Training Opportunities

Job Summary:

The Provider Operations Manager plays a key role in supporting the administration and oversight of the Home and Community‑Based Options and Person‑Centered Excellence (HOPE) Waiver and other Home and Community‑Based Services (HCBS) programs within the Division of Long Term Services and Supports. The focus of this role is on statewide provider operations, compliance, systems coordination, and building strong relationships with providers across South Dakota.

The position leads provider management activities for HCBS providers and serves as a primary operational point of contact between LTSS, providers, Medicaid, and system vendors. Core responsibilities include provider oversight and technical assistance; claims and billing support; Electronic Visit Verification (EVV) monitoring; provider enrollment and compliance; development of policies and procedures; HCBS Settings Final Rule implementation; provider training and communication; and coordination of provider-related systems and operational initiatives.

This role works closely with LTSS leadership, Medicaid partners, quality assurance teams, and HCBS providers to ensure compliance with state and federal requirements, strengthen provider capacity, support access to services statewide, and improve operational efficiency. The position also supervises support staff and contributes to division-wide strategic planning, system implementation, and quality improvement efforts.

The Ideal Candidate Will Have:

A bachelor's degree in human services, social services, or a related field is preferred, along with knowledge or experience in Medicaid claims, provider operations, or comparable program administration.

Familiarity with Medicaid Home and Community-Based Services (HCBS) programs, waiver operations, quality assurance expectations, and compliance standards.

Knowledge:

• familiarity with human services programs, community-based supports, or similar health and social service systems.
• understanding of the state and federal rules that guide program operations, service delivery, and provider oversight.
• awareness of quality assurance, compliance, and how policies are developed and maintained.

Skills:

• ability to offer clear guidance and support to providers, partners, and stakeholders.
• experience coordinating program activities-such as reviewing documents, monitoring performance, and helping ensure compliance.
• strength in reviewing processes and policies to find improvements and support effective, efficient practices.
• comfortable supervising, mentoring, and supporting team members in a collaborative environment.
• strong communication skills, including clear writing, reporting, and positive engagement with internal and external partners.

Ability to:

• collect and analyze information to help drive decisions and strengthen service delivery.
• use software systems and databases to organize information, track activity, and produce useful reports.
• create well‑organized, accurate, and timely documentation and correspondence.
• understand and apply relevant laws, regulations, and policies in daily work.
• make thoughtful, timely decisions and follow through responsibly.
• stay organized and flexible while managing multiple priorities and shifting needs.
• break down complex policy language and turn it into practical guidance for others.
• provide training, technical help, and support to providers and team members.
• review service, compliance, or operational data to identify trends and make informed recommendations.
• balance several active initiatives at once in a fast‑moving environment.

Additional Requirements: To be considered, please attach your resume.

This position is eligible for Veterans' Preference per ARSD 55:10:02:08.

The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.

The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information here. This position is a member of Class A retirement under SDRS.

Must apply online: https://gen-stateofsouthdako-trn.inforcloudsuite.com/hcm/xmlhttp/shorturl.do?key=4F9

You must apply online, emailed resumes or submissions will not be accepted.

South Dakota Bureau of Human Resources and Administration

Telephone: 605.773.3148 Email: careers@state.sd.us

http://bhr.sd.gov/workforus

"An Equal Opportunity Employer"

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