What are the responsibilities and job description for the Appeals Representative - Human Services Program Representative 1 position at Minnesota Department of Human Services?
Working Title: Appeals Representative
Job Class: Human Services Program Representative 1
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 temporary and includes full state fringe benefits; the position is expected to last up to 1 year.
This position represents the Department of Human Services in recipient eligibility appeals for certain Minnesota Health Care Programs (MHCP) managed through the Minnesota Eligibility Technology System (METS).
The incumbent reviews adverse actions taken by the agency to ensure compliance with program guidelines and defend the agency’s legal position at administrative hearings when necessary. Daily tasks require knowledge of MHCP policies and procedures, METS, and supporting resources.
Responsibilities include:
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.
Two years professional experience administering eligibility for Medical Assistance or MinnesotaCare using automated eligibility systems and demonstrating the following:
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 Teressa at teressa.saybe@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 Program Representative 1
Agency: Human Services Dept
- Job ID: 83749
- Location: St. Paul
- Telework Eligible: Yes
- Full/Part Time: Full-Time
- Regular/Temporary: Limited
- Who May Apply: Open to all qualified job seekers
- Date Posted: 01/30/2025
- Closing Date: 02/05/2025
- Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
- Division/Unit: Health Care Administration / Integrity and Accountability Eligibility Appeals
- Work Shift/Work Hours: Day Shift / 8:00am - 4:30pm
- Days of Work: Monday - Friday
- Travel Required: No
- Salary Range: $28.82 - $42.31 / hourly; $60,176 - $88,343 / annually
- Classified Status: Unclassified
- Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
- End Date: Expected to last up to approximately 1 year
- FLSA Status: Nonexempt
- Designated in Connect 700 Program for Applicants with Disabilities: No
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 temporary and includes full state fringe benefits; the position is expected to last up to 1 year.
This position represents the Department of Human Services in recipient eligibility appeals for certain Minnesota Health Care Programs (MHCP) managed through the Minnesota Eligibility Technology System (METS).
The incumbent reviews adverse actions taken by the agency to ensure compliance with program guidelines and defend the agency’s legal position at administrative hearings when necessary. Daily tasks require knowledge of MHCP policies and procedures, METS, and supporting resources.
Responsibilities include:
- Researching and responding to MHCP recipient eligibility appeals.
- Determining eligibility for certain Minnesota health care programs and updating case records when necessary.
- Communicating with appellants and agency partners.
- Writing formal appeal summary responses that cite applicable laws and policies to support the agency’s position.
- Maintaining expert knowledge of policy, procedures, and systems relevant to the role.
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.
Two years professional experience administering eligibility for Medical Assistance or MinnesotaCare using automated eligibility systems and demonstrating the following:
- Experience with eligibility systems such as the Minnesota Eligibility Technology System (METS) and Minnesota Medicaid Information System (MMIS);
- Research and analytical experience and the ability to apply those skills in problem resolution.
- A minimum of two years’ experience in administering multiple Minnesota Health Care Programs, including Medical Assistance and MinnesotaCare using the Minnesota Eligibility Technology System (METS).
- Strong ability to communicate complex policies and program rules effectively, both verbally and in writing.
- Strong organizational and time management skills.
- Proficient in Microsoft Office applications (Word, Excel, Outlook).
- In-depth understanding of state and federal regulations related to Minnesota Health Care Programs, including processes, procedures, appeals, regulations, and eligibility determination for MinnesotaCare and/or Medical Assistance.
- Demonstrated capacity to manage multiple tasks simultaneously and adapt to shifting priorities.
- Experience collaborating effectively with individuals from different backgrounds and cultures.
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 Teressa at teressa.saybe@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 : $60,176 - $88,343
