Job Information
State of Maine, Bureau of Human Resources PROVIDER RELATIONS- DSRU SPECIALIST in Augusta, Maine
PROVIDER RELATIONS- DSRU SPECIALIST
Augusta , Maine , United States | Community & Social Services | Full-time
Apply by: Oct. 1, 2024
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Department of Health and Human Services (DHHS)PROVIDER RELATIONS SPECIALISTOpening Date: September 18, 2024 Closing Date: October 1, 2024Job Class Code:5011
Grade: 20 (Prof & Tech Services B.U.)
Salary: $20.68 – $28.88 per hourPosition Number:02022-7821Location: Augusta
Agency information:
TheDepartment of Health and Human Services (https://www.maine.gov/dhhs/) (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.
The Office of MaineCare Services (OMS) within DHHS administers the state’s Medicaid program, which provides health insurance coverage for low-income families, adults and children so they can access the important health care services they need to be healthy and be a part of the community through work, caring for family, going to school, and more. OMS works collaboratively within DHHS, with other Departments and the Office of the Governor, with MaineCare members, with providers, and with other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and health outcomes for all low-income Mainers. OMS provides benefit coverage and supports the services that operate in alignment with Department goals, federal mandates and State policy. OMS also provides oversight necessary to ensure accountability and efficient and effective administration.
This position will be part of the Provider Relations Unit within OMS and will focus on tasks in collaboration with the Delivery System Reform Unit (DSRU) and the Provider Engagement and Communications Teams to provide ongoing support to Behavioral Health Homes (BHH), Community Care Teams (CCT) including HOME providers, Opioid Health Home (OHH) and MaineMOM providers.
Core Responsibilities:
This position will be part of the Provider Relations Team at OMS and will focus primarily on tasks in collaboration with the Delivery System Reform Unit (DSRU) and the Provider Engagement and Communications Teams. The position will assist in planning and engaging in regional forums and other technical assistance events to include venue coordination, audio/visual needs, understanding target audience, preparing internal presentation materials, and other support for the in-person and/or virtual meetings. which may include VMS Portal Training. Position will monitor tracking for policy compliance for Behavioral Health Homes (BHH), Community Care Teams (CCT) including HOME providers, OHH, and MaineMOM providers to include sending out Core Standards Reports for completion, staff listings, and reviewing and confirming they meet policy standards, and escalating and coordinating with DSRU/Policy on any that are non-compliant which may also include action plans, if applicable. PC Plus Compliance includes annual recertification process and confirming practices are still meeting requirements. This will include working with those practices that are not meeting requirements outside of the recertification process in coordination with DSRU/Policy to address upon notification from the practice. This position will consult with DSRU management for content and decision making. Upcoming training calendar updates and posting of events will be sent to the Provider Engagement team for posting of events. Assist with provider recruitment in collaboration with Provider Engagement Team and DSRU team to recruit and promote the program(s), onboarding once a provider applies and is approved for a program, and site visits for some of the programs which will include an overview of program requirements as part of the site visit. Support application processes for all the DSRU programs that have this step (MaineMOM, OHH, BHH, CCT/HOME) and PCPlus and makes edits to applications, accepts submissions, and responds to providers. Coordinating and responding to provider questions on a daily basis by working across OMS, participate in and provide feedback to inform future program and policy changes and provide resources on programs and subject-matter specific best practices in collaboration with Provider Engagement and DSRU teams.
Minimum Qualifications:
A four (4) year combination of education and experience providing a knowledge of health care administration and community health services. The background of well-qualified candidates will demonstrate the following competencies:
A proven ability to investigate and utilize data to support improved outcomes.
Familiarity in interpreting health care or other relevant policies and procedures.
A demonstrated ability to develop and deliver training and technical assistance programs to diverse audiences.
Strong analytical and problem-solving skills.
Skilled in the use of Microsoft Office products.
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Application Information:
Please submit all documents or files in PDF format.
For questions, please contact Heidi Brann at 207-624-6926
To request a paper application, please contact Ashley.Smith@Maine.gov (Ashley.Vigue@Maine.gov) .
Benefits of working for the State of Maine:
No matter where you work across Maine state government, you find employees who embody our state motto—"Dirigo" or "I lead"—as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including:
Work-Life Fit – Rest is essential. Take time for yourself using 13 paid holidays , 12 days of sick leave , and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
Health Insurance Coverage – The State of Maine pays 85%-95% of employee-only premiums ($11,196.96 - $12,514.32 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.
Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($387.92 annual value).
Retirement Plan – The State contributes the equivalent of 13.29% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including fathers and adoptive parents—receivesix weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act (https://www.maine.gov/bhr/state-employees/workplace-posters) .
State employees are eligible for an extensive and highly competitive benefits package (https://www.maine.gov/bhr/state-jobs/compensation-benefits) , covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness (https://www.maine.gov/bhr/oeh/) .
Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time.
There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role.
As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.
If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.