This job has closed.

State of Maine · 3 weeks ago

Rate Setting Financial Analyst

Augusta, Maine

Full-time

Onsite

Senior Level, Lead/Staff

$66K/yr - $94K/yr

8+ years exp

The State of Maine's Department of Health and Human Services is seeking a Rate Setting Financial Analyst. The role involves researching and analyzing financial data to determine appropriate rates for services and supervising other staff in the Rate Setting unit.

Art

Responsibilities

Research and analyze cost and financial data from various sources and determine appropriate rates and cost charges for services

Produce updated fee schedules on an annual basis, or on an ad hoc basis as rates are updated

Create fiscal impact analysis of potential annual rate changes, provider rate requests, and Legislative bills for changes in MaineCare Reimbursement

Create rate letters when a reimbursement methodology indicates that provider-specific rates are appropriate

Be responsible for providing DHHS administration with analysis of reimbursement rates associated with MaineCare and other Department programs

Work with program staff from OMS Policy, Provider Relations, Care Coordination, Delivery System Reform, and other OMS units, and also from other DHHS Offices, to develop and implement rate-setting methodologies and assumptions used to develop and authorize payments to providers for services delivered to MaineCare members

Be responsible for determining financial impact to the Department regarding proposed changes in reimbursement methods and/or levels

Supervise and cross-train other Rate Setting staff

Participate in the review and development of rate models and Alternative Payment Methodologies

Act as the Department’s subject matter expert on rate models and rate model elements as part of the Rate Reform process

Cover meetings when the Manager of Rate Setting is unavailable, acting as a subject matter expert

Qualification

Financial analysisCost analysisGASB/GAAP knowledgeMedicaid knowledgeBudget managementResearch skillsSupervisionCollaboration

Required

An eight (8) year combination of education and/or experience comprised of a Master's Degree in Business Administration, Non-Profit Administration, Finance, or a closely related field and two (2) years of experience in cost, budget, and financial analysis

Directly related professional experience may be substituted for education on a year-for-year basis

A thorough knowledge of the Governmental Accounting Standards Board's Generally Accepted Accounting Principles (GASB/GAAP) evidenced through formal education and practical experience at the professional level

An established record of managing complex fiscal issues with successful outcomes

Ability to successfully partner with financial and program staff to achieve common goals

Ability to research law, regulations, and Medicaid policies to provide sound advice and recommendations to executive managers