MaineCare Medical Director

Department of Health and Human Services (DHHS)

Public Service Coordinator III

Opening Date:

October 13, 2026

Closing Date:

October 26, 2026

Job Class Code:

CA62

Grade:62 (Confidential)

Salary:$ – $ per year

Position Number:

Location:

Augusta

-Limited Period Position-

Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

Core Responsibilities:

The Maine Care Medical Director is responsible for providing clinical leadership and guidance for the Maine Care program to support Maine Care goals and objectives and in alignment with Maine Care priorities, as established in coordination with the Maine Care Director and the Commissioner’s Office of the Department of Health and Human Services (DHHS). The Medical Director supports development, implementation, and operations of policy, programs, and initiatives that aim to improve health outcomes for Maine Care members, achieve improved health outcomes for all populations served by Maine Care, and promote high value care.

The Medical Director directly communicates with healthcare providers in the state, participates in relevant advisory groups, sponsors or leads certain initiatives to improve internal care coordination functions as well as to reform the broader external delivery system, and, when needed, interacts with the state legislature at the direction of the Office of Maine Care Services (OMS) and DHHS leadership.

This position will be a member of the OMS Senior Management Team. In that capacity, the position will serve as a senior level liaison to other teams within and outside OMS, promote cross-team collaboration and communication, contribute to budget and legislative planning, advise senior and executive leaders, and provide updates on project progress and advancements of key priorities. To accomplish this, the person in this position must understand how the teams’ work is connected to the work of other teams within OMS and other state agencies.

As a senior leader within the office, this position must be able to understand, professionally and confidently represent, and promote the work, values, and priorities of the division, Office, and Department to both internal and external audiences. The person in this position must be able to think critically and creatively, be solution-oriented, take a high degree of initiative, show good judgment, and work under minimal supervision.

The position will supervise one direct report, the Care Coordinator Manager, and over 30 indirect reports, both clinical and non-clinical, across five teams/areas of the Care Coordination Division (Prior Authorization, Complex Case Unit, Emergency Department Collaborative, HIV Waiver, and Vital Care for Kids (EPSDT)). These teams work with and on behalf of Maine Care members who have complex medical needs to support their ability to access timely critical services.

Key priorities for this position include:

• Ensuring that OMS coverage policies are well-grounded in clinical evidence and well-positioned to effectively serve all Maine Care members
• Supporting the advancement of Maine Care’s focus on value-based care and alternative payment models
• Providing clinical leadership and oversight to improve the effectiveness of care coordination and utilization management for high-need Maine Care members provided by Maine Care staff, external vendors and through healthcare delivery system initiatives
• Collaborating with Maine Care and DHHS analytics, research and evaluation teams to help direct and interpret efforts to identify and address areas of health disparities

Typical responsibilities and duties include:

• Supervising teams to ensure that work is appropriately assigned, prioritized, scheduled, and executed in accordance with agreed upon plans and supporting direct reports to learn and grow
• Assisting with the development of quality standards and performance measures to assess provider performance and member health outcomes
• Assisting with the development of and, in certain cases, sponsor or lead Maine Care strategic initiatives to promote delivery system reform and/or the elimination of health inequities
• Supporting Maine’s Medicaid program through participation in national leadership and learning opportunities to inform and stay current on Medicaid best practices and foster state to-state learnings, including Medicaid Medical Director networks, national technical assistance opportunities, and presentations at local and national meetings