Mainecare Reimbursement Specialist

Department of Health and Human Services (DHHS)

Augusta, Maine, USA
$43,014.40 - $60,070.40 py; not specified; not spe...
Hybrid (partial telework with management approval)
Manage portfolio of cases
Evaluate and interpret statutes
Generate reports and process paperwork
The Mainecare Reimbursement Specialist position at the Department of Health and Human Services (DHHS) requires a bachelor’s degree and experience in healthcare insurance, focusing on managing eligibility for a reimbursement program. The role supports MaineCare members by ensuring compliance with state and federal regulations and offers partial telework opportunities

Job Summary

  • As a reimbursement Specialist for PHIP (Private Health Insurance Premium) you will manage a portfolio of cases, determine whether or not the applicant is eligible for the program insurance cost reimbursement.
  • The State of Maine offers a valuable total compensation package, including work-life fit with paid holidays and leave, health and dental insurance, and a retirement plan.
  • The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people.

Matching Summary

Match Score: 75

The Mainecare Reimbursement Specialist position at the Department of Health and Human Services (DHHS) requires a bachelor’s degree and experience in healthcare insurance, focusing on managing eligibility for a reimbursement program. The role supports MaineCare members by ensuring compliance with state and federal regulations and offers partial telework opportunities.

Salary

$43,014.40 - $60,070.40 per year; Not specified; Not specified

Skills & Requirements

Must-have

  • manage portfolio of cases
  • evaluate and interpret statutes
  • generate reports and process paperwork
  • handle large volume of work
  • work independently or with a team
  • knowledge of MaineCare policies

Nice-to-have

  • advance health equity efforts
  • support workforce health and wellbeing
  • create a workplace to learn and grow
  • embrace a culture of respect and awareness

Key Requirements

  • Bachelor's degree in accounting, Business Administration, or related field
  • one (1) year experience in health care insurance
  • Experience with Microsoft Word, Excel, and database systems
  • Experience interpreting rules, regulations, and policies
  • Experience using claims-based applications

Work Rights

Not specified

Tailored Resume

Cover Letter