Appeals Specialist - Human Services Program Specialist 2

Working Title: Appeals Specialist

Job Class: Human Services Program Specialist 2

Agency: Human Services Dept

• Job ID : 97630

• 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 : 10/09/2026

• Closing Date : 10/19/2026

• Hiring Agency/Seniority Unit : Human Services Dept / MAPE DHS Central Office

• Division/Unit : Health Care Administration / Integrity and Accountability

• Work Shift/Work Hours : Day Shift / 8:00am - 4:30pm

• Days of Work : Monday - Friday

• Travel Required : No

• Salary Range: $26.89 - $39.22 / hourly; $56,146 - $81,891 / 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 (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

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.

This posting may be used to fill multiple openings

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.

This position exists within the Eligibility Appeals Unit (EAU) to support the unit’s response to Minnesota Health Care Programs (MHCP) eligibility appeals. The position conducts appeal intake and preliminary review, determines continued benefit eligibility, coordinates appeal information and documentation, implements agency appeal decisions, and independently researches and responds to certain appeals. The incumbent applies current and historical statutes, policies, and procedures to individual cases and coordinates with the Appeals Division, service agencies, MNsure, DHS program areas, appellants, and other stakeholders to ensure appeals are processed accurately, timely, and in accordance with applicable requirements.

Working in a high-volume, deadline-driven environment, the incumbent exercises independent judgment to analyze complex eligibility and procedural issues, identify required actions, monitor statutory deadlines, and ensure appropriate case actions are completed.

The position also supports EAU operations by maintaining accurate appeal information, identifying process improvement opportunities, and referring applicable cases for potential overpayment assessment.

Minimum Qualifications

Three (3) years of recent experience with Health Care Programs such as Medical Assistance and MinnesotaCare.

• Experience with eligibility and financial technology systems (such as METS, MAXIS, MMIS)

• Experience reading, interpreting and implementing policies and procedures.

*** Bachelor’s degree or higher in health care administration, business administration or related field may substitute for one (1) year of experience***

Preferred Qualifications

• Experience working with the Minnesota Eligibility Technology System (METS) and MMIS, preferably administering Medical Assistance for families and/or MinnesotaCare.

• Ability to explain complex policies and program constraints effectively, both orally and in writing to a broad audience.

• Strong research and problem-solving skills to allow him/her to provide effective solutions and make decisions in an expeditious manner.

• Organizational and time management skills sufficient to effectively manage work tasks

• Familiarity with Microsoft Office products (Word, Excel, Outlook, SharePoint) and the ability to navigate multiple software applications

• Variety of experiences working effectively with others from different backgrounds and cultures.

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.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made 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 [email protected] . Please indicate what assistance is needed.