Medicaid Program Analyst Job in Augusta, ME at State of Maine

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Department of Health and Human Services (DHHS)
Management Analyst II
Opening Date: March 1, 2023
Closing Date: March 15, 2023
Job Class Code: 0393
Grade: 04-24 (Pro/Tech)
Salary: $47,340.80 – $63,814.40/year
Position Number: 02000-4000

Core Responsibilities:


The MaineCare Program Analyst helps ensure sustainable, long-term operational efficiency for programs within MaineCare, including but not limited to Alternative Payment Models (APMs) like Accountable Communities and Primary Care Plus. An APM is a health care payment method that uses financial incentives to raise the quality of care, improve health outcomes, and lower costs for patients, purchasers, payers, and/or providers. IAlong with other strategies, APMs are important for advancing policies that improve the quality and value of health care.


This position is responsible for gathering and organizing information, researching best practices, developing materials and reportsand documenting these processes to enhance operational efficiency. Some data analysis is required in this position, as well as the ability to translate information into recommendations for organizational and system changes.


Additionally, the successful candidate will engage with contracted vendors and collaborate with other MaineCare units around data reporting and data management in support of MaineCare members, staff, and health care providers.


The Program Analyst will work collaboratively with staff across DHHS as well as external partners, including health care providers, community-based organizations, and public health entities. The successful candidate will be invigorated by team-based environments, intentional collaboration, and thoughtful communication.


Work is performed under limited supervision. Some in-state travel required.


Minimum Qualifications:


Eight (8) years of education, training, and/or experience analyzing, evaluating, and/or developing improvements to organizational and/or managerial systems, programs, and practices.


Preferred experience includes:

 

  • Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income or other at-risk populations
  • Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage

The background of well-qualified candidates will demonstrate the following competencies:
 

  1. Ability to think critically and strategically about program operations and their impact on reaching goals such as improved health outcomes or reduced health care costs.
  2. Basic project management skills, including development and implementation of workplans, quality assurance processes, and methods and techniques used in establishing work standards.
  3. Knowledge of methods and techniques of analysis, work simplification, and data management used to organize teams and work.
  4. Minimum of basic competency with statistical methods, especially those used in program planning and monitoring.
  5. Knowledge of data collection methods, including the ability to gather, assemble, analyze, and devise valid conclusions from different sources of information ranging from general internet-based research on national health care models to analyzing excel data sets for program trends.
  6. Ability to effectively use verbal and written communication as tools for initiating and completing work.

Agency information:

The Department of Health and Human Services (DHHS) provides supportive, preventive, protective, public health and intervention services that help families and individuals meet their needs. DHHS strives to provide these programs and services while respecting the rights and preferences of individuals and families. The Office of MaineCare Services (OMS) within DHHS administers the state’s Medicaid program, which provides health insurance coverage for low-income families, adults and children so they can access the important health care services they need to be healthy and be a part of the community through work, caring for family, going to school, and more. OMS works collaboratively within DHHS, with other Departments and the Office of the Governor, with MaineCare members, with providers, and with other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and health outcomes for all low-income Mainers. OMS provides benefit coverage and supports the services that operate in alignment with Department goals, federal mandates and State policy. OMS also provides oversight necessary to ensure accountability and efficient and effective administration.


This position is located within the OMS Delivery System Reform Unit (DSRU) and reports to the DSRU Quality Manager. The DSRU collaborates with internal and external stakeholders to incorporate clinical, social, fiscal, and operational considerations into the design and implementation of new MaineCare initiatives that seek to improve outcomes through changes to health care operations, delivery, and/or payment models. This team focuses on the design and implementation stages of large and small initiatives and works collaboratively with other MaineCare units to ultimately transition these initiatives into our ongoing operations.


Application Information:


Please submit all documents or files in a PDF or Word format.


For additional information about this position,
please contact Charyl Malik at (207) 624-4043.


To apply, please upload a resume and cover letter with your application.


To request a paper application, please contact Ashley.Smith@Maine.gov .


Benefits


No matter where you work across Maine state government, you find employees who embody our state motto-“Dirigo” or “I lead”-as they provide essential services to Mainers every day. We believe in supporting our workforce’s health and wellbeing with a valuable total compensation package, including:

 

  • Work-Life Balance – Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
  • Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($10,150.80-$11,942.16 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.

 
 

  • Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.

 
 

  • Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($350.40 annual value).

 
 

  • Retirement Plan – The State of Maine contributes 13.16%of pay to the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.
  • Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
  • Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.
  • Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.
  • Living Resources Program – Navigate challenging work and life situations with our employee assistance program.

 
 

  • Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child-including fathers and adoptive parents-receive four weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act.
  • Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.
  • Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.

There’s a job and then there’s purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role.

As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.


If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.


Thinking about applying?


Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.