Provider Relations & Policy Training Specialist

Department of Health and Human Services; Augusta (ME); On-site; USD 43,000 - 60,000; Full time

Benefits offered by this job

Health Insurance

Vacation leave

Parental leave

Retirement plan

Job summary

Department of Health and Human Services in Augusta, ME, is seeking a qualified professional to interpret MaineCare policies, analyze complex claims data, and collaborate with internal teams and external partners to resolve issues. The role involves developing provider trainings and assisting in enrollment determinations based on MaineCare guidelines.

The position emphasizes communicating policy requirements clearly, presenting training materials, and contributing to large-scale program

Qualifications

• Four-year combination of training and experience in health care administration.
• Knowledge of MaineCare policies strongly preferred.
• Experience with Medicaid programs preferred.
• Strong communication and training skills.

Responsibilities

• Interpret MaineCare policies and provide guidance to providers.
• Research complex claims data and assist providers with resolution.
• Collaborate with internal teams and external partners on claims issues.
• Develop and present provider training on MaineCare policy and claims.
• Assist with enrollment determinations for provider types.
• Participate in provider forums and stakeholder meetings.

Skills

Claims analysis

Adult training

Excel

Collaboration

Independent work

Tools

PowerPoint

Job description

Department of Health and Human Services in Augusta, ME, is seeking a qualified professional to interpret MaineCare policies, analyze complex claims data, and collaborate with internal teams and external partners to resolve issues. The role involves developing provider trainings and assisting in enrollment determinations based on MaineCare guidelines.

The position emphasizes communicating policy requirements clearly, presenting training materials, and contributing to large-scale program