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Added 32 mins ago
Clinical Psychologist, Health Psychology Team
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7.5 h shifts, 2 days per week. Flexibility required. Some evening work as necessary (e.g., if group services are developed as part of the program)
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Closed listing

Minnesota Direct Care and Treatment

Preliminary Investigator / Human Services Program Representative 1

Saint-Paul, NB, Canada
St.-Paul, NB, Canada

Salary Range: $29.25 - $42.94 / hourly; $61,074 - $89,658 / annually · Full-time

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Pay: Salary Range: $29.25 - $42.94 / hourly; $61,074 - $89,658 / annually
Job type: Full-time
Closing date: Oct 23, 2026
Posting language: English
Posted: Sep 23, 2026

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Original job description

Archived listing. The details below describe a past opening.

Working Title: Preliminary Investigator

Job Class: Human Services Program Representative 1

Agency: Human Services Dept

Job ID: 92181
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: 09/23/2026
Closing Date: 09/29/2026
Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
Division/Unit: Department of Human Services (DHS) / Office of Inspector General (OIG)-PIO MPAI Investigators 1
Work Shift/Work Hours: Day Shift / 8:00 a.m. - 4:30 p.m.
Days of Work: Monday - Friday
Travel Required: Yes
Salary Range: $29.25 - $42.94 / hourly; $61,074 - $89,658 / annually
Classified Status: Classified
Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
FLSA Status: Nonexempt
Designated in Connect 700 Program for Applicants with Disabilities: Yes

The Department of Human Services (DHS) 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.

This position was previously announced on 02/13/2026 and 05/12/2026. If you already applied for this job, you do not need to reapply.
This posting is used to fill multiple vacancies.
Approximately, less than 10% travel.
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.

The Preliminary Investigator will apply knowledge and investigative expertise in order to identify, investigate, and take administrative or legal action in response to suspected fraud, over-utilization and/or abuse of the Minnesota Health Care Programs (MHCP) by enrolled providers.

Duties will include but are not limited to the following:

Investigation of activities related to fraud, abuse or over utilization by Minnesota Health Care Program providers.
Review and properly conclude all cases identified through profiling, investigation, assigned by the Manager or Supervisor, through referrals from providers, recipients, other DHS state, local and federal agencies, other third-party payers and the general public.
develop criteria and parameters which will be used to identify provider activity that can be compared to other providers to develop potential cases for investigation.

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.**

Two (2) years professional experience with investigative techniques and problem resolution skills to manage the investigation and resolution of cases within limitations set by regulations, law and policy; AND

Experience Must Demonstrate The Following

Working knowledge and capabilities of automated computer systems and databases and be able to access, extract, manipulate and present data in different formats to support investigative activities.
Format, analyze, and prepare computer generated reports.
Understanding, interpretation and application of Minnesota statutes and rules
Working knowledge care claims processing operations, claims forms, or editing and coding structures.
Working knowledge of the Medicaid program and the services that are provided
Working knowledge of medical terminology and coding
Presenting factual, investigative reports, referrals, and/or other materials for legal review and consideration in civil or criminal cases.

Preferred Qualifications

This position requires a high level of organizational skills, and problem-solving skills which will require knowledge of various MHCP programs, statutes, and rules.
Respond and adapt to changes in priorities, operations practices, policies, procedures, laws, rules and coding systems.
Possess a global understanding of regulations, law and policy relating to health care services and work in-depth with provisions that directly relate to each given case.
An understanding of claims, the processing operations, claims forms, edits and coding structures sufficient to be able to understand the procedures followed and decisions made by claims processing staff.
Apply strong customer service skills while performing the regulatory functions of the job.
Knowledge of the basic principles of civil and criminal law.
Critical thinking skills
Investigative skills
A background in investigations, legal work such as a paralegal, or medical billing and/or coding.
Variety of experiences working effectively with others from different backgrounds and cultures.

Additional Requirements

Incumbent must possess and maintain a valid driver’s license.

This Position Requires Successful Completion Of The Following

It is the policy of the Department of Human Services that the individual selected for this position successfully complete a background investigation prior to employment, including the following components:

Criminal background check
Reference check
Fingerprinting check (MNJIS/CJIS)

Complete the Criminal Justice Information System (CJIS) Security Awareness training within 3-business days from the start of employment; and successfully obtain/retain CJIS certification annually.

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 the position, contact Tinna Welter at Tinna.Welter@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 Carolyn Rice at carolyn.rice@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 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

Benefits

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

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.

About employer

More about this job

Responsibilities

Investigate suspected fraud, abuse, and over-utilization by Minnesota Health Care Programs providers, reviewing and resolving cases from data profiling, referrals, and management assignments. Develop criteria to identify provider activity for investigation and prepare factual reports and materials for administrative or legal action.

Requirements

Requires at least two years of professional experience using investigative techniques and problem-resolution skills, along with the ability to work with databases, analyze data, and prepare reports. Candidates must understand Minnesota statutes and rules, Medicaid, healthcare claims processing, medical terminology and coding, and be able to present investigative findings for legal review; a valid driver's license is required.

Skills

Investigative Techniques
Problem Resolution
Data Analysis
Database Management
Report Writing
Minnesota Statutes and Rules
Medicaid Program Knowledge
Healthcare Claims Processing
Medical Terminology
Medical Coding
Fraud Investigation
Legal Case Preparation
Critical Thinking
Customer Service
Organization
Communication

Benefits

Paid Vacation Leave
Paid Sick Leave
Paid Holidays
Health Insurance
Dental Insurance
Vision Insurance
Prescription Drug Coverage
Fertility Care
Paid Parental Leave
Pension Plan
Life Insurance
Short-Term Disability Insurance
Long-Term Disability Insurance
Tax-Free Expense Accounts
Professional Development
Tuition Reimbursement
Employee Assistance Program

Visa sponsorship

Not detected in the job text

Hiring contact

Tinna Welter

Hiring contact email

Tinna.Welter@state.mn.us

Keywords

Minnesota Health Care Programs
Medicaid
Provider Fraud
Abuse Investigation
Over-Utilization
Investigative Techniques
Case Resolution
Data Profiling
Automated Computer Systems
Databases
Data Extraction
Data Analysis
Computer-Generated Reports
Minnesota Statutes
Minnesota Rules
Healthcare Claims Processing
Claims Forms
Medical Terminology
Medical Coding
Legal Review
Civil Law
Criminal Law
CJIS Certification
Fingerprinting
Customer Service
Valid Driver's License

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