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Rate Setting Financial Analyst

State of Maine

Augusta, Maine

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JOB DETAILS
SALARY
$66,206.40–$94,057.60
SKILLS
Analysis Skills, Budgeting, Business Administration, Cost Analysis, Department of Health and Human Services, Fee Schedule, Finance, Financial Analysis, Financial Management, Generally Accepted Accounting Principles (GAAP), Governmental Accounting Standards Board (GASB), Healthcare Providers, Hospital, Legal Research, Medicaid, Nonprofit, Provider Relations, Psychiatry and Mental Health, Public Health, Regulations, Reimbursement, Research Skills, Service Delivery, Staff Policies
LOCATION
Augusta, Maine
POSTED
30+ days ago
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.
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Department of Health and Human Services (DHHS)

Opening Date: April 9, 2026

Closing Date: April 30, 2026

Job Class Code: CA28

Grade: 28 (Confidential)

Salary: $66,206.40 - $94,057.60 per year

Position Number: 02031-2525

Location: Augusta

This position allows for partial telework with management approval.

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

Core Responsibilities:

As a Rate Setting Financial Analyst, you will:

  • Research and analyze cost and financial data from various sources and 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.
  • Be responsible for providing 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.
  • Be responsible for determining 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 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:
  • A thorough knowledge of the Governmental Accounting Standards Board's Generally Accepted Accounting Principles (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.

The Office of MaineCare Services (OMS) within DHHS

About the Company

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State of Maine

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