Provider Relations- DSRU Specialist

maine

Augusta (ME)

On-site

USD 28,000 - 40,000

Full time

5 days ago
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Job summary

Department of Health and Human Services (DHHS) in Augusta seeks a Provider Relations Specialist to support provider-facing activities. The role collaborates with the Delivery System Reform Unit and engagement teams, coordinating meetings, calendar updates, and outreach to providers.

The position focuses on conference support, system training, and fielding questions, with duties including participation in workgroups and assisting in program applications across MaineCare OMS programs.

Qualifications

  • A four (4) year combination of training and experience in health care administration or related field.
  • Knowledge of Medicaid or health and human services programs is preferred.
  • Ability to communicate effectively with internal and external stakeholders.

Responsibilities

  • Support provider-facing activities and coordinate with internal subject-matter experts.
  • Assist with annual provider conferences and training programs.
  • Monitor policy compliance tracking for Behavioral Health Homes, CCT, HOME, OHH, and MaineMOM providers and escalate non-compliance.

Skills

Communication
Policy interpretation
Training delivery
Analytical skills
MS Office

Education

Four-year degree

Tools

Microsoft Office

Job description

Department of Health and Human Services (DHHS)

Provider Relations Specialist

Job Details

Opening Date: August 21, 2026

Closing Date: September 3, 2026

Job Class Code: 5011

Grade: 20 (Professional & Technical)

Salary: $20.68 - $28.88 per hour

Position Number: 02000-1839

Location: Augusta

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

Core Responsibilities

This position will be part of the Provider Relations Team at the Office of MaineCare Services (OMS) and will focus primarily on tasks in collaboration with the Delivery System Reform Unit (DSRU) and the Provider Engagement and Communications Teams. The primary focus of this role is to support provider-facing activities, including fielding questions from providers, coordinating with internal subject-matter experts, and facilitation of meetings and events that strengthen provider's program understanding

The position will assist with annual provider conferences, supporting provider-specific systems training, facilitation of reoccurring provider meetings, and scheduling and leading additional meetings as needed, including updating training and engagement calendars. This role will consult with DSRU management for content needs and decision making.

This position will monitor tracking for policy compliance for Behavioral Health Homes (BHH), Community Care Teams (CCT) including HOME providers, Opioid Health Homes (OHH), and MaineMOM providers to include sending and tracking compliance-related reports, requesting current staffing roles lists, and reviewing and confirming policy standards are met, and escalating and coordinating with DSRU/Policy on any that are non-compliant. Primary Care Plus (PC Plus) compliance includes supporting the annual recertification process and confirming practices are still meeting requirements. This will include working with those practices that do not meet requirements outside of the recertification process in coordination with DSRU/Policy to address upon notification from the practice.

The position also supports provider recruitment across DSRU programs, in collaboration with DSRU team to recruit and promote the program(s), including onboarding once a provider applies and is approved for a program, and site visits for some of the programs which will include an overview of program requirements or participating in Quality Assurance activities. Additionally, responsibilities include supporting the application processes for all the DSRU programs that have this step (MaineMOM, OHH, BHH, CCT/HOME) and PCPlus by working with the appropriate application tool to manage and track submissions and respond to providers. Coordinating and responding to provider questions daily by working with subject matter experts, participate in and provide feedback to inform future program and policy changes and provide resources on programs and subject-matter specific best practices in collaboration with Provider Engagement and DSRU teams. The position will also support various tasks for the Provider Relations Manager, as needed, to include special projects and collaborating with the Provider Relations Specialists for peer-to-peer training on systems utilized within OMS. This includes participating in workgroups for large projects or initiatives as needed.

Minimum Qualifications

A four (4) year combination of training and experience providing a knowledge of health care administration and community health services.

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. A proven ability to communicate effectively in both internal and external settings.
  2. Familiarity in interpreting health care or other relevant policies and procedures.
  3. A demonstrated ability to develop and deliver training and technical assistance programs to diverse audiences.
  4. Strong analytical and problem-solving skills.
  5. Skilled in the use of Microsoft Office products.
Agency information:

The Department of Health and Human Services (DHHS) is dedicated to prom

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