Utilization Management Supervisor

Job description

**Working Title: Utilization Management Supervisor**
**Job Class: State Program Administrator, Director**
**Agency: Direct Care and Treatment**

+ **Job ID** : 89454
+ **Location** : Vadnais Heights
+ **Telework Eligible** : Yes
+ **Full/Part Time** : Full-Time
+ **Regular/Temporary** : Unlimited
+ **Who May Apply** : Open to all qualified job seekers
+ **Date Posted** : 10/10/2025
+ **Closing Date** : 10/20/2025
+ **Hiring Agency/Seniority Unit** : Direct Care and Treatment / DCT Central Office MMA
+ **Division/Unit** : DCT Support Services / DCT Qual Leads
+ **Work Shift** : Day Shift
+ **Work Hours** : Typically, 8:00am - 4:30pm
+ **Days of Work** : Monday - Friday
+ **Travel Required** : Yes, up to 25%
+ **Salary Range:** $37.60 - $54.16 / hourly; $78,508 - $113,086 / annually
+ **Classified Status** : Classified
+ **Bargaining Unit/Union** : 216 - Middle Management Association/MMA
+ **FLSA Status** : Exempt - Executive
+ Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

Direct Care & Treatment (DCT) is unable to provide sponsorship for work visas.

Applicants must be eligible to work in the United States at the start of employment.

DCT 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 requires an employee to be onsite at the DCT Headquarters at 3200 Labore Road, Vadnais Heights, Minnesota at least 50% of the time, with some opportunity to perform work from a telework location.**

+ Telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) is available on a limited basis.
+ Only candidates residing in Minnesota or a state bordering Minnesota (Iowa, North Dakota, South Dakota, or Wisconsin) within 50 miles of the work address listed above are eligible for telework.
+ Candidates residing in Minnesota and more than 50 miles from the primary/principal work address above may be eligible to telework more than 50%.

Direct Care and Treatment (DCT) is seeking an individual to join our DCT Quality Team for an exciting and rewarding opportunity as a Utilization Management Supervisor!

This position will work across DCT in partnership with executive leaders and other stakeholders to improve and enhance DCT's Utilization Management program and policies.

This position serves as a key leader of the DCT Quality Division and DCT Executive management team providing evaluation, risk analysis, and oversight, leadership, management advice, coordination, and strategic direction to all quality and operations, services, and facilities across DCT.

You will be responsible for all DCT Utilization Management, Medicare/Medicaid Compliance with CMS guidelines, and will lead, administer, direct, and coordinate operations, budget development, financial and other reporting, and data development.

The incumbent will provide management, leadership, coordination, consultation, and technical assistance over regulatory and oversight standards.

Primary Responsibilities:

+ LeadtheimplementationofDCT’s Utilization Management strategicquality planconsistentwiththepriorities, regulatory requirements, patient safety, healthcare quality best practices, and budget principles of the DCT Quality Division supporting services across the organization.

This individual oversees the Utilization Management activities across DCT to provide an equitable and safe environment for patients, staff, volunteers, and visitors.

The incumbent identifies and leads opportunities for improvement, needed policy changes, clarifying operating procedures and initiating fraud prevention and cost-savings discussions at the DCT Executive level and across divisions.

In this process, this person establishes annual and long-term strategic plans to provide direction for DCT’s Utilization Management Division and system-wide improvements.

Manages all DCT’s Utilization Management processes so DCT’s Mission, Vision, and Goals of providing equitable services to patients and employees throughout Minnesota.
+ Direct, maintain, develop and evaluate all functions of Utilization Management across DCT.

Provide executive administrative leadership so that DCT Utilization Management Quality goals and direction are accomplished.Lead the formation and implementation of best practices in mental health, Forensic Services, safety, and policy planning in cooperation with, and in response to, the priorities and budget principles of the Executive Branch, and responsive to the needs of the employees and people served within DCT.

Determines and implements the vision, strategic plan, organization structure, objectives, priorities, and related utilization management projects of DCT, including the development, implementation, and maintenance of the governance structure, processes, and staff resources necessary to develop, deploy, implement, and report on DCT’s strategic plan and associated projects.Direct and provide high-level coordination across DCT as it relates to mental health, utilization management, and policy strategic planning and analytics.Work with and provide input to the DCT Executive Team, Chief Quality Officer, and other DCT leaders to guide the formation of health, safety and policy goals objectives, policies, and procedures to effectively manage the efforts of the division towards the achievement of DCT’s goals and objectives.Oversee staff who analyze the overall work of utilization management and compliance and regulatory standards across DCT.

Develop strategic solutions, business objectives and goals, timetables, measurements, and surveys for analyzing, improving, and communicating DCT outcomes.
+ Provide administrative direction for business and finance unit operations by managing the staff and resources for assigned functions and unitstoensureadherencetothegoalsandobjectivesforDCTQuality withspecificattention toUtilization Management, equitable services, fraud prevention and cost-savings.
+ Performsupervisoryfunctions to 6 employees sothatapplicableemployment-relatedactionsareequitablyadministered,andemployeesperform assigned job duties to achieve established objectives.

**Minimum Qualifications**

Please ensure your resume reflects your experience in the areas below:

Four (4) years of supervisory experience in Quality Management.

Experience must demonstrate the following:

+ Knowledge of quality and utilization management principles and practices and their application to health care facilities.
+ Skills in data and documentation management and information systems skills sufficient to establish, maintain and evaluate the changing needs of the utilization management system.
+ Extensive knowledge of applicable DHS, State, Federal laws, rules and regulations and accreditation and licensing requirements relative to utilization management, compliance, and data privacy
+ knowledge and experience in, and ability to apply the principles of project management, change management and demonstrated organization, facilitation, communication, and presentation skills.

AND

Demonstrated leadership experience, which can include:

+ Experience as a supervisor, lead worker, team lead, project lead.
+ Completion of a State of Minnesota leadership program (e.g. ELI, L4);
+ A paid/unpaid position leading a program or chairing a committee (e.g. ERG) - experience must include:
+ 1+ year of experience identifying issues, goals and strategic actions
+ 100+ hours per year time commitment

**Preferred Qualifications**

+ Bachelor's degree in healthcare provision, healthcare administration or related field.
+ Supervisory experience, including developing and managing a team
+ Demonstrated oral and written communication skills sufficient to establish and maintain effective working relationships with internal and external stakeholders.
+ **Strong background in utilization management in a healthcare setting.**
+ **Strong analytical and problem-solving skills.**
+ **Strong organizational and time management skills to handle multiple tasks simultaneously.**

**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.

EDUCATION VERIFICATION - Applicants will be required to provide a copy of their high school diploma at time of interview OR copies of their college transcript or college degree/diploma at time of interview.

Copies of the college degree/diploma are acceptable ONLY if it clearly identifies the field in which it was earned.

Direct Care & Treatment (DCT) healthcare facilities require employees to provide documentation that they are free from tuberculosis (TB) through a blood test prior to employment.

DCT does not accept TB skin testing
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 careers@state.mn.us .

Please indicate what assistance is needed.

Required Skill Profession

Other General