Eligibility & User Support Specialist - Human Services Program Specialist 2

The incumbent serves as a technical resource for DHS divisions, MNsure, counties, tribes, and Health Care Consumer Support teams identifying potential system defects, implementing approved solutions, escalating complex issues, and proactively leveraging system-generated and ad-hoc reports to identify and resolve emerging consumer concerns before they affect service delivery. The purpose of this position is to act as an expert contact to resolve MHCP system problems to ensure that MHCP applicants and recipients receive accurate eligibility determinations, benefits, and service delivery while maintaining precise premium and billing activities whenever system problems or processing discrepancies are identified.

Please ensure that your resume/application clearly describes your experience in the areas listed below and indicates the beginning and ending month and year for each job held.

Three (3) years of health care eligibility and system experience demonstrating the following:

• Knowledge of health care systems: Minnesota Eligibility Technology System (METS), Medicaid Management Information System (MMIS) including financial technology, and MAXIS.
• Experience interpreting/applying state and federal regulations governing Medicaid, MinnesotaCare, MNsure and/or Qualified Health Plans and policies, application processes, eligibility criteria and enrollment operations.
• Ability to analyze data to detect discrepancies and implement solutions.
• Experience with system procedure manuals (such as ONEsource, MMIS user manual, etc)

* Bachelor’s degree or higher in health care administration, business administration or related field may substitute for one (1) year of experience*, * Demonstrated ability to communicate clearly in both writing and speaking, with the capacity to explain basic technical or system information in a straightforward, user-friendly manner for non-technical customers.

• Demonstrated customer service skills, with the ability to communicate clearly and professionally in person, over the phone, and in writing.
• Demonstrated basic problem-solving and critical thinking skills, with the ability to identify straightforward issues and apply logical steps to resolve them.
• Demonstrated ability to work cooperatively with internal team members and interact professionally with external stakeholders.
• Demonstrated ability to work respectfully and effectively with individuals from different backgrounds and cultures in day-to-day interactions.
• Demonstrated ability to manage basic multiple tasks or priorities in an organized, efficient, and timely manner.
• Variety of experiences working effectively with others from different backgrounds and cultures.

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 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.