Comprehensive Health Planner I

Augusta, Maine, United States Full-time

Non-Emergency Medical Transportation Program

Opening Date: August 13, 2019

Closing Date:  August 27, 2019

Job Class Code: 5049
Grade: 23 (Professional & Technical)
Salary: $39,582.40 to $53,580.80/yr.
Position Number: 02000-3260

 

Agency information:

The Department of Health and Human Services (DHHS) provides supportive, preventive, protective, public health and intervention services to protect the public health and assist our customers in meeting their needs; and that assist families in providing for the developmental, health and safety needs of their children.  DHHS strives to provide these programs and services while respecting the rights and preferences of individuals and families.  The Office of MaineCare Services (OMS) within the Department of Health and Human Services (DHHS) administers and coordinates several major health care financing programs for Maine’s citizens.  These programs include the Non-Emergency Medical Transportation (NEMT) program. OMS assures that the health care programs and services it administers operate in keeping with the Department goals and federal mandates and are consistent with State policy.  OMS also provides oversight necessary to ensure accountability and efficient and effective administration.  This position is located in Augusta.

Job duties:

 As a Comprehensive Health Planner I in the Office of MaineCare Services you will perform the following tasks:

  • Point of contact for NEMT Program for internal stakeholders (governor’s office, grievance officer, DXC) via multiple channels (emails, Footprints database, phone, fax, internet).
  • Act as a point of contact for NEMT Program for external stakeholders (MaineCare members, medical providers, etc.) via multiple channels (emails, phone, fax, and internet).
  • Log NET Program complaints and concerns from members and providers and work to resolution with transportation brokers.
  • Develop and submit monthly information for transportation broker invoicing.
  • Review transportation reports and encounter data to ensure compliance with policy and contracts.
  • Listen to recorded broker calls to ensure appropriate service is being delivered to members.
  • Answer MaineCare transportation policy questions from brokers
  • Participate and sometimes lead conference calls with brokers and other stakeholders.
  • Attend and participate in stakeholder meetings as assigned.
  • Generate periodic and ad-hoc reports on project status for management.
  • Maintain paper and electronic files of member issues and concerns.

MINIMUM QUALIFICATIONS:

 A Bachelor’s Degree from an accredited educational institution in Public/Community Health, Health Administration, Public Administration, Social Work, or a closely related field and three (3) years of progressively responsible experience in the planning, development, and coordination of health programs or services or in Medicaid transportation. Directly related experience may be substituted for education on a year-for-year basis. The background of well-qualified candidates will demonstrate the following competencies:

 

  1. An in-depth knowledge of Medicaid policies, programs, guidelines, procedures, and processes or similar knowledge in a commercial health plan environment. 
  2. A demonstrated ability to identify, research and analyze statistical data regarding healthcare services and utilize this data to identify trends and evaluate program performance.
  3. Exceptional written communications skills including the ability to effectively present program evaluation data and in management informational reports.
  4. Exceptional interpersonal communication skills including the ability to lead and facilitate public meetings involving government officials, providers and stakeholder groups.

 

When applying, you must respond to the prompts as indicated above so that your application can be evaluated. Failure to do so will result in your application not being evaluated.

APPLICATION INFORMATION:

For additional information about this position please contact Roger Bondeson at Roger.Bondeson@maine.gov. To apply, please upload a resume and cover letter. To request a paper application, please contact Ashley Vigue at  Ashley.Vigue@maine.gov .

BENEFITS
Value of State’s share of Employee’s Retirement: 14.47% of pay   
Value of State-paid Dental Insurance:  $14.31 biweekly

Value of State-paid Health Insurance*:

Level 1:  100% State Contribution = $461.75 biweekly (employee pays nothing)
Level 2:  95% State Contribution = $438.66 biweekly (Employee pays: 5%)
Level 3:  90% State Contribution = $415.58 biweekly (Employee pays: 10%)
Level 4:  85% State Contribution = $392.49 biweekly (Employee pays: 15%)
*The level of actual value of state paid Health Insurance will be based on employee’s wage rate and status with regard to the health credit premium program as of July 1, 2019.

 

The Department of Health and Human Services is an Equal Opportunity/Affirmative Action employer.  We provide reasonable accommodations to qualified individuals with disabilities upon request.