Additional Information
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)
Comprehensive Health Planner II
Opening Date: June 9, 2026
Closing Date: June 23, 2026
Job Class Code: 5050
Grade: 26 (Professional & Technical Services)
Salary: $56,264.00 - $78,998.40 per year
Position Number: 02000-3232, 02031-2283
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:
The Policy Planner will develop policies that describe the health care services covered by MaineCare and how MaineCare reimburses for those services. The Policy Planner works with internal and external partners to develop these policies in accordance with federal and state requirements and with the goal of meeting the needs of MaineCare members and providers. This includes researching Medicaid policies in other states, staying up to date on Medicaid regulations that relate to the policy writer's areas of focus, and reviewing best practices, data analyses, and collecting interested party feedback The position requires effective communication, including strong analytical, writing, and presentation skills. This role also involves working collaboratively with diverse groups and agencies, including holding public hearings.
The position will help OMS adopt policies needed for comprehensive rate system reform, which aims to 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. The MaineCare Policy Planner will work collaboratively with other agencies, members, and providers to understand how these policies best work in practice. This position may work with and actively collaborate on all sections of the MaineCare Benefits Manual (MBM) - the state rules governing the MaineCare program - but may have a primary focus in either:
outpatient, clinic, and hospital services including medical and preventative services and programs; or
children's and behavioral health services including home and community-based, residential, and inpatient behavioral health services, case management services, and health home services for children and adults with behavioral health conditions.
The Policy Planner will:
Develop expertise in their assigned MaineCare covered services, including qualified providers, best practices, how payments are made, reimbursement methodology, and compliance with applicable state and federal laws.
Initiate formal MaineCare policy rulemaking through the MAPA process, including but not limited to:
Draft new rules and/or changes to existing rules, working with various internal and external partners.
Facilitate public hearings and respond to public comments on proposed rules.
Work collaboratively with internal teams and other state offices and with a wide variety of third parties including members, providers, and advocates.
Think critically and strategically to address complex health policy issues and manage multiple priorities at once.
Effectively research healthcare best practice, state statute, and federal regulations to inform policy development.
Maine · Augusta, ME