Delivery System Reform Coordinator

Mainemuseums; Augusta (GA); Hybrid; USD 66,000 - 95,000; Full time

Job summary

A leading public service organization is seeking a Public Service Coordinator I to enhance healthcare access for low-income populations. This role involves managing Medicaid initiatives, collaborating with various stakeholders, and ensuring effective healthcare delivery. The ideal candidate will have significant experience in healthcare administration and public policy.

Benefits

13 paid holidays

12 days of sick leave

3+ weeks of vacation leave annually

85%-95% health insurance coverage

100% dental insurance coverage

Retirement plan contribution

6 weeks of fully paid parental leave

Qualifications

• 8 years of experience in healthcare or health plan administration.
• Demonstrated knowledge of Medicaid policies and programs.
• Experience managing programs related to health care services.

Responsibilities

• Work collaboratively with state partners and health care providers.
• Manage vendor contracts and procurement.
• Make strategic recommendations regarding Medicaid coverage.

Skills

Healthcare administration

Public policy research

Program operations

Data analysis

Education

Professional degree in public administration

Healthcare administration

Public health

Job description

Department ofHealth and Human Services (DHHS)

Public Service Coordinator I

Opening Date: May 19, 2025

Closing Date: June 9, 2025

Job Class Code: CA28

Grade: 28

Salary: $66,206.40 - $94,057.60 per year

Position Number: 02031-2544

Location: Augusta

This position allows for partial telework with management approval.

Core Responsibilities:

The Delivery System Reform Coordinator works as part of a team dedicated to bridging the gap between health and health-related social needs and access to the health care system. To help with this mission, the Coordinator will help develop and implement initiatives as part of MaineCare’s comprehensive rate reform efforts and in support of broader OMS priorities. This position supports MaineCare in ensuring cost effective use of health care spending and improving population health outcomes. The Coordinator will advise senior leaders, may supervise 1 to 2 professional staff, and will oversee contracts with vendors for analytic, technical, and other support. Some in-state travel required.

An ideal candidate will be able to facilitate effective collaborations with a strong belief in our collective ability to make positive change.

This position will:
• Work collaboratively with state partners, health care providers, community organizations, and other partners in support of OMS priorities.
• Make strategic and operational recommendations regarding Medicaid coverage and reimbursement, and care delivery investments for a range of health service areas.
• Lead and/or coordinate efforts to bolster DHHS’s ability to make well-informed and data-driven decisions that improve access to high-value, equitable care that meets MaineCare members’ health needs and health-related social needs.
• Manage vendor contracts and procurement of vendors to support OMS’s work.
• Synthesize state and national research related to a wide range of delivery system and payment reform topics.
• Serve as a contributor on advisory or stakeholder groups as a representative of OMS or DHHS.

Minimum Qualifications:

To qualify, you must have an eight (8) year combination of education and/or experience comprised of healthcare or health plan administration; public policy research, design and implementation; and/or healthcare-related program operations and analytics. Professional degree in public administration, healthcare administration, public health or other comparable field with a focus on health or public policy and demonstrated knowledge of Medicaid policies and programs preferred.

Preferred experience includes:

• Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income 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. Broad knowledge of health care insurance, health care delivery systems, and health care reform efforts, including alternative payment models.
2. Experience managing programs related to health care services delivery and/or public health including development and use of workplans and communication strategies.
3. Ability to oversee, understand, and synthesize analyses of complex information and data to inform public health and health care strategy.
4. Ability to partner effectively with a broad range of internal and external stakeholders throughout program design and implementation, including MaineCare members and their families, health care providers, community-organizations, and advocacy and provider associations.
5. Ability to take initiative, problem-solve, and make appropriate decisions independently.
6. Excellent written and oral professional communication skills.

Thinking about applying?

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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 Office of MaineCare Services (OMS) within DHHS administers the state’s Medicaid program, which provides free or low-cost health insurance coverage for low-income Mainers so they can access the health care services they need to work, care for family, go to school, and participate in the community. OMS works collaboratively with other State agencies, the Legislature, the Office of the Governor, MaineCare members, health care providers, and other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and positive health outcomes for all low-income Mainers. OMS provides benefit coverage and support services in alignment with Department goals, federal requirements, and State statutes. OMS also provides oversight necessary to ensure accountability and efficient and effective administration of the state’s Medicaid program.

This is position is located within the OMS Delivery System Reform unit and will report to the Associate Director of Delivery System Reform. The Delivery System Reform unit seeks to improve outcomes through changes to health care operations, delivery, rates, and/or payment models. The team incorporates clinical, social, fiscal, and operational considerations into the design and implementation phases of these MaineCare initiatives, and assists in the transition into ongoing operations. Members of the Delivery System Reform unit collaborate with internal and external stakeholders to achieve program goals.

Application Information:

For additional information about this position please contact Olivia Alford, 207-624-4059

Please submit all documents or files in PDF format.

To request a paper application, please contact [e-mail]

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, 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%-95% of employee-only premiums ($11,196.96 - $12,514.32 annual value), depending on salary. Use this chart to find the premium costsfor you and your family, including the percentage of dependent coverage paid by the State.
• Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($387.92 annual value).
• Retirement Plan– The State contributes the equivalent of 13.29% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).

• 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 six weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act.

State employees are eligible for anextensive 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 foranything 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.