Rate Data Specialist Job Augusta area,Maine USA,Healthcare

Position: Rate Setting Data Specialist
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.

Department of Health and Human Services (DHHS)

Management Analyst II

Date:
October 9, 2026

Closing Date:
October 23, 2026

Job Class Code:0393

Grade:24 (Professional & Technical)

Salary:$56,888.00 - $79,768.00 per year

Position Number:

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 Rate Setting Data Specialist assists in research, data collection, data analysis, document creation, coordination, and task tracking. The primary function of this position would be to assist and provide support to the Rate Setting Financial Analysts and broader Data Analytics team. This includes researching reimbursement rates for Maine Care as well as healthcare reimbursement rates from other State Medicaid Agencies, Medicare, and Commercial Insurance calculations.

Additionally, this position would assist in Quality Assurance for all documents that are created both internal and external facing for accuracy.

This role’s responsibilities will include:

Collect data publications used in the rate methodologies implemented by the Department including CMS fee schedules in which some Maine Care rates are benchmarked.
Perform data collection, data extraction, and data analysis of healthcare rates and reimbursement.
Create fee schedule documents to be posted on the Provider Portal for reference.
Create and maintain historic data files related to reimbursement rates and changes to those reimbursement rates.
Provide Quality Assurance review of documents to help ensure the quality of the documents produced.
Help maintain Quality Assurance protocols and checklists.
Create letters of reimbursement for special agreements with providers to provide certain services.
Create informational dashboards based on healthcare data to inform of trends and decision making.

Minimum Qualifications:

To qualify, you must have an eight (8) year combination of education and/or experience analyzing, evaluating, and/or presenting data findings to aid in meeting organizational objectives and informing leadership during decision-making.

Preferred experience includes:

Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income populations
Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage

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

Proficiency with Microsoft Word and Microsoft Excel.
Data analysis skills and the utilization of critical thinking skills when evaluating data sets.
Ability to process data to form an analysis and describe and discuss that analysis clearly.
A history of showing curiosity and a desire to learn new topics thoroughly.
An established history of working in a team-focused environment.

Thinking about applying?

Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your experience and passion set you apart.

Agency information:

The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social…