Provider Relations- DSRU Specialist

MaineGuide; Augusta (ME); Hybrid; USD 29,000 - 40,000; Full time

Benefits offered by this job

Health Insurance Coverage

Dental Insurance

Retirement Plan

Gym Membership Reimbursement

Flexible Spending Accounts

Job summary

State of Maine’s Department of Health and Human Services, Office of MaineCare Services, seeks a Provider Relations Specialist in Augusta to support provider-facing activities and coordinate with DSRU/Provider Engagement teams. The role includes organizing meetings, trainings, and conferences to strengthen provider program understanding.

The ideal candidate will have 4 years’ health care administration experience, Medicaid knowledge, and strong communication, policy interpretation, and MS Office

Qualifications

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

Responsibilities

• Field provider questions and coordinate with internal subject matter experts.
• Facilitate meetings and events to strengthen providers' program understanding.
• Support annual provider conferences and trainings across OMS/DSRU.
• Coordinate provider applications and track submissions for DSRU programs.

Skills

Communication skills

Policy interpretation

Training delivery

Analytical skills

MS Office

Tools

Microsoft Office

Job description

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State.

Department of Health and Human Services (DHHS)

Provider Relations Specialist

Opening Date: September 8, 2026

Closing Date: September 21, 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 facilitating 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.

Thinking about applying?

Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.

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 health insurance coverage for low-income families, adults and children so they can access the important health care services they need to be healthy and be a part of the community through work, caring for family, going to school, and more. OMS works collaboratively within DHHS, with other Departments and the Office of the Governor, with MaineCare members, with providers, and with other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and health outcomes for all low-income Mainers. OMS provides benefit coverage and supports the services that operate in alignment with Department goals, federal mandates and State policy. OMS also provides oversight necessary to ensure accountability and efficient and effective administration.

Application Information:

For additional information about this position please contact Heidi Brann, at [phone].

Benefits of working for the State of Maine:

• Work-Life Fit- Rest is essential. Take time for yourself using 13 paid holidays and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave. When you or immediate members of your family are ill, utilize 12 days of sick leave per year.
• Health Insurance Coverage- The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 - $13,650.48 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
• Health Insurance Premium Credit- Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.
• Dental Insurance- The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value).
• Retirement Plan- The State contributes the equivalent of 14.06% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.
• Gym Membership Reimbursement - Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
• Health and Dependent Care Flexible Spending Accounts - Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.
• Public Service Student Loan Forgiveness - The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.
• Living Resources Program - Navigate challenging work and life situations with our employee assistance program.
• Parental leaveis one of the most important benefits for any working parent. All employees who are welcoming a child—including non-birthing 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.
• Voluntary Deferred Compensation - Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.

State employees are eligible for an extensive 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.

If you are unable to complete the online application, please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.