Clinical Data Coordinator

State-of-Maine; Augusta (ME); Hybrid; USD 24,000 - 33,000; Full time

Job summary

State of Maine is seeking a Medical Care Coordinator in Augusta to join the Maine CDC Breast and Cervical Health Program. You will help ensure underserved individuals receive life-saving cancer screening and diagnostic services, coordinating care with providers and patient navigators.

The role requires strong data management, analytical skills, and a commitment to reducing health disparities. Partial telework is available with management approval, and visa sponsorship is not offered.

Qualifications

• Four-year combination of education and experience in medical eligibility programs.
• Experience with interviewing and data gathering to form judgments in eligibility determinations and claims processing.

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

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 CoordinatorOpening Date: September 9, 2026Closing Date: September 22, 2026Job Class Code: 5055Grade: 16 (04)Salary: $17.69 - $24.27 per hourPosition Number: 02000-2404Location: AugustaThis 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 workMinimum 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 healthThinking 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 experience and passion set you apart.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.Application Information:For questions about this position, please contact Kawther Mohamed at [e-mail] submit all documents or files in PDF or Word format.To request a paper application, please contact [e-mail] 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. 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 ($365.28 annual value).Retirement Plan – The State contributes the equivalent of 14.06% of the employee's pay towards 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 non-birthing and adoptive parents—receive six 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.State employees are eligible for an extensive and highly competitive benefits package , covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness .Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time.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..If you are unable to complete the online application, please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.