Comprehensive Health Planner II

Comprehensive Health Planner II – Department of Health and Human Services (DHHS)

Opening Date:
August 13, 2026 Closing Date:
August 26, 2026 Job Class Code: 5050 Grade: 26 (Pro. & Tech. Svcs.) Salary: $56,264.00 - $78,998.40 per year Position Number:

Location:

Augusta. Occasional travel is required. Limited Period Position. Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

As a Comprehensive Health Planner II, you will review and implement algorithms using computer systems designed for measuring and monitoring utilization of Maine Care covered services and identifying potential areas of fraud and abuse. You will conduct independent and complex compliance and/or programmatic audits/reviews of Maine Care providers and programs that receive state and federal funds from the Department of Health and Human Services.

These audits are required to ensure compliance with established laws, rules, regulations and standards. In addition, you will be responsible for maintaining the Division’s required federal reports. To successfully perform these duties, you must have the ability to comprehend and analyze complex Maine Care policies and procedures, the related healthcare claims, medical and clinical healthcare records, and budget and expenditure information.

You must be highly skilled with standard desktop technology, particularly spreadsheet and database applications. You must be detail oriented, able to work independently and possess a high level of initiative. As a Comprehensive Health Planner II you will contribute to the Department’s mission and goals by helping to ensure public assistance funds are utilized for the purposes enacted in legislation.

A 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. The background of well-qualified candidates will demonstrate the following:

• Knowledge/experience in healthcare and claims research analysis;
• Knowledge/experience using spreadsheet and database applications;
• Knowledge/experience in auditing/reviewing healthcare related services;
• Knowledge/experience in utilizing nationally accepted billing forms and coding.

• Work‑Life Fit – Rest is essential. Take time for yourself using 13 paid holidays and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime‑exempt employees receive personal leave. When you or immediate members of your family are ill, utilize 12 days of sick leave per year.
• Health Insurance Coverage – The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 - $13,650.48 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
• Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.
• Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value).
• Retirement Plan – The State contributes the equivalent of 14.06% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.
• Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
• Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out‑of‑pocket health care expenses and/or daycare expenses.
• Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.
• Living Resources Program – Navigate challenging work and life situations with our employee…