Hearings Representative

maine; Augusta (ME); Hybrid; USD 56,000 - 79,000; Full time

Benefits offered by this job

Partial telework

Job summary

The Department of Health and Human Services (DHHS) in Augusta, Maine is seeking a Comprehensive Health Planner II to serve as Hearings Representative for the Office of MaineCare Services (OMS). You will represent OMS in administrative appeal hearings, prepare witnesses and exhibits, and assist with related compliance duties.

The role requires a Bachelor's degree in a health-related field and several years of experience in health program planning or administration, with a preference for those

Qualifications

• Bachelor's Degree in Public/Community Health, Health Administration, Health Sciences or Health Education; Public Administration, Government, Social Work, or closely related field and three (3) years professional experience in health programs or services -OR- equivalent seven (7) year combination of education, training, and experience.

Responsibilities

• Represent OMS in administrative appeal hearings to argue the Department was correct in its actions.
• Participate in pre-hearing conferences.
• Prepare and submit exhibits for hearings.
• Prepare witnesses for testifying at hearings.
• Interpret MaineCare rules and perform limited legal research.

Skills

Verbal communication

Analytical reasoning

Legal research

Education

Bachelor's Degree in Public/Community Health

Tools

None

Job description

Department of Health and Human Services (DHHS)

Comprehensive Health Planner II

Opening Date: August 14, 2026

Closing Date: August 27, 2026

Job Class Code: 5050

Grade: 26 (Pro. & Tech. Svcs.)

Salary: $56,264.00 - $78,998.40 per year

Position Number: 20002-5212

Location: The position is located in Augusta, Maine

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

This position allows for partial telework with management approval.

Core Responsibilities

This position is primarily responsible for representing the Office of MaineCare Services (OMS) in administrative appeal hearings regarding actions taken by OMS as part of the administration of the MaineCare program. The position sits within the OMS Compliance Division and reports to the Associate Director of Compliance.

As the Hearings Representative for OMS, you will:

• Represent OMS in administrative appeal hearings to make the best possible case that the Department was correct in taking certain program actions.
• Participate in pre‑hearing conferences.
• Prepare and submit exhibits to be used during hearings.
• Prepare witnesses for testifying at hearings.
• Interpret MaineCare rules and may perform limited legal research.

Hearings are conducted in accordance with the Maine Administrative Procedures Act and the Department of Health and Human Services' Division of Administrative Hearings regulations.

In addition to the duties related to administrative appeal hearings, this position will assist with other Compliance‑related duties, including, but not limited to:

• Assisting with the processing of Freedom of Access Act requests;
• Assisting in monitoring and keeping abreast of current and proposed federal and state laws, regulations, policies, and rules that impact or potentially impact OMS programs and operations; and
• Tracking, monitoring, and leading special projects, as assigned.

We are seeking an individual who can:

• Communicate effectively and persuasively verbally and in writing.
• Analyze facts and testimony.
• Reach and present logical conclusions.

Minimum Qualifications

• A Bachelor's Degree in Public/Community Health, Health Administration, Health Sciences or Health Education; Public Administration, Government, Social Work, or a closely related field and three (3) years professional experience in the planning, development, coordination and/or evaluation of health programs or services -OR- an equivalent seven (7) year combination of education, training, and experience.

Preference will be given to candidates with:

• An advanced degree in a related field, such as a law degree (or actively in the process of obtaining a law degree)
• Experience with administrative hearings and/or litigation
• Experience in regulatory compliance work
• 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.

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,