Healthcare Office Manager (Portland) The Vascular Care GroupHealthcare Office Manager (Portland)Portland, ME$85,000–$95,000 / yearAbility to communicate professionally with clinicians, nurses, allied health staff, administrative staff, frontline staff, contractors, governmental agencies, insurance payers, patients, family members of patients, suppliers, and the general public, of all age levels from child to senior citizen. Administrative tasks related to obtaining and maintaining AAAASF certification, Assist with and provide project management on ad hoc projects.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyPortland, MEFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
Associate Director, Premium Administration Sun Life Financial IncAssociate Director, Premium AdministrationPortland, ME$84,200–$126,300 / yearJob Description: The Opportunity: Reporting to the Director of Premium Administration, this position owns the Premium Audit function end-to-end, leads cross functional initiatives, and delivers the reporting and analytics infrastructure required for data driven decision-making. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Healthcare Data Analyst State of MaineHealthcare Data AnalystAugusta, Maine$64,376–$91,000In order to qualify for this position, you must have a six (6) year combination of education and/or experience that includes a bachelor's degree in Data Analytics, Statistics, Public Health, Economics, Business Administration, or a closely related field -AND- two (2) years of experience with data analysis. This Healthcare Data Analyst will provide key information obtained through data analysis establishing baseline performance and will track progress against goals for improving population health for major DHHS and OMS initiatives.
Program Manager MaineTouch LLCProgram ManagerPortland, ME$21–$25 / hourPart timeMaineTouch is seeking a highly organized and motivated Program Manager to oversee client intake, admissions, documentation management, and staffing coordination within our Downtown Portland office. You will oversee intake processes, track service documentation, support staffing assignments, and help maintain efficient and compliant administrative systems within our personal care agency program.
Digital Health Program Managers (3) MCD Global HealthDigital Health Program Managers (3)Various Towns/Cities in Maine, MaineDigital Health Program Managers will partner with sub-awardees and contractors to implement digital health projects and programs in varying topic areas and technical approaches, including but not limited to: telehealth integration in schools, long-term care facilities, acute care, oral health, maternal and perinatal behavioral health, implementation of peer-to-peer telehealth models, remote patient monitoring programs and digital health navigation. Lead by example, foster a sense of teamwork, inspire a sense of personal and professional accountability and promote positive morale that supports productivity and high quality of work for the individual team, the US Programs and MCD Global Health as a whole.
NewPractice Manager - Sanford & Saco, ME ConvenientMDPractice Manager - Sanford & Saco, MESanford, MaineDual-site management experience: Proven ability to successfully oversee operations across multiple clinic locations, balancing priorities, optimizing workflows, and ensuring consistent team performance and patient experience at each site. As a dual Practice Manager at both our Sanford & Saco, Maine urgent care clinics, you will play a pivotal role in the day-to-day operational efficiency of the clinics while contributing to their long-term strategic goals.
Manager of Payor Contracting | South Portland, ME InterMed, P.A.Manager of Payor Contracting | South Portland, MESouth Portland, MEPart timeExperience: Minimum 3 years of experience in a similar or related role such as managed care/ACO contracting, provider/payor relations, project management, physician organization, hospital organization or health plan. Contribute to communications and education regarding Payor Contracting utilizing tools such as the electronic newsletter, educational sessions, or other appropriate forums as needed .
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyME$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
BioMed Engineer I PHS Bio-Medical ServicesBioMed Engineer ILEWISTON, MaineFull timeResponsibilities: Provide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.’s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesME$103,400–$149,430 / yearPreferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.
Senior Policy Manager State of MaineSenior Policy ManagerAugusta, Maine$77,896–$110,073.60Typical responsibilities and duties will include: Providing day-to-day leadership and management for the above areas of responsibility and working with OMS staff to ensure that work is appropriately prioritized, scheduled, and executed according to established workplans, deadlines, and best practices. The Senior Policy Manager oversees the policy team in providing clear and well-informed interpretation and articulation of current MaineCare regulations and obtaining state and federal authorities necessary for changes in coverage and reimbursement of MaineCare services.
