Clinical Data Coordinator

maine; Augusta (ME); Hybrid; USD 37,000 - 50,000; Full time

Benefits offered by this job

13 paid holidays

Vacation leave

Health insurance coverage

Job summary

Department of Health and Human Services (DHHS) in Augusta is seeking a Medical Care Coordinator to join the MBCHP. You will manage clinical records, validate data, and support program operations statewide.

Ideal candidates are detail-oriented, analytical, and committed to reducing health disparities while coordinating care with providers and patient navigators.

Qualifications

• A four (4) year combination of education and experience in medical eligibility programs and/or experience which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and payment authorization.

Responsibilities

• Manage and maintain accurate clinical records, ensuring timely collection and entry of screening and diagnostic data
• Review and validate clinical information to ensure compliance with program guidelines and coverage criteria
• Analyze claims and clinical data reports to support program operations
• Process medical claims and resolve billing issues for clients, providers, and internal staff
• Partner with patient navigators to communicate abnormal screening results, supporting timely follow‑up care
• Monitor provider compliance with data reporting
• Serve as a subject matter resource for providers by delivering guidance on MBCHP billing processes
• Use independent judgment to prioritize tasks, solve problems, and ensure high‑quality, accurate work

Skills

Interviewing

Data gathering

Analytical thinking

Customer service

Education

4-year combination of education and experience in medical eligibility programs

Job description

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State's career page and indicate on the application that they have previously worked for the State.

Department of Health and Human Services (DHHS)

Medical Care Coordinator

Opening Date: September 9, 2026

Closing Date: September 22, 2026

Job Class Code: 5055

Grade: 16 (04)

Salary: $17.69 - $24.27 per hour

Position Number: 02000-2404

Location: Augusta

This position allows for partial telework with management approval.

Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

Core Responsibilities:

Join the Maine CDC Breast and Cervical Health Program (MBCHP) and play a vital role in ensuring underserved individuals have access to life-saving cancer screening and diagnostic services. As a Medical Care Coordinator, you will be at the center of a mission-driven team working to reduce health disparities and improve early detection outcomes statewide.

This role is ideal for someone detail-oriented, analytical, and motivated by meaningful public health work. You'll have the opportunity to collaborate with healthcare providers, support patient care coordination, and contribute to a program that directly impacts lives.

You will:

• Manage and maintain accurate clinical records, ensuring timely collection and entry of screening and diagnostic data
• Review and validate clinical information to ensure compliance with program guidelines and coverage criteria
• Analyze claims and clinical data reports to support program operations
• Process medical claims and resolve billing issues for clients, providers, and internal staff
• Partner with patient navigators to communicate abnormal screening results, supporting timely follow‑up care
• Monitor provider compliance with data reporting
• Serve as a subject matter resource for providers by delivering guidance on MBCHP billing processes
• Use independent judgment to prioritize tasks, solve problems, and ensure high‑quality, accurate work

Minimum Qualifications:

A four (4) year combination of education and experience in medical eligibility programs and/or experience which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and payment authorization.

Preferred candidates will also have:

• A collaborative, team-oriented mindset with a commitment to customer service
• Experience working with patients, clinical, or health-related data systems preferred
• Ability to handle sensitive and confidential information with professionalism and discretion
• Comfort working in a role connected to cancer care and women's health

Agency information:

The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.

The mission for the Maine Center for Disease Control and Prevention (Maine CDC), within which this position is located, is to develop and deliver services to preserve, protect, and promote the health and well‑being of the citizens of Maine.

Benefits of working for the State of Maine:

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 Fit - Rest is essential. Take time for yourself using 13 paid holidays and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave. When you or immediate members of your family are ill, utilize 12 days of sick leave per year.
• Health Insurance Coverage - The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 - $13,650.48 annual value) , depending on salary.