Quality Assurance Specialist - State Program Administrator Senior
Minnesota Direct Care and Treatment
Working Title: Quality Assurance SpecialistJob Class: State Program Administrator SeniorAgency: Department of Employment and Economic DevelopmentJob ID: 98167Location: St. PaulTelework Eligible: Yes, may be eligible for some telework.Full/Part Time: Full-TimeRegular/Temporary: UnlimitedWho May Apply: This vacancy is open for bids and for all qualified job seekers simultaneously. Bidders will be considered through 11/12/2026.Date Posted: 11/05/2026Closing Date: 11/12/2026Hiring Agency/Seniority Unit: Department of Employment and Economic Development / MAPEDivision/Unit: Paid Family and Medical LeaveWork Shift/Work Hours: Day Shift, 8:00AM to 4:30PMDays of Work: Monday - FridayTravel Required: NoSalary Range: $28.75 - $42.16 / hourly;
$60,030 - $88,030 / annuallyJob Class Option: Quality ControlClassified Status: ClassifiedBargaining Unit/Union: 214 - Minnesota Association of Professional Employees / MAPEFLSA Status: NonexemptDesignated in Connect 700 Program for Applicants with Disabilities: YesThe 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.Paid Leave is a new program that launched January 1, 2026. The program provides partial wage replacement to Minnesota workers that are out of work due to a qualifying condition such as a serious health condition that prevents you from working, or when you need time to care for a family member or a new child.We have built a program that is easy for every Minnesotan to use. We are engaging the people who depend on us: workers, employers, caregivers, and insurers, to learn from them and continue to improve the program around what they need. We are using modern service delivery and product practices to deliver the program.The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. It is a start‑up environment without legacy systems or preconceived ways of working. Our aim is to deliver a service that delights Minnesotans.The Quality Assurance (QA) Specialist supports the claims adjudication team by ensuring the accuracy, consistency, and compliance of all claim development activities and determinations. This role is responsible for evaluating claim files, identifying errors or discrepancies, and recommending corrective actions to improve workflow efficiency and service quality. The QA Specialist partners closely with adjudicators, supervisors, and program leaders to ensure claims are processed in accordance with applicable laws, policies, procedures, and performance standards. By monitoring trends, providing feedback, and contributing to process improvements, the Quality Assurance Specialist helps maintain the integrity of the claims process and supports the organization’s commitment to delivering fair, timely, and high‑quality outcomes for all applicants.This position will be based out of the St. Paul office.This position is telework eligible. Staff are provided with the tools and equipment to be successful in a virtual work environment. Please note, the telework policy could change with notice based on business needs.This posting may be used to fill multiple positions.Minimum Qualifications
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. Only applicants whose resumes clearly demonstrate fulfillment of each of these minimum qualifications will be considered for this position.Two (2) years* experience in claims, appeals, case management operations, or contact center support for an eligibility or claims-based program, including at least one (1) year of experience conducting quality control or quality assurance activities, such as reviewing work for accuracy, identifying errors or trends, and providing feedback or recommendations for improvement.Associate's degree in Business Administration, Public Administration, Community Development, Economics, Human Resources, other closely related field as determined by the agency may substitute six (6) months of experience;
bachelor's degree substitutes for one (1) year of experience;
master's degree substitutes for eighteen (18) months of experience.Applicants that meet the above minimum qualification will be further evaluated on the following:Experience developing effective recommendations for process, procedural, and/or policy improvements and working with management or other stakeholders on implementation.Experience auditing the work of others to determine accuracy and compliance with program requirements and guidelines.Strong written and verbal communication skills demonstrating the ability to document and/or explain complex concepts or processes to others with limited subject matter familiarity.Experience compiling and analyzing data to identify trends.Knowledge of state and federal regulations governing family and medical leave programs.Preferred Qualifications
Ability to manage work with minimal supervision while meeting deadlines and quotas.Experience conducting quality reviews or audits of claims, casework, or eligibility determinations to ensure accuracy, consistency, and compliance with program policies.Experience in training and mentoring of other staff to enhance their claims processing abilities.Knowledge of techniques for detecting fraud and preventing adjudication errors.Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experience working effectively with others from different backgrounds and cultures.Additional Requirements
A job offer will be contingent upon successfully passing a background check. The background check may consist of the following components:Criminal Background CheckEmployment Records Check (current and former State employees only)Employment Reference CheckConflict of Interest ReviewDriver’s License and Records CheckThe Minnesota Department of Employment and Economic Development will not sponsor applicants for work visas. All applicants must be legally authorized to work in the U.S.Contact
If you have questions about this position, contact Lynda Zigah at View email address on ca.hrm.tc together to improve the state we love.
What do Minnesota's State employees have in common?A sense of purpose in their workConnection with their coworkers and communitiesOpportunities for personal and professional growthBenefits
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 leave12 paid holidays each yearLow-cost medical, dental, vision, and prescription drug plans
Fertility care, including IVFDiabetes careDental and orthodontic care for adults and children
6 weeks paid leave for parents of newborn or newly adopted childrenPension 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 deathShort-term and long-term disability insurance that can provide income if you are unable to work due to illness or injuryTax-free expense accounts for health, dental, and dependent careResources that provide support and promote physical, emotional, social, and financial well-beingSupport To Help You Reach Your Career Goals
Training, classes, and professional developmentFederal 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 performanceCommon sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issuesDaily Living/Convenience Services: Chore services, home repair, trip planning, child/elder carePrograms, 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 View phone number on ca.hrm.tc or email View email address on ca.hrm.tc and let us know the support you need.The Department of Employment and Economic Development is an equal opportunity, affirmative action, and veteran-friendly employer, and encourages all qualified candidates to apply for job opportunities. If you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at View email address on ca.hrm.tc. Please indicate what assistance is needed.
