Minnesota Department of Human Services
Appeals Representative - Human Services Program Representative 1
Minnesota Department of Human Services, Saint Paul, Minnesota, United States, 55199
Appeals Representative – Human Services Program Representative 1
Join to apply for the Appeals Representative – Human Services Program Representative 1 role at Minnesota Department of Human Services.
Job ID: 90095
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: 01/02/2026
Closing Date: 01/12/2026
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: $29.25 - $42.94 hourly; $61,074 - $89,658 annually
Classified Status: Unclassified
Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
End Date: 11/03/2026
FLSA Status: Nonexempt
Re-Posting: Yes
Designated in Connect 700 Program for Applicants with Disabilities: No
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 position is temporary and includes full state fringe benefits; the position is expected to last up to one (1) year.
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 to represent the Department of Human Services in recipient eligibility appeals for certain Minnesota Health Care Programs (MHCP) administered through the Minnesota Eligibility Technology System (METS). As a respondent for MHCP recipient eligibility appeals, the incumbent functions as an expert‑level case worker tasked with researching and analyzing each appeal case to discern whether agency actions followed established program guidelines. This position makes case updates and corrections as needed to arrive at appropriate program eligibility for recipients and defends the agency’s legal position on appeal where necessary. The incumbent will use their knowledge of MHCPs, METS, and other supporting resources to perform daily tasks.
Responsibilities
Research and respond to decisions and determinations that have been formally appealed or referred to an administrative hearing officer. Consequently, correct case errors and contact the appellant to discuss resolution when applicable, draft persuasive policy positions explaining the agency’s determination and applying law and agency policy to individual cases. Follow up on the implementation of the resolution or decision and draft and/or respond to requests for reconsideration and/or appeals.
Determine eligibility for certain Minnesota health care programs.
Collaborate with staff from DHS, MNsure, and other state agencies and divisions to research, analyze and respond to agency eligibility appeals.
Maintain expert knowledge of changes and updates to policies, procedures, practices, forms, available resources, and systems used in relationship to his/her job functions.
Minimum Qualifications
Two years professional experience administering eligibility for Medical Assistance or MinnesotaCare using automated eligibility systems
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Job ID: 90095
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: 01/02/2026
Closing Date: 01/12/2026
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: $29.25 - $42.94 hourly; $61,074 - $89,658 annually
Classified Status: Unclassified
Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
End Date: 11/03/2026
FLSA Status: Nonexempt
Re-Posting: Yes
Designated in Connect 700 Program for Applicants with Disabilities: No
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 position is temporary and includes full state fringe benefits; the position is expected to last up to one (1) year.
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 to represent the Department of Human Services in recipient eligibility appeals for certain Minnesota Health Care Programs (MHCP) administered through the Minnesota Eligibility Technology System (METS). As a respondent for MHCP recipient eligibility appeals, the incumbent functions as an expert‑level case worker tasked with researching and analyzing each appeal case to discern whether agency actions followed established program guidelines. This position makes case updates and corrections as needed to arrive at appropriate program eligibility for recipients and defends the agency’s legal position on appeal where necessary. The incumbent will use their knowledge of MHCPs, METS, and other supporting resources to perform daily tasks.
Responsibilities
Research and respond to decisions and determinations that have been formally appealed or referred to an administrative hearing officer. Consequently, correct case errors and contact the appellant to discuss resolution when applicable, draft persuasive policy positions explaining the agency’s determination and applying law and agency policy to individual cases. Follow up on the implementation of the resolution or decision and draft and/or respond to requests for reconsideration and/or appeals.
Determine eligibility for certain Minnesota health care programs.
Collaborate with staff from DHS, MNsure, and other state agencies and divisions to research, analyze and respond to agency eligibility appeals.
Maintain expert knowledge of changes and updates to policies, procedures, practices, forms, available resources, and systems used in relationship to his/her job functions.
Minimum Qualifications
Two years professional experience administering eligibility for Medical Assistance or MinnesotaCare using automated eligibility systems
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