Associate Manager - EMR Specialist, Electronic Health Records (EHR) Modernization MCD Global HealthAssociate Manager - EMR Specialist, Electronic Health Records (EHR) ModernizationVarious Towns/Cities in Maine, MaineThis role is well-suited for professionals with hands-on with EHR implementation, upgrade, or replacement projects, including integration with clinical workflows and other health systems. MCD Global Health aspires to be a premier partner of choice and a recognized leader, innovator, and trusted partner in healthcare and public health program development, implementation and evaluation.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsME$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerME$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Manager of Urgent Care - RN| South Portland, ME | Full-Time | $5,000 Sign On Bonus! InterMed, P.A.Manager of Urgent Care - RN| South Portland, ME | Full-Time | $5,000 Sign On Bonus!South Portland, MEPart timeWorking under the general supervision of the Director of Operations, this position is responsible for management of operations, finances, and overall performance of the Urgent Care department to ensure delivery of high-quality, timely care, an exceptional patient experience, and optimal provider and team member engagement. This individual serves as part of the management team and partners with Medical Directors and clinical leadership to translate strategic priorities into operational plans, ensure efficient patient flow, and lead teams in a fast-paced, high-volume environment.
Case Manager State of MaineCase ManagerPortland, Maine$56,264–$78,998.40A Bachelor's Degree in Public/Community Health, Health Administration, Health Sciences or Health Education; Public Administration, Government, Social Work, or a closely related field and three (3) years professional experience in the planning, development, coordination and/or evaluation of health programs or services -OR- an equivalent seven (7) year combination of education, training, and experience. Present and explain reports to various groups in order to increase understanding and achieve support for conclusions; • Assist in identifying areas of opportunity for consumer and stakeholder education based on frequent types of escalated cases.
NewDirector of Revenue Cycle Operations MaineGeneral HealthDirector of Revenue Cycle OperationsWaterville, MEWe''re seeking a strategic, collaborative Director of Revenue Cycle Operations to lead a high-performing team responsible for optimizing revenue cycle operations, driving financial performance, and supporting organizational growth. Physical Wellness: We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
Accreditation Manager- Quality Assurance Central Maine Healthcare CorporationAccreditation Manager- Quality AssuranceLEWISTON, MaineFull timeThe system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. Manages all Joint Commission accreditation visits, all CMS complaint investigation visits and all CMS triannual accreditation visits including on site and after visit activities.
Medical Support Assistant (Advanced) U.S. Department of Veterans AffairsMedical Support Assistant (Advanced)ME$53,279–$77,805 / yearDocumentation Requirements for Proof of High School Completion or higher: If selected, to meet the basic requirement of high school education or equivalent and prior to a firm job offer being extended, applicants must provide one of the following as verification of the education requirement if not covered under the grandfathering provision: Copy of high school diploma OR high school transcript (unofficial or official) OR GED Certificate OR homeschooling completion OR proficiency certificate issued by a State or Territorial Board of Department of Education OR college transcript (official). Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and/or care in the community operational activities that affect patient flow, and patient support care administrative functions to include, but not limited to appointment cycles, outside patient referrals, follow-up care, overbooking, provider availability, etc.
NewRegistered Nurse Manager Surgical Services Peri Anesthesia Prime Healthcare Services IncRegistered Nurse Manager Surgical Services Peri AnesthesiaLEWISTON, METhe Manager partners closely with physicians, nursing leadership, anesthesia teams, and hospital administration to ensure safe, efficient, patient-centered perioperative care while supporting operational excellence and positive patient outcomes. The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region''s only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute.
RN Case Manager, Home Health CenterWellRN Case Manager, Home HealthBangor, MaineOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.
Registered Nurse Manager - Surgical Services Peri Anesthesia Central Maine Medical CenterRegistered Nurse Manager - Surgical Services Peri AnesthesiaLEWISTON, MaineFull timeThe Manager partners closely with physicians, nursing leadership, anesthesia teams, and hospital administration to ensure safe, efficient, patient-centered perioperative care while supporting operational excellence and positive patient outcomes. The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute.
Safety & Occupational Health Specialist (TCF Trainee) U.S. Department of Veterans AffairsSafety & Occupational Health Specialist (TCF Trainee)Augusta, ME$50,460–$97,087 / yearYou may qualify based on education and/or experience as described below: Individual Occupational Requirements: Undergraduate and Graduate Education: Major study in safety or occupational health fields (safety, occupational health, industrial hygiene), or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following (or closely related) disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. To qualify based on education for this grade level you must have 1 full year of graduate level education or superior academic achievement: Major study -- safety or occupational health fields (safety, occupational health, industrial hygiene), or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following (or closely related) disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology.
System Patient Experience Manager - Bangor, ME Compass Group North AmericaSystem Patient Experience Manager - Bangor, MEBANGOR, ME$80,000–$90,000 / yearJob Summary: Working as the System Patient Experience Manager, you are responsible for managing, coordinating, and directing all patient experience activities in collaboration with unit leadership in order to improve patient satisfaction scores including management of other Patient Experience Managers. Crothall has more than 32,000 team members, with core services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS.