MaineCare Medical Director

MaineGuide; Augusta (ME); On-site; USD 179,000 - 255,000; Full time

Job summary

The Department of Health and Human Services (DHHS) in Augusta seeks a Public Service Coordinator III to provide clinical leadership and guidance for the MaineCare program, aligning with DHHS priorities and leading policy development and strategic initiatives.

The role will supervise a Care Coordinator Manager and 30+ indirect reports across five teams; collaborate with OMS to drive value-based care, health equity, and performance improvements while engaging with state leaders and external

Responsibilities

• Supervising teams to ensure work is assigned, prioritized, scheduled, and executed per plans.
• Assisting with development of quality standards and performance measures.
• Assisting with development of MaineCare strategic initiatives to promote delivery system reform and the elimination of health inequities.
• Supporting Maine’s Medicaid program through participation in national leadership and learning opportunities (Medicaid/Medicare networks and events).

Skills

Clinical leadership

Team supervision

Policy development

Budget planning

Stakeholder collaboration

Job description

Department of Health and Human Services (DHHS)

Public Service Coordinator III

Opening Date:October 13, 2026

Closing Date:October 26, 2026

Job Class Code:CA62

Grade:62 (Confidential)

Salary:$179,129.60 – $254,654.40 per year

Position Number:20002-5275

Location: Augusta

-Limited Period Position-

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

Core Responsibilities:

The MaineCare Medical Director is responsible for providing clinical leadership and guidance for the MaineCare program to support MaineCare goals and objectives and in alignment with MaineCare priorities, as established in coordination with the MaineCare Director and the Commissioner’s Office of the Department of Health and Human Services (DHHS). The Medical Director supports development, implementation, and operations of policy, programs, and initiatives that aim to improve health outcomes for MaineCare members, achieve improved health outcomes for all populations served by MaineCare, and promote high value care. The Medical Director directly communicates with healthcare providers in the state, participates in relevant advisory groups, sponsors or leads certain initiatives to improve internal care coordination functions as well as to reform the broader external delivery system, and, when needed, interacts with the state legislature at the direction of the Office of MaineCare Services (OMS) and DHHS leadership.

This position will be a member of the OMS Senior Management Team. In that capacity, the position will serve as a senior level liaison to other teams within and outside OMS, promote cross-team collaboration and communication, contribute to budget and legislative planning, advise senior and executive leaders, and provide updates on project progress and advancements of key priorities. To accomplish this, the person in this position must understand how the teams’ work is connected to the work of other teams within OMS and other state agencies. As a senior leader within the office, this position must be able to understand, professionally and confidently represent, and promote the work, values, and priorities of the division, Office, and Department to both internal and external audiences. The person in this position must be able to think critically and creatively, be solution-oriented, take a high degree of initiative, show good judgment, and work under minimal supervision.

The position will supervise one direct report, the Care Coordinator Manager, and over 30 indirect reports, both clinical and non-clinical, across five teams/areas of the Care Coordination Division (Prior Authorization, Complex Case Unit, Emergency Department Collaborative, HIV Waiver, and VitalCare for Kids (EPSDT)). These teams work with and on behalf of MaineCare members who have complex medical needs to support their ability to access timely critical services.

Key priorities for this position include:

• Ensuring that OMS coverage policies are well-grounded in clinical evidence and well-positioned to effectively serve all MaineCare members
• Supporting the advancement of MaineCare’s focus on value-based care and alternative payment models
• Providing clinical leadership and oversight to improve the effectiveness of care coordination and utilization management for high-need MaineCare members provided by MaineCare staff, external vendors and through healthcare delivery system initiatives
• Collaborating with MaineCare and DHHS analytics, research and evaluation teams to help direct and interpret efforts to identify and address areas of health disparities

Typical responsibilities and duties include:

• Supervising teams to ensure that work is appropriately assigned, prioritized, scheduled, and executed in accordance with agreed upon plans and supporting direct reports to learn and grow
• Assisting with the development of quality standards and performance measures to assess provider performance and member health outcomes
• Assisting with the development of and, in certain cases, sponsor or lead MaineCare strategic initiatives to promote delivery system reform and/or the elimination of health inequities
• Supporting Maine’s Medicaid program through participation in national leadership and learning opportunities to inform and stay current on Medicaid best practices and foster state to-state learnings, including Medicaid Medical Director networks, national technical assistance opportunities, and presentations at local and national meetings