Preliminary Investigator / Human Services Program Representative 1
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Remove boilerplate, navigation, EEO, etc. Keep substantive info. We need to parse the posting. Key info: - Working Title: Preliminary Investigator (but we don't repeat as heading) - Job Class: Human Services Program Representative 1 - Agency: Human Services Dept - Job ID: 92181 (metadata, can be short p) - 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... (some generic but maybe keep as About the role? Actually "About Human Services Dept" later.) - 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: (list) - Minimum Qualifications: (list) - Preferred Qualifications: (list) - Additional Requirements: (list) - How To Apply (application instructions) - we need to remove application instructions per instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we should remove How To Apply, Contact, etc. - About Human Services Dept (section about agency) - we could include as "About the role"? Actually there is a separate "About Human Services Dept" paragraph. Could be considered "About the role" or maybe "About the agency". The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to map content to these headings. We need to decide which sections to include: - About the role: could include description of what the role does (the Preliminary Investigator will apply knowledge...). Also maybe the agency description? But "About the role" likely about the job itself. We'll include the description of duties overview. - Responsibilities: list of duties (the bullet list after "Duties will include but are not limited to the following:"). - Requirements: could include Minimum Qualifications (the "Two (2) years professional experience..." etc). Also Additional Requirements (driver's license, background check, CJIS training). Could combine. - Qualifications: maybe Preferred Qualifications. - Skills: maybe we could extract skills from Preferred Qualifications (organizational skills, problem-solving, etc). But we could also put under Qualifications. - Benefits: there is a Benefits section later describing benefits (paid vacation, sick leave, holidays, medical, etc). That's substantive. So include Benefits. - Pay: Salary Range is given. So include Pay. - Schedule: Work Shift/Work Hours: Day Shift / 8:00 a.m. - 4:30 p.m. Days of Work: Monday - Friday. Also telework eligibility, travel required (/, no markdown fences. Let's craft. Structure:
Job ID: 92181 | Location: St. Paul | Telework Eligible: Yes | Full-Time | etc? But we should keep it short. Maybe combine location, telework, full-time, etc. But we need to preserve ALL substantive information; we cannot discard location, telework, etc. However we can embed them in a paragraph. We should not include duplicated lines. Remove boilerplate like EEO, etc. Let's extract substantive info: - Job Class: Human Services Program Representative 1 - Agency: Human Services Dept - Location: St. Paul - Telework Eligible: Yes (with details) - 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 (approx. less than 10% travel) - 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 - DHS cannot sponsor work visas; must be eligible to work in US; does not participate in E-Verify. - Position previously announced 02/13/2026 and 05/12/2026; if already applied, no need to reapply. - Posting used to fill multiple vacancies. - Telework eligibility details: resides in MN or bordering state, supervisory approval, satisfactory performance; if bordering state, must be within 50 miles of primary work location. - Role description: Preliminary Investigator will apply knowledge and investigative expertise to identify, investigate, and take administrative or legal action in response to suspected fraud, over-utilization and/or abuse of MHCP by enrolled providers. - Duties list: - 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: - 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. - Experience must demonstrate: - 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 of 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. - Benefits: - 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