Minnesota Department of Human Services logo

Company Profile

Location:
Saint Paul, Minnesota
Country:
United States

Job Profile

Job Category:
Insurance
Position type:
Full Time
City:
St. Paul
State:
Minnesota
Zip Code:
55118,55120
Reference number:
29581
Job Id #:
11333571
Date Posted:
January 11, 2019

Health Insurance Recovery Supervisor - Human Services Supervisor 2


 



Job Class:  Human Services Supervisor 2Working Title:  Health Insurance Recovery Supervisor
Who May Apply:  Open to all qualified job seekers
Date Posted:  01/11/2019
Closing Date:  01/24/2019
Hiring Agency:  Department of Human Services
Division/Unit:  Central Office / Health Care Administration
Work Shift/Work Hours:  Days / 8:00 a.m. to 4:30 p.m.
Days of Work: Monday - Friday
Travel Required:  No
Salary Range: $27.68 - $40.08/hourly; $57,795 - $83,687/annually
Classified Status:  Classified


Job Summary

The Health Insurance Recovery Unit (HIRU) ensures county staff at the eligibility level understands and administers the Cost Effective Health Insurance Program effectively and accurately. HIRU works with managed care organizations (MCOs) under contract with the State to ensure they are administering the Cost Avoidance and Recovery Program effectively. HIRU works directly with providers and insurance carriers to ensure proper billing and payment for third party liability (TPL) coverage and encourages open lines of communication amongst these organizations to maximize revenue return to the state.

Primary responsibilities include:

  • Direct the activities of the HIRU in an effective and efficient manner to ensure maximum cost avoidance and recovery of medical assistance benefits from insurance companies and other liable third parties in accordance with State and Federal laws, regulations, and policies.
  • Direct the activities of HIRU staff in the administration of the Health Insurance Premium Payment Program (HIPP) to ensure that the State pays premiums for cost-effective insurance coverage for Medicaid recipients.
  • Administration of the Long Term Care Project and other initiatives.
  • Ensure that system modernization efforts continue to support all data and operational needs of the program
  • Establish standards of performance and service, hire, train, direct, evaluate, and when necessary, discipline employees.


Minimum Qualifications:
  • Supervisory, lead worker, or other leadership experience OR completion of leadership development program (L4, Emerging Leaders Institute, etc.) AND
  • Three (3) years of advanced professional experience with a State or Federally mandated program requiring identification of legal issues.
  • Experience working with TPL or the Cost Effective Health Insurance Program.
  • Extensive technical knowledge of the insurance industry and insurance companies, including knowledge of Medical, Dental, Vision, Long Term Care, and Pharmacy insurance policies.
  • Two years professional experience demonstrating advanced knowledge of claims and coordination of benefits.

Bachelor’s degree in health care administration, human services or related field may substitute for 1 year of professional experience OR Master’s degree in health care administration, human services or related field may substitute for 2 years of professional experience.

Preferred Qualifications:
  • Three (3) years as a lead worker or supervisor.
  • Knowledge and experience working with and applying State and Federal Laws and regulations.
  • Experience with leading and implementing strategic plans.
  • Experience identifying, establishing and monitoring internal data controls to ensure optimization of existing programs.
  • Experience establishing and running a workgroup to improve and/or implement new policy and procedure.
  • Experience working with and resolving escalated constituent issues through superior customer service.
  • Advanced experience and knowledge with Medicaid Management Information System (MMIS) and TPL and claims sub-systems.
  • Experience authoring and providing training to internal and external stakeholders.
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.



Why Work For Us

GREAT BENEFITS PACKAGE! The State of Minnesota offers a comprehensive benefits package including low cost medical and dental insurance, employer paid life insurance, short and long term disability, pre-tax flexible spending accounts, retirement plan, tax-deferred compensation, generous vacation and sick leave, and 11 paid holidays each year.

This position is located in Minnesota's great capital city, St. Paul. The State of Minnesota offers employees subsidies for public transportation allowing for convenient and easy access to commute to work. Ride the new METRO "Green Line" Light Rail Train to work! The 10th Street Station is located close by.

Our mission as an employer is to actively recruit, welcome and support a workforce, which is diverse and inclusive of people who are underrepresented in the development of state policies, programs and practices, so that we can support the success and growth of all people who call Minnesota home.


Equal Employment Opportunity

The State of Minnesota is an equal opportunity, affirmative action, and veteran-friendly employer. We are committed to providing culturally responsive services to all Minnesotans. 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 careers@state.mn.us. Please indicate what assistance you need.

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