MaineCare Rate Analytics Specialist

State-of-Maine; Augusta (ME); Hybrid; USD 57,000 - 80,000; Full time

Job summary

State of Maine is seeking a Management Analyst II in Augusta to support MaineCare rate setting. You will assist in data collection, analysis, and the creation of reimbursement rate documentation.

The role involves developing informational dashboards and ensuring QA of both internal and external documents. The position offers partial telework with management approval, requires an eight-year education/experience mix, and provides a pathway to contribute to Medicaid rate reforms and statewide

Qualifications

• Eight-year combination of education and/or experience analyzing, evaluating, and presenting data findings to aid in decision-making.
• Experience with Medicaid and health-related social needs is preferred.
• Strong data presentation and communication skills are essential.
• Ability to work effectively in a team-focused environment.

Responsibilities

• Collect data publications used in rate methodologies (CMS schedules) for MaineCare benchmarking.
• Perform data collection, extraction, and analysis of healthcare rates and reimbursement.
• Create fee schedule documents for the Provider Portal reference.
• Create and maintain historic data files on reimbursement rates.
• Provide QA review of internal and external documents for accuracy.

Skills

Data analysis

Excel

Quality Assurance

Dashboards

Critical thinking

Tools

Microsoft Word

Microsoft Excel

Job description

State of Maine is seeking a Management Analyst II in Augusta to support MaineCare rate setting. You will assist in data collection, analysis, and the creation of reimbursement rate documentation.

The role involves developing informational dashboards and ensuring QA of both internal and external documents. The position offers partial telework with management approval, requires an eight-year education/experience mix, and provides a pathway to contribute to Medicaid rate reforms and statewide