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State of Maine

Rate Setting Financial Analyst

State of Maine, Augusta, Maine, us, 04338

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Public Service Coordinator I – Rate Setting Financial Analyst Opening Date: December 23, 2025 Closing Date: January 16, 2026 Job Class Code: CA28 Grade: 28 (Confidential) Salary: $66,206.40 - $94,057.60 per year Position Number: 02031-2546 Location: Augusta

Job Description

Research and analyze cost and financial data from various sources to determine appropriate rates and cost charges for services.

Produce updated fee schedules on an annual basis, or on an ad hoc basis as rates are updated.

Create fiscal impact analysis of potential annual rate changes, provider rate requests, and Legislative bills for changes in MaineCare Reimbursement.

Create rate letters when a reimbursement methodology indicates that provider-specific rates are appropriate.

Provide DHHS administration with analysis of reimbursement rates associated with MaineCare and other Department programs.

Work with program staff from OMS Policy, Provider Relations, Care Coordination, Delivery System Reform, and other OMS units, and also from other DHHS Offices, to develop and implement rate-setting methodologies and assumptions used to develop and authorize payments to providers for services delivered to MaineCare members.

Determine financial impact to the Department regarding proposed changes in reimbursement methods and/or levels.

Supervise and cross-train other Rate Setting staff.

Participate in the review and development of rate models and Alternative Payment Methodologies.

Act as the Department's subject matter expert on rate models and rate model elements as part of the Rate Reform process.

Cover meetings when the Manager of Rate Setting is unavailable, acting as a subject matter expert.

Minimum Qualifications To qualify, you must have an eight (8) year combination of education and/or experience comprised of a Master's Degree in Business Administration, Non-Profit Administration, Finance, or a closely related field and two (2) years of experience in cost, budget, and financial analysis. Directly related professional experience may be substituted for education on a year-for-year basis.

Preferred Experience

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.

Competencies

A thorough knowledge of GASB/GAAP evidenced through formal education and practical experience at the professional level.

An established record of managing complex fiscal issues with successful outcomes.

Ability to successfully partner with financial and program staff to achieve common goals.

Ability to research law, regulations, and Medicaid policies to provide sound advice and recommendations to executive managers.

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 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.

Application Information For additional information about this position please contact Dwayne Parsons, at (207) 287-4875. Please provide a Cover Letter, Resume, and References with your application. Please submit all documents or files in PDF or Word format. To request a paper application, please contact

Mandy.Hernandez@Maine.gov

Benefits of Working for the State of Maine

Work-Life Fit

- Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.

Health Insurance Coverage

- The State of Maine pays 85%-100% of employee-only premiums ($12,845.82 - $15,112.76 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 ($395.72 annual value).

Retirement Plan

- The State contributes the equivalent of 18.91% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).

Parental leave

- All employees who are welcoming a child-including fathers 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.

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 for anything less than full-time.

Equal Opportunity 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.

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