MEQC & PERM Team Lead

Qualifications for this Career Opportunity

Knowledge of the Code of Federal Regulations (CFRs), Social Security Act (SSA), State plans for CHIP and Medicaid, Administrative Rules of Montana (ARM), Montana Code Annotated (MCA) and other Federal and State rules and regulations.

Knowledge of public assistance eligibility policies and regulations, and related computer systems.

Ability to gather, verify, and analyze eligibility and financial data.

Meet minimum qualifications:

Bachelor’s degree in business, human services or related degree.

Two years’ experience determining or reviewing public assistance eligibility.

Equivalent combinations of directly related education and experience may be considered on a case-by-case basis.

How to Apply

To be considered for a DPHHS position, submit the following required documents with your application on the State of Montana Careers website. When submitting the required documents, you must check the "relevant document" box to ensure your attachments are uploaded correctly to your application for this position.

Resume

References

Successful applicants will be subject to background checks relevant to the position and must pass reference checks before an offer will be extended. DPHHS is an equal opportunity employer. Women, minorities, and people with disabilities are encouraged to apply. For a copy of the full job description or if you need a reasonable accommodation in the application or hiring process, contact DPHHS Human Resources listed below.

Additional Information

This position may be eligible for partial telework within the state of Montana. Specific conditions will be provided by the supervisor, and must adhere to state policy.

This position may be eligible for a statutory $1.00 an hour base pay increase effective July 1, 2025, and July 1, 2026.

To be considered for this position, you must complete the state application and attach all required documents through the Montana State Careers site at

The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Office of Inspector General, Program Compliance.

Job Overview: The Medicaid Quality Control (MEQC) and Payment Error Rate Measurement (PERM) Team Lead is responsible for assisting with the development, training, and implementation of program policy, establishing unit goals, objectives, priorities, monitoring, and accurate reporting. The position ensures compliance with Federal and State laws, regulations, and requirements. Acts as secondary contact for MEQC and PERM. The position is responsible for working with the State CHIP and Medicaid Program staff to revise procedures to address errors. This position also organizes, tracks, and monitors the PERM Federal audit, including information requests, resolution of errors, and maintains PERM data.

Why Join DPHHS

Our mission at DPHHS is serving Montanans in their communities to improve health, safety, well-being, and empower independence. By joining our department, you will have the opportunity to perform meaningful work in public service to our state and its residents.

The State of Montana's comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program. In addition, DPHHS is the largest state agency with a wide range of advancement opportunities whether you are joining the workforce or have several years of experience. The State of Montana has a decentralized human resources (HR) system. Each agency is responsible for its own recruitment and selection. Anyone who needs a reasonable accommodation in the application or hiring process should contact the agency's HR staff identified on the job listing or by dialing the Montana Relay at 711. Montana Job Service Offices also offer services including assistance with submitting an online application.

State government does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, pregnancy, childbirth or medical conditions related to pregnancy or childbirth, age, physical or mental disability, genetic information, marital status, creed, political beliefs or affiliation, veteran status, military service, retaliation, or any other factor not related to merit and qualifications of an employee or applicant.