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Amergis Project Lead - Rate Reform in Augusta, Maine

Amergis Healthcare Staffing is seeking a Rate Reform Project Lead to assist in the reform of comprehensive statewide rate systems.

The Rate Setting unit is located within the Data Analytics team. Rate Setting is currently overseeing the implementation of a comprehensive rate system reform plan and other key initiatives which will streamline, rationalize, and improve MaineCare's reimbursement system to ensure rates are equitable and sufficient to provide all MaineCare members with access to needed, high value healthcare services. For more information on MaineCare’s rate reform efforts, please visit: https://www.mainecare.gov/rate-reform.

Pay Rate : $31 - 38/ hour, 40 hours/week

13 paid holidays per year

Up to 10 days of accrued PTO, based on assignment duration

Please note that this pay range represents a good faith estimate of the compensation that will be offered for this position. The actual pay offered to a successful candidate will take into account a wide range of factors, including but not limited to location, qualifications, and additional preferred experience.

Must have working knowledge of medicaid HCBS rules and regulations with experience related to finance and reimbursement policies.

Please submit a Resume, Cover letter, and References upon applying for this position.

  • Oversee and provide project management support for rate studies performed either internally or by external vendors, including clear documentation of program decisions and reasoning

  • Provide analytic support for our HCBS waiver programs

  • Participate in meetings and work with program staff from OMS leadership, Policy, Provider Relations, Care Coordination, Change Management, and other units, and 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.

  • Draft decision memos for MaineCare and Department leadership

  • Ensure consistent methodologies are applied across different rate studies.

  • Coordinate stakeholder engagement.

  • Develop presentations for stakeholders and the legislature.

    Knowledge, Skills and Certifications

    In order to qualify for this position, you must have:

  • Eight (8) year combination of education and/or experience that includes a Bachelor’s degree in Data Analytics, Finance, Economics, Business Administration, or a closely related field.

  • Two (2) years of experience in data analysis, accounting, project management, business management, and/or financial analysis. Directly related professional experience may be substituted for education on a year-for-year basis.

    Benefits

At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

  • Competitive pay & weekly paychecks

  • Health, dental, vision, and life insurance

  • 401(k) savings plan

  • Awards and recognition programs

    *Benefit eligibility is dependent on employment status.

    About Amergis

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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