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New Job Mainecare Policy Planner In Maine

MaineCare Policy Planner
MaineCare Policy Planner

MaineCare Policy Planner

Company : State of Maine
Salary : $51,522 - $69,576 a year
Location : Maine

Full Description

The Department of Health and Human Services (DHHS) is responsible for the work of the department.

Comprehensive Health Planner II
Opening Date: September 18, 2023

The final closing date for this project is December 31, 2020.

Job Class Code: 5050

Grades: 26 (Pro. & Tech. S.)
Salary: $51,521.60-$69,576.00 / year?

Position Number: 02031-2417

Core Responsibilities:

As a Comprehensive Health Planner II in the Policy Division, the policy planner will develop expertise on covered services as outlined by the Maine Care Benefits Manual (MBM) and support the OMS's recovery plan. They will work collaboratively with other OMs-staff to streamline, rationalize and improve Maine's reimbursement system to ensure rates are equitable and sufficiently sufficient to provide all Maine care members with access to needed, high value-based health care services.

The Policy Planner will:

  • Draft and propose new rules, working with various internal and external stakeholders.

  • Initiate formal Maine Carrier policy rulemaking through the MAPA process, including the proposed adoption of Maine Carrier rules. Incentivize public hearings as necessary and respond to proposed rules by public comment.

  • Evaluate and interpret assigned sections of MBM, including national standards and best practices. Compliance with applicable state and federal laws is required.

  • Evaluate ways to further OMS's goal of reducing costs, including a focus on support for evidence-based practices.

  • Working collaboratively with a wide variety of stakeholders, including internal staff, other state offices, providers, members and advocates.

  • In a critical and strategically directed way, think critically to address complex health policy issues and manage multiple priorities simultaneously.

The position works to create policy that is responsive to the needs of MaineCare members and providers, guided by best practice, data analysis and community input. The position requires effective communication, including strong analytical and writing skills, presentation skills, and the ability to work collaboratively with diverse groups and nonprofits.

Minimum Qualifications:

A Bachelor's degree in public health, health administration, or health science; or a related field; or public policy, government, law/political science, or social work; and three (3) years of professional experience in the planning, development, coordination, evaluation, and training of projects. Preference will be given to candidates with a comparable combination of education, certification, and experience.

Preferred experience includes:

  • Health and Human Services: Experience with the Medicaid program, or knowledge of other health care programs serving low-income populations.
  • What is your experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage?
  • What is the knowledge of alternative payment models and value-based purchasing?

The background of well-qualified candidates must show the following competences:

1. Experience with policy and program analysis, development, and interpretation/implementation.

2. Knowledge about health care benefit programs (e.g., MaineCare, other state Medicaid or private insurance coverage) and relevant issues facing the health-care field and health-care consumers.

3. Strong problem solving and analytical skills are required.

4. Demonstrated writing, editing and proofreading skills, including the ability to simplify and summarize technical language and complex subject matter in a concise manner and in alignment with plain language principles. (Please provide a good writing sample)

5. The ability and motivation to effectively manage multiple long-term, short term projects with diverse stakeholder groups.

Agency information:

The Department of Health and Human Services (DHHS) is committed to promoting the health, safety, and well-being of people in Maine. The department provides health and social services to about a third of the state's population, including children, families, older people and individuals with schizophrenia, mental illness and substance use disorders.

The Office of Maine Car 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 with other departments and the government, with Maine Car Members, providers, workers and other health-care consumers on statewide health-care improvement initiatives.

The Policy Division is responsible for the development of policies and programs that provide eligible Maine residents with access to comprehensive, affordable, and evidence-based health care services through formal rulemaking consistent with the MAPA.

Application Information:

All documents or files must be in PDF format.

For questions about this position, please contact Henry Eckerson at 624-4085.

To request a paper application, please contact [email protected] or call (800) 551-4452.

Benefits

No matter where you work across the state of Maine, you find employees who embody our state's motto - "Didiot" or - "I lead," as they provide essential services to our citizens every day. We believe in supporting our workforce's health and well-being with a valuable total compensation package, including health benefits.

  • Work-Life Balance – Rest is essential. Take time for yourself using 13 paid holidays , What is the maximum amount of sick leave one can take in a year? , and What is the maximum amount of vacation time one can take in a year? 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.
  • Forgiveness of public service and student loans. – 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 What is the maximum amount of paid parental leave one can expect in a year?. 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 is a purposeful, transformative work. Our aim is to create a workplace where you can learn, grow and continually refine your intellectual skills in different ways, and we appreciate that many different skill types make people successful in this role.

As an equal opportunity employer, the Maine State Government embodies a culture of respect and fairness for all gender identity applicants, including transgender persons, race, color, sexuality, sexual orientation or gender identities.

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

Thinking about applying?

Research shows that people from historically underrepresented communities tend to apply for 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 experience and passion set you apart.

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