Start Date
Immediate
Expiry Date
30 Aug, 25
Salary
47.05
Posted On
25 Jul, 25
Experience
0 year(s) or above
Remote Job
Yes
Telecommute
Yes
Sponsor Visa
No
Skills
Mentoring, Writing, Poms, Mets, Time Management, Cfr, Medical Records, Assessment Tools, Excel, Sharepoint, Medical Terminology, Mmis, Outlook, Documentation, Accessibility, Coaching, It, Customer Service Skills, Human Services
Industry
Hospital/Health Care
JOB SUMMARY
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 State Medical Review Team (SMRT) Appeals and Team Lead provides advanced technical leadership and expertise in disability determination across Minnesota Health Care Programs, including Medical Assistance ABD, MA-EPD, TEFRA, Managed Care Exclusion, SNBC, and MA Home and Community-Based Waivered services. This position serves as the primary point of contact for SMRT’s appeals process, representing the department in Fair Hearings and ensuring that determinations are accurate, policy-compliant, and defensible under federal and state guidelines.
In addition to leading and coordinating SMRT’s appeals work, the Appeals and Team Lead supports staff by providing day-to-day technical guidance, mentoring, workflow monitoring, quality assurance, and assistance with specialized case consultations. This position identifies and implements process improvements, contributes to the ongoing refinement of policies and procedures, and collaborates with leadership to enhance efficiency and outcomes. The Appeals and Team Lead plays a key role on the SMRT Leadership Team, guiding daily operations and supporting initiatives to improve client, provider, and staff experiences while maintaining compliance with state and federal requirements.
MINIMUM QUALIFICATIONS
Three (3) years of specialized experience interpreting and applying Social Security Disability laws sufficient to issue accurate and timely disability determinations in accordance with state and federal laws and agency policies and procedures.
Experience must demonstrate all of the following:
PREFERRED QUALIFICATIONS
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.
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
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.