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$60,030 - $88,030 / annuallyJob Class Option: Quality ControlClassified Status: ClassifiedBargaining Unit/Union: 214 - Minnesota Association of Professional Employees / MAPEFLSA Status: NonexemptDesignated in Connect 700 Program for Applicants with Disabilities: YesThe 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.Paid Leave is a new program that launched January 1, 2026. The program provides partial wage replacement to Minnesota workers that are out of work due to a qualifying condition such as a serious health condition that prevents you from working, or when you need time to care for a family member or a new child.We have built a program that is easy for every Minnesotan to use. We are engaging the people who depend on us: workers, employers, caregivers, and insurers, to learn from them and continue to improve the program around what they need. We are using modern service delivery and product practices to deliver the program.The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. It is a start‑up environment without legacy systems or preconceived ways of working. Our aim is to deliver a service that delights Minnesotans.The Quality Assurance (QA) Specialist supports the claims adjudication team by ensuring the accuracy, consistency, and compliance of all claim development activities and determinations. This role is responsible for evaluating claim files, identifying errors or discrepancies, and recommending corrective actions to improve workflow efficiency and service quality. The QA Specialist partners closely with adjudicators, supervisors, and program leaders to ensure claims are processed in accordance with applicable laws, policies, procedures, and performance standards. By monitoring trends, providing feedback, and contributing to process improvements, the Quality Assurance Specialist helps maintain the integrity of the claims process and supports the organization’s commitment to delivering fair, timely, and high‑quality outcomes for all applicants.This position will be based out of the St. Paul office.This position is telework eligible. Staff are provided with the tools and equipment to be successful in a virtual work environment. Please note, the telework policy could change with notice based on business needs.This posting may be used to fill multiple positions.Minimum Qualifications
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. Only applicants whose resumes clearly demonstrate fulfillment of each of these minimum qualifications will be considered for this position.Two (2) years* experience in claims, appeals, case management operations, or contact center support for an eligibility or claims-based program, including at least one (1) year of experience conducting quality control or quality assurance activities, such as reviewing work for accuracy, identifying errors or trends, and providing feedback or recommendations for improvement.Associate's degree in Business Administration, Public Administration, Community Development, Economics, Human Resources, other closely related field as determined by the agency may substitute six (6) months of experience;
bachelor's degree substitutes for one (1) year of experience;
master's degree substitutes for eighteen (18) months of experience.Applicants that meet the above minimum qualification will be further evaluated on the following:Experience developing effective recommendations for process, procedural, and/or policy improvements and working with management or other stakeholders on implementation.Experience auditing the work of others to determine accuracy and compliance with program requirements and guidelines.Strong written and verbal communication skills demonstrating the ability to document and/or explain complex concepts or processes to others with limited subject matter familiarity.Experience compiling and analyzing data to identify trends.Knowledge of state and federal regulations governing family and medical leave programs.Preferred Qualifications
Ability to manage work with minimal supervision while meeting deadlines and quotas.Experience conducting quality reviews or audits of claims, casework, or eligibility determinations to ensure accuracy, consistency, and compliance with program policies.Experience in training and mentoring of other staff to enhance their claims processing abilities.Knowledge of techniques for detecting fraud and preventing adjudication errors.Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experience working effectively with others from different backgrounds and cultures.Additional Requirements
A job offer will be contingent upon successfully passing a background check. The background check may consist of the following components:Criminal Background CheckEmployment Records Check (current and former State employees only)Employment Reference CheckConflict of Interest ReviewDriver’s License and Records CheckThe Minnesota Department of Employment and Economic Development will not sponsor applicants for work visas. All applicants must be legally authorized to work in the U.S.Contact
If you have questions about this position, contact Lynda Zigah at View email address on ca.hrm.tc together to improve the state we love.
What do Minnesota's State employees have in common?A sense of purpose in their workConnection with their coworkers and communitiesOpportunities for personal and professional growthBenefits
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 leave12 paid holidays each yearLow-cost medical, dental, vision, and prescription drug plans
Fertility care, including IVFDiabetes careDental and orthodontic care for adults and children
6 weeks paid leave for parents of newborn or newly adopted childrenPension 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 deathShort-term and long-term disability insurance that can provide income if you are unable to work due to illness or injuryTax-free expense accounts for health, dental, and dependent careResources that provide support and promote physical, emotional, social, and financial well-beingSupport To Help You Reach Your Career Goals
Training, classes, and professional developmentFederal 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 performanceCommon sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issuesDaily Living/Convenience Services: Chore services, home repair, trip planning, child/elder carePrograms, 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 View phone number on ca.hrm.tc or email View email address on ca.hrm.tc and let us know the support you need.The Department of Employment and Economic Development is an equal opportunity, affirmative action, and veteran-friendly employer, and encourages all qualified candidates to apply for job opportunities. If you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at View email address on ca.hrm.tc. Please indicate what assistance is needed.
#J-18808-Ljbffr